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. <br /> Sec.13.0-t RIGI3TS OF SU"BJECTS OF D.aTa • <br /> Subd. 1. Tvpe of daca_ The righa oi izdividv.al on whom the dats is s:o;:d or a� be scnrrd shail be�s set forch in chis secaon. <br /> Subd.Z. Iaformadon reqiri.-rd to be�ven iadividuaI_ �n individual uked co suFpiy private or confidenaal daci coaceraing himseif shall <br /> be informed of: (a)the purpose and in�nded use of[he rzquesrni data within[he collzcang s��: a�ency,poliacal subdivisioo, or sa�ewide rystc�; <br /> �b)whe:her he tnay rfuse or is(egatly requir:d w si:ppty[be cequesLd dan;(c)any�o���-'�cace arisin3 from tiis supplyi:,g or refusing ro suaply <br /> priva`or con;:denaal daci;ar:d(d)�he idenory of o�er persoas or enaries au�horiz�by s�a�o�fed�ral law ro rec�ive che dan. This r�quir_men�s�all <br /> no�apply whan an indicidual is ul:ed �o sspply i��uri�adve dam. Qursuanc ro sec_on 13.82, svbdivision 5, � a Iaw enforce^_ac officer. <br /> The comr.vssioner of r�•enL_ nav e(i�_ �he nocce r`auired und:r�his subdivison in the indi�idua! income tat o; orooem taz rcCvr.d <br /> inscructions ins:aad of on chose forms. <br /> Subd. 3. ?,ccess to datz bv individuaI_ lipon rtqua[�a responsiblt a�r.horiry,�individual shall be inforraed wFc�her he is�he subjecc <br /> of swrd dara on individuals,and wh_rher it is ctissif:ed as public, PCIV3C_OC COIli.�=::C3j- L�OII F11S fll!'�Gf Rql1GSL, dII IIIdIVIG�lS3I who is t�e subjr_� <br /> of stor-d privace or public dara on indi.�iduals shall be s�own�he daa wi�hout any caar3e co h:�and,�if he desires, shall be inrorned of�he concer.� <br /> ar.d meaning of diat daca. ?.fter an individua!his�eea shown che privac:.daa ar.d:cformed oi ics meania3,che dara need no�be d'uctosed w him for <br /> siz mon�s cheraiur unless a dispute or acrion Fu;suanc w �his secdon is pending o�addidoa�.i daca on the individual has btca collececd or crea�ed. <br /> The rtsponsibfa auchoriry shall providz copies oi chz priva�:or public data uQon r:�u_se by�e irdividual subjac of�he daa. T'ne responsible au�horiry <br /> m�y rquir �he requesring person�o pav �he acn:al cosc�of makin¢. cerrifying. ar.d:ompiling tfie copies. <br /> Zhe responsible au�horiry shall comply inn:cdia[ely, if possible, wi[h�y:equest���pursuant to�his subdivision, or wichut five d�ys of <br /> the da[e of[ha requuc,escluding Sanirdays,Su;'c.3y;and legal holidays,if immed�:e compti�ce is not possibte. If hc canno�compiy wi[h che reques� <br /> wio`�in�c¢rae,he shail so inform�he individual,�:d may have an addidoazl fi�e days wicain which to:omply wi�z the request, cxcfuding Saturdays, <br /> Sundays and legsl holidays. <br /> Subd.4. Procedure w6eo data is not accurate or complete. An'u:div;�ual may con[est the accuracy or compleceaess of publie or pri�•a�e ' <br /> data cor.cerning hLmsetf. To ezer.ise�is rieh�.an individual shall nodfy in wridng�.e respors:oie auchoriry dzscribing�he nan::e o[�he disagremea�_ . <br /> 'Ihe rtsponsiblt au[horiry shall wichin�0 days^.i�.er. (a)cortrcc[he daca fouad m`c iiuctca�or incomplece and aaemp<<o nnri`�j put recipiencs of <br /> inaccura:e or incomplece dac�, including recipiec�nam:d by �he ir.dividual;or(b) �odfy �= i:dividual [ha[he believu�he daca to be correcG Dan <br /> in dispu[e shall be disc!osed only if�he individual's sta�emenc of disagrcement is i^:Iuded wi�� cY:e disclos:d dara. � <br /> 'Ihe Ce�erminsrion of�`;e r�spo:icicl: au�horir/ rr�y be appealed purs.:�'.�o the p;ovisions of cht admicis�rive proce�'ur act rei��ne �o <br /> contes:ed cases. <br /> r <br /> D:�T�. PRIVACY �D�"ISOR�' <br /> In accordance wi�h�1.5. 13.04, Sebd. 2, "Riohts of subjeccs ot da[a", ��e wouid like to inform you tha[your reau:st <br /> for a permit or Iicense from [he Ciry o[Orono or any of its depz-.men[s nay require you to fumis� certain priva�e or <br /> confiden��al information_ <br /> You are notified that: <br /> 1. "Ihe information you fur,�isn wilI be used ro dete�=your qezliSication for che pecm.it or license requested. <br /> ? You may refuse to supplv da�a, but refusal may reeuire thac the Cicy deny che permi� or license. <br /> 3. The informacion may be shared wich o�er 1ocaI, sca�e or federal agencies ro the ex�en� necessary to process <br /> the �ermit or license. <br /> .}. If your requested permic or license requires Council action to approve, some inform�tion may become <br /> public. <br /> �, You have cenain riQhts under �1.5. 13.04 (availabl� upon request) to review private data oa yourseif. <br /> 6. Your full name is required to process this applica::on or pe.LL:it. <br /> Finc �tiddle Last <br /> �dd�ss <br /> Ciry Snc_ Zip P,`.o�: <br /> I underst d my rights as stared aoove. <br /> Si3nantr_ <br />