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�. � <br /> Sec.13.0�i RIGHTS OF SL'BJECTS OF DaT� <br /> Subd. i. Tvpe of data. Ihe righ�s oi iadividual on whom rbe dara is storcd or m be scor�shall be as sec forth ia�his secdon. <br /> Subd.'_'. Information reqirired to be�ven iadividual. �1n individual asked to supply privare ac confidenrial dam coacerning himself shall <br /> be informed of: (a)che purpose and inrnded use of che requesud dan wichia�he coliecdng 3tare agecry,polirical subdivision,or sracewide rysum; <br /> �b)whecher he may rfuse or is legaily�equired ro supply che requesud dan;(c)any�own coauquence ars.ng from his supplying or refusing tn suppty <br /> priva�e or confidenaal dara;and(d)[he idenrity of o�e�persoas or enaaes auchoriz:d by srace or federsi iaw to receive rhe dars. "Ihis requiremen�shali <br /> noc apply when an individual is asf:ed to supply in��esri¢adve dan, pursuanc[o secdon 13.82, subdivisroa 5, eo a[aw enforce��ac o�cer. <br /> The commissioner of re enu riav pls- the nocc r�uired under this subdivision in the ir.dividual ir.come_tax or prooem taz refur.d <br /> instrucdons ins�zad of on chose forms. <br /> Subd. 3. ?,ccess to data b�individual. Cipon request cD a responsible aurhoriry,aa indiv;�'�al shall be informed whe[her he is che subject <br /> of stor_d daca on individuals,and whecher ic is class�ed as public, privace or confidenaal. lipon tus fur`:r request,an individua] who is the subjecc <br /> of stord priva�e or public daei on indi�•iduals shall be shown�he data wichout any chac3e co him and,�u he desires, shall be iruormed of the concer.c <br /> ar.d meaning of rhac dan. Afrer an individua!has been shown�he priva[e daca and informed oi iu mean:r.g,the dam need noc be disclosed ro him for <br /> six monchs cheraner uriless a dispu[e or acrion pucsuanc[n �his secdon is pending or addidoaal daci on�e indiv;dual 6as beea collected or c:eared. <br /> The responsiblz au[horiry shall provide copies of die privace or puhlic data upon requ:st by rhe individu�s�:bject of che daca. Tne responsibie au�horiry <br /> may requir che requesting person to pay [he acaial cos�s of mafcing, cerrifying, and compiling the coc:es. <br /> "Ihe responsiblt authoriry shall compfy immediacely, if possible, with any request madt purn:anc to this subdivision,or within five days ot <br /> the dar-of rhe rquesc,ezciuding Saturdays,Sunday;and legsl holidays,if immediace compliance is noc Fossible. If he canao�comply with[he requesc <br /> w{ehin fia�cime,he shall so inform ehe individual,and may have an addidoaal five days wichin wtuch[n:emply wic's[he requese,excluding Sacurdays. <br /> Sundays and legsl holidays. <br /> Subd.4. Procedure when data i5 not accurate or complete. An individual may contest d:a accuracy or completeness of pubiic or prn•ate ' <br /> data concerning himself. To exerise chis righc,an individual shall noafy in wriang che respoasible aurher.ry d�scribing the nan::e of the disagreemea[. . <br /> The responsiblz aurhoriry shall wichin 30 days eic.`.er: (a)correct rhe data found�o be inaccur3te or u:co�:p(ece ar.d aaempc ro nodfy past recipients oi <br /> inaccurace or incomplete data, inetuding recipienu named by the individual: or(b)aorify ehe individual cfiac he believes che daca to be correcc. Dars <br /> in dispuce shall be disc!osed only if ehe individual's statement of disagreemenc is ir.cluded wich[he dis.:!osed daca. <br /> The de�erminaaon of the responsible au�horiry may be appealed pursuanc to che provisions oi chz adeiinisaarive procedure act relaang to <br /> contesred cases. <br /> DAT� PRIVACY ADVISORY <br /> In accordance wich M.S. 13.04, Subd.2, "Ri�ts of subjecu of data", we would like to inform you that your reauesc <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 /> confiden�ial information. <br /> You are notified that: - <br /> - i. The information you furnish will be used to determine your qualificatioa for che permi[or license requested. <br /> ?. You may refuse, to supply da[a, but refusal may require tha� [he Ciry deny the perm.it or license. <br /> ;. The informa[ion may be shared with ocher local, stace or federal a�encies co the extenc necessary to process <br /> the permit or license. <br /> :}. If your requested permit or license requires Council action to app:ove, some information may become <br /> public. <br /> j. You have cenain riQhts under �1.5. 13.04 (available upon request) to review private data on yourself. <br /> 6, Your full name is required to process this app�,ica[ion or permit. <br /> _ I�rGI-��� �� <br /> First�. ��C� �tiddl� �L�� Lu: <br /> S • �� <br /> d�= �3�� ��_ o�- �,80 <br /> Ciry Snte Zip Phont <br /> I u er tand my ri,h as tate�aoove. � , <br /> Signantre <br />