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� � <br /> , <br /> Sec.13.0-t RIGHTS OF SLBJECTS OF D?.T?, <br /> Subd. 1. Tvpe of data. The righcs oi iadividual on whom[he data is stored or ro be scortd shall be as set fonh in�his section. <br /> Subd.'_'. Iaformatian reqirired to he�ven individual. �.n iadividual asked to supply private or confideadal daca concerniag himself shall <br /> be informed of: (a)che purpose and inrr.aded use of�he requesrcd dam within the collecang'stare agency, poliacal subdivisioo,or saccwide rystem: <br /> �1�)whecher he may rfuse or is legally cequirod co supply�he requesud daca;(c)any lrnown coasequeace arising from his supplyi,.g or refusing to suppty <br /> privace or conr.dendal dan;and(d)the idenricy of ocher persoas or enddes auchocized by sca[�or federal law to rec�ive the dara. Ihis requiremenc shall <br /> not appiy when an individual is asked to supply inti•esrieadve dac�, pursuanc[o secrion 13.82,subdivision 5, �o a law enforceca�nc o�cer. <br /> The commissioner of re�enu r-iav pla-� the noce� rauired under chis subdi�ision in the individual income tax or prooem taz refur.d <br /> instrucdons ins:ead of on chose forms. <br /> Subd. 3. ?�ecess to data br-individuaI. lipon request to a responsibte auehoriry,an individual shall be informed whe�her he is che subjecc <br /> of s[Dr_d data on individuals,and whecher it is classified as public, privace or confidenaal. L;pon his further request,an individual who is the subjecc <br /> of stor:d privace or public data on indi�•iduals shall be shown[he daea wichouc any char3e co him and,�if he desires, shall be informed of the concer.c <br /> az:d meaning oi�hat dara. After an individual hbs been shown[he privare dara and informed oi iu meaaing,che data need noc be disclosed to him for <br /> siz monchs cheraiter unless a dispute or acaon pursuanc to chis secdon is pending oc addirioaal daea on�he individual has been collected or crea�ed. <br /> The responsible auchoriry shall provide copies of d1t privace or public data upon cequesc by the individual subjecc of�he dara. Tne responsible au[horicy <br /> may cequire d:e requesring person to pay [he acaial coses of mafcing.cernfying,and compiling che copies. <br /> The responsible au[horiry shall comply immediately, if possible, wich any request mad�pursuanc co chis subdivision,or within five days oi <br /> the dac:of che rquesc,e�cluding Sanirdays,Sundays and legal holidays,if immediace compliance is no�possible. If he canno�comply wich rhe reques� <br /> wichin chac dme,he shall so inform che individual,and may have an addidonal five days wichin which to compty wi�'��he request,excluding Sacurdays, <br /> Sundays and legsl holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individual may concest che accuracy or compleceness of pubiic or pri�•ate ' <br /> dara concerning himself. To exercise chis righc,an individual shall nodfy in wriung�he respoastble auchoriry describing�he nacu:e of the disagreemenc. . <br /> The responsible auchoriry shall wichin�0 days eici:er: (a)corrccc[he data found[o be inac:urd[�or incomple�e and attempt to nodfy past recipients of <br /> inaccurace or incomplece dara, inciuding recipien�named by the individual; or(b)nodfy [l:e individual tha�he believes the da�a to be correct. Daea <br /> in dispuce shall be disc:osed only if che individual's stacement of disagreemenc is ir.cluded wich[he disclosed dara. <br /> The de�erminaaon of the responsible au�horiry may be appealed pursuanc to che provisions of[h� administr3rive procedure act relaaag [o <br /> contes�ed cases. <br /> DAT� PRIVACY ADVISORY <br /> In accordance wich M.S. 13.04, Subd.2, "Riahts of subjeccs of data", we would like to inform you that your requesc <br /> for a perm.it or license from the City of Orono or any of its departments may require you to fumish certain private or <br /> confidencial information. <br /> You are notified that: <br /> 1, The information you furnisn will be used to determine your qualification for the permit or license requested. <br /> ?. You may refuse to supply data, buc refusal may require that the Ciry deny the permi� or license. <br /> ;, The information may be shared with o[her local, stace or federal a�encies to the extenc necessary to process <br /> the permit or license. <br /> :�. If your requested permic or license requires Council action to approve, some information may become <br /> public. <br /> �. You have cenain ri�hts under N1.S. 13.04 (available upon request) to review private data on yourself. <br /> 6, Your full name is required to process chis applicacion or permit. <br /> —'���' ".�I�Zf� � /��"" �t�a z �.��� <br /> Fint � r � � /n�� <br /> �" �'VC�!.� <br /> Add �.—�C` J�� �1� _ E��� <br /> { 1 � <br /> Ciry Snce Zip Phonz <br /> I underst y ri�hts as st 6ed a ve. � . <br /> � � � ���� � <br /> � <br /> Signantre <br />