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! . . <br /> f . <br /> Sec.13.04 RIGFiTS OF SUBJECTS OF DaTa ' . <br /> Sutd. 1. Type of data. The righcs of individual on whom che data is scoced or ro be starcd shall be u sec forth in this secdon. <br /> Subd.2. In£ormaaoa reqtrired to be given indiridual. An individual uked to suppiy priva�:or coafideariaI daa concerniag himself shall <br /> be infarmed of: (a)the putpose and in[ended use oE the requuted daca wichin the eollecdng Sace ageary,poliacal subd.ivision,or scamwide rystem; <br /> (b)whethe:he tray r.fuse or is.le3ally cequir.d c�supply the rqucss:d dat+:(c}any iatown coasequ:nce arisia3 from his si:pplyiag oc refusing m supply <br /> privac_o�connder.�at dam;ar.d(d)the ideadry of o�her peaoas o�eaddes au�oriz:d by snce ar federai taw to rruive t�e data. This requiremenc shall <br /> not apply when an ir:dividual u asked to supply iavesdganve dan,pursuaac ro secdoa 13.82,subdivision 5,co a law enfo�cemeac officer. . <br /> 'I�e eenmissioner of rcvenue mav piace che nodc- r�uir_d under this subdivision in [he individual ir:come t3z or orovem tiz cefund <br /> inscrucdocu irucead of on chose forms. <br /> Subd.3. Access to data by indIvidual. Upon request to a cespatuible authoriry,an individual shatl be informed whechec he u the subject <br /> of stord dan an individuais,aad whether it is etassified u public,private oc eonhdenaal. Upaa his furthe�r_quest,aa individual who is the subjecc <br /> of scor.d privac:ar public daa on individuaIs shall be shown the dac�wichout any eharge to him and;if he desires, shall be infocmed of the eontenc <br /> and meaning of chat daca. Ahe�an individuai his been shown the priva`,dan and iaformed of ies meaaing.the dara ae:d not be disclased to him for <br /> siz mondu chereafur unless a dispau or acaon purSuanc to this secdon is pending or addidonal dara on the individual has been collect�d or ereamd. <br /> Zhe respocuiblt autt:ariry shall pcovide copies of che privaca or public data uFon tequest by[he individual subject of�he daca. The responsible authoriry <br /> may requi:t the reGLesdng person to pay the accual coses o[ma.'cing,cerflfying,ar.d eompiling the copies. <br /> 'Ihe responsible auchoriry shail camply imrr:cdiataly,if possibie,wich any requat made pursuant to chis subdivision,or wichin five days of <br /> [he dare of�he requesc,ezciuding Sacurdays,Sundays and legal holidays,if immediace compliance is notpossibte. If he csnnot comply with the requesc <br /> wichin chat ame,he shall so inform che individual,and may have an addidoaal five days withiu which to comply wich the requast,excludiag Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An ir.dividual may concest tht accurncy o�eompleteness of publie or private <br /> dara conceming tiunself. To ezer.ise chis righ�an individual shall nodfy in wriang d�e responsbic auchoriry describing the nacure o[the d'�sagreemeac <br /> The responsible auchoriry shall wirhin 30 days eicher: (a)correcc the da�a faund co be inaccurate or incompiete and aaempc to nodfy pasc recipienc�of <br /> inaccurate or incomp(ece data, including recipi:n�s named by �he individual; or(b)nodfy the individua!thac he believes[he dae to be correcc. Daca <br /> in dispuce shall bo disclosed ocily if the individual's s�ter,.enc of disagteemcn�is includtd with the disclosed data. <br /> 'Ihe decerminadon of the responsibta authoriry may be appaaled pursuanc to che provisions of che administrarive proceduro act relaang to <br /> contesad cases. - <br /> DATA PRTVACY ADVISORY <br /> In accordance wich M.S. 13.04, Subd.2, "Ri�hcs of subjects of data", we would like to inform you that your request <br /> for a permit or license from the City of Orono or any of its depanments may require you to furnish certain private or <br /> confidential information. <br /> You are notified thar. <br /> 1. The information you furnish will be used to determine your qualification for the permit or license requested. <br /> 2. You may refuse to supply data, but refusal may require that the Ciry deny the permit or license. <br /> 3. The information may be shazed wich ocher local, sca�e or federal a�encies to the etcent necessary to process <br /> the permit or license. <br /> 4. If your requested permit or licease requires Council action to approve, some information may become <br /> public. <br /> 5. You have certain ri�hts under M.S. 13.04 (avaitable upon request) to review private data onyourself. <br /> 6. Your full name is required to process this applica�ion or permic. <br /> - C,�- � �-� <br /> First �fiddle Lasc�-� /�/ <br /> O —' e�t�' �, ? C <br /> � f� / -�/ � �� <br /> Addcess -� ��� � i�� /�� <br /> ��;�9:��y��1�i (C 7y/�/�l--n�� ��/(/ �--' � / ,` <br /> Ciry �/ Sate Zip Phoae <br /> I underst my ri�hts as stat above. ' � <br /> _ , <br /> � ' <br /> Signa <br />