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' �ay-19-7003 05:19pm From-CITY OF ORONO +9522494616 T-486 P.003/003 F-943 <br /> Sec.13.08 RIGIiTS OF 5U��CfS OF Dr�TA <br /> Subd. 1. Type aF data. The righrs of individual on whom nc�dara is swcci or�o be sto�d shall be as sec fo�in�his secdon_ <br /> Subd.2. In[ormatiun required to be�veu iadividusl. M individuat asked ro suPP�Y Pnvare or confideooal dao,coacorning himsalP shafl <br /> bn informed of: (a)the pucpose�nd in�cnded use of che requcsud dan wiihiu rhe collccdag Enr�agency,pOItGC3l R�hdl�i�iOn4 O[SClCGWIdC SySfeIIi; <br /> (b)w4e�r he may rofuse or is iegaily requircd co supply the reques�ed daCt:(c)any lmoav conscquence arising from his suppiying or refusing w suppiy <br /> privue or confidcntial dara;and(d)thc idrntiry ot o►her persons cr enudes autherized by s�aca or PederaI iaw w rcoeive�e da�a. Thu requirement shail <br /> not apply when an individual i;asked w svpply invesdgadve daat, pursuan�w secdon 13,8?,subdivision 5, co a law enforeaman�o�cer. <br /> The comrreissioner crf rovenue mav laco ehe nnoce re irod under mis svtdivision in the individual ineome nx or m e �x refund <br /> instNc[ions instd2d of on nse formS. _ <br /> 5ubd.3- Aeeess to data by individuftl. Upon r�quesc ro a rcspoasible audioriry,an individtta!shall be informed whe�hcr hz is die sttbj�ct <br /> of scoced dara on individuals,and whczhor ic is elassified as public,priva�e or confiden�al. Upon Itis furdur requesi,aa iadividusl wda is rhe subjrcc <br /> ef stored privare or public data on individnsls shall be shown�he data wirhou�any cha,ge m hun and;if�e desiras,ahaU bc infocmed.of rke coareni <br /> and meaning of dzae dara. Afur an individual has beca shown die privaw dara and info�med of ie mcaniug.d�e dam nad u0t hc Qisclosod w him for <br /> six uronths chereafrer unl<ss a dispute or acdon pursuaa�co �his sccuon is pending or addiuonal data on dic iudividual has been coflccrrd or crcaud. <br /> The responsible au�horiry shall pravida copies of nc�privue or public daca upon rcqucse i�y�e ic�dividunl subjec�of dic data. The responsible authoriry <br /> euy requin rhe reyuesdng p�rsan m pay thc acntal coscs of maJcing.cerdfying,and campiling ihe capies. <br /> Thc responsibie autitoriry shail camply immediauly,if possible,wirk any re�{uest mede punvsn�w this subdivision,or wizhin fiva days of <br /> d�e daw of ehe requcst,ozelud'uig 5aaxrdays,5undays and Icgal holidays,if immediuc ccmptiance is na�possibla. IPhe cannot compfy wi�h du requns� <br /> withirt that time,he shall so inform�e individual,and msy havc an addirional fiva days wirhin which ro comply wirh tt�requesc,excluding San►rdays, <br /> Sundays and legal hoEidays. <br /> Suhd.4. pracedurK when dara is aot accurais ar eomplece_ An individuaJ may con�es�iho accuracy or comple[encss of pabiic or privar� <br /> ea�concerniag himself, To exereiso Ghis right,an individusl shall nodfy in writing�hc�esponsble sudioriry describing rhe eawre of tt�e 4isagreemcnt- <br /> Thc cesponsible au�horiry shall wichin 30 days eithCr_ (a)correct the Haca found to be ic�ecurau ar incomplese aod aa�mp[to noafy pas�rxipinnrs of <br /> inaccurace or incomplete darn,including rocipiencs namad by r?te iodividual;or(b)aotity�e individunl cha�he believes che dam co be caerecc Dan <br /> in dispu�c shait be discEvscd o�ily if�hc individuai's srncemenc oP disagrscmanc is inc[uc,cd wich che disclased da�. <br /> Thn de�erminarion c>P tha respansibta au�honry may ba appealcd pursuan�w thc provisions of ihe adcnini�orarive procadure acc relsring co <br /> con�essen cases. <br /> pATA p'Y2IVACY ADVI:�ORY <br /> Izl accordance with M.S. 13.04,Subd.2, "Righ�s of subjeets of d;�ta",we would Iike to inform you r.hat your reques� <br /> for a permie or license from the City of orono 4r any of its dzpartmf:nts may require you to turnish cenain priva�e or <br /> confidential informa�ion. <br /> You aze nocified that: <br /> 1, The infosrna�ion you Eurnish wil!be used to deterniine your quali�ication for rhe permi[or license requesied. <br /> 2_ You may refuse to supply data, but refiasal may requir�: that [he City deny the pernut or license. <br /> 3. The infor�nation�may be shared wi�h o�her local, state or federai agencies to tha exten�necessary to proccss <br /> the permii qr licens�_ <br /> 4. If your requcsted permi[ or license requ'ues Couneil action to approve, some ir,�formation may becoule <br /> public. <br /> 5. You have cenain ri�hrs uuder M.S. 13.04 (available upon reqaes�) �o review private data on yourself. <br /> 6. YouK full name is required to process this applica�ion +�r perin.i[_ <br /> on a��h �ct...M.. /" `uS o t <br /> Pirsi �EiddIc Las� <br /> �I�Z l—� ►,, `^-'°�„ S�' <br /> Address ( 0 ��Q v. V u����' �� �S��'L-L 7�lj— f�S�.c� �/.Z. <br /> �O <br /> �iry Smce 2ip Phone <br /> I understand mY rights as srated above. <br /> /�i�i"�� -- . <br /> 's�&��r� <br />