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Sec.13.0-i RIGFiTS OF SUB.JECTS OF DaT� <br /> Subd. 1. Tvpe of data. The righ�s oi i�dividual an whom�e dara is s;or.d or m be srnrcd shall be as sec forth ia this section. <br /> Subd."_'. Iaformation reqtrired to be�ven individual. ?�n individual uk:d co suFpiy priva[e or conndendal dara concerning himself shall <br /> be informed of: (a) �he purpose and inc:nded use of rhe requesrcd dam wichin�he collecdng"s�re agency, polidcal subdivision, or scamwide rysmm; <br /> (b)whe•�cr he may rtuse or is le3afly reGuircd to si:pply the r.Guested dat�;(c)any lcown caasr:�ueace arising from his supplyi:;or reius;ng co supply <br /> privar�or conf:dendal dara;ar.d(d)the idenary of oc�er persons or enriaes aurhoriz�by sca[-or fed�ral law to receive che da:a. 'Ihis requiremenc shall <br /> noc apply whan an individual is asked ro sspply iacudeadve daa, pursuan�ro sr__oa 13.82, subdivision 5, co a law enforteW�ac o�cer. <br /> The commissioner of r_•:enLe nav vli,:e che noace r_aui2d under this subdivision in the individual income cit or orooem mz refur.d <br /> ins;rucaons ins:ead of on�hose forms. <br /> Subd. 3. ?,ccess to data b�iadividual. lipon requu�w a responsible auchoriry,an individuai shall be informed�vhe�t:er he is che suhjec� <br /> of stor_d dara on individuals,and whe:'�er it is c[assif:ed as public, priva�e or con::C:^rial. tipon his furcher reques�aa iadividuai who is the subjecc <br /> of stocrd priva:e or public daa on indiciduals shall be shown�he daci wi�hout any cairg= tD hi�and;if he desires, shall be iaioccied of the concer.c <br /> ar.d meaning oi ci:at daci. Aher an individuai hu�eea shown che privare dara ar,d iniormed oi ics m:aaing.�he dara need noc be disclosed to him for <br /> siz monrhs cf:cr_after unless a dispute or acrion p��:suanc to this secdon is pendi:,g or addiaoasl dac�on[he individual has beea collecud or creaced. <br /> Tne rtsponsibla auehoriry shall provide copies oi che privace or public daca upon r.�uesc by eC�i�dividuai subjece of�::da�a. The responsible auchoriry <br /> may r.quir che requesring person to pay che acnal cos�of making.cerrifying,u.d compiling [he copies. <br /> T2:e rsponsible auchoriry shall comply ir.ur:edia�ety, if possible, wirh�y�quest sad�pursuant co chis subdivision,or wi�hin five dsys of <br /> �;e dace oi che requesc,ezcluding Sanirdays,Sur,+cay;and legal holidays,if is.ineda:e compliacce is noc possible. If he canno�comply wich che requesc <br /> wichin cha:dr�e,he shall so inform che individuai,ar.d may have an addidoaal five days wichia which co comply wi�z the request, excluding Saturdays, <br /> 5undays and legsl hotidays. <br /> Subd.4. Procedure when d3ta is not accurate or complete. An ir.dir.dual may concest the accur3cy or complaceaess of public or pm�ate' <br /> dsc�cor.ceming himself. To ezer.ise c4is righc,an individua!shall nodfy in wri�:g re respoesiole auchoriry describing che nanice oi thz disagreemea�. . <br /> 'Ihe responsibla aurhoriry sh�il wichin 30 days eic.`.er. (a)correcc che data found ro�:inscarrac.or incomplem and aaemp�co nod:y past tecipien�s of <br /> inaccurace or incompiete daci, including re:ipieacs named by the individual; or(b)corify tt:e individual cha�he believes�he daca to be correcc Dan <br /> in dispucr,shsil be disc'.osed only if[he individual's sacemenc of disagreemenc is i^:luded wi�'��he disclosed dam. <br /> The due:minaaon of tt:� r�sponsibl� auc.horiry may be apptaled pursu�-c ro [he pr�visions of tha administradve procedure act relaciag to <br /> conces:ed czses. <br /> D?,T� PRIVACY �D`'ISORY <br /> In accordance wich M.S. 13.04, Subd.2, "Ri�ts of subjec�s oi da[a", �.�e would like to inform you tha[your reouest <br /> for a permic or iicense from che Ciry oi Orono or any of its depz�.ments nay require you to fumish certain private or <br /> confidencial information. <br /> You are notified that: <br /> 1. The information you furaish will be used to determi�=your qualification for che pecmit or license requested. <br /> ?. You may refuse to suppiy data, but refusal may reauire thac che Ciry deny the permit or license. <br /> 3, The informacion may be shared wich ocher local, sca��or federal agencies co the excenc necessary to process <br /> the permit or license. <br /> .}. If your requested perm.it or license requires Council action to approve, some information may become <br /> pubiic. <br /> �. You have certain ri�hts under �1.5. 13.04 (availabl= uoon requesc) to review private data on yourself. <br /> 6. Your full name is required to process this applica::on or pe:mic. <br /> � ,� ^ � <br /> , Q � <br /> F�n� tii aa�z L�t <br /> � r � �t s � / <br /> ?.dd�ss ' ` P � <br /> , �7L)l � �� � - �. [-�� <br /> Ciry Sa� Zip PF.ar.t <br /> I understand my ri�hts as stated above. <br /> � 1 ' � ' <br /> � <br /> — /� a i <br /> C_ <br /> Signacure <br />