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' �r. . <br /> . . ' �, <br /> Sec.13.0.RIGHTS OF SIIB.JECTS OF D�,TA . <br /> Subd. i. Typc of data. The righcs of individual oa whom the data is stored or to be scard shaIl be as set forth in this secaon. - <br /> Subd.2. Informatioa req�red to be givea individual. An iadividual uked to supply private or confidenrial data conceming himself shall <br /> be informed of: (a)the purpose and incended use of the r�qucs�daca wichia[he collecang Sute agency,potiacal subdivisioa,or satewide rystem; <br /> (b)whether he may r_fuse or is legally requi-:d to supply the requesud daca;(c)any Irnown coasequcnce arising from his supplying o�refusing w supply <br /> privam or confidendal dara;and(d)ehe idenary of ocher peaoas or enddes auchocized by scate or federal law co teceive the dam. This requiremeat shall <br /> not apply when an individual'u asked to supply invesdgadve dam,pu�suan�to secdon 13.83,subdivision 5.to a law eaforcement officer. • <br /> 'ihe commissioner of revenue nav place the noace reauir.d under this subdivision in the individuai income raz or orooem taz refund <br /> ins�rucdons inscead af on those forms. <br /> Subd.3. Accas to data by iadiridual. Upon requesc to a responsible aurhoriry,an iadividual shall be informed whether he is[he subject � <br /> of stnrd dara on individuals,and whaher ic is dassified as pubiic,private or conFdenrial. Upon his furcher request,an individuai who is the subject <br /> of scored privace or pubiic dat►on individuaIs shall be shown the dara wichout any eharge to tiim and;if he desires,shall be informed of the eontenc <br /> and meaniag of chat daca. Aher an individual has been shown ehe privace dara and informed of iu meaniag,cbe dara need not be d'uclosed to him for <br /> six monchs[heceaiur ariless a dispuce or acaon pu�suan[to �his secdon is pending or addidonal daca on the individual hu been co[iecmd or ereared. <br /> The r:sponsibie au�horiry shall provide copies of the privace or public da[a upon requesc by the individu�l subjecc of�he dara. 13e responsible auchoriry <br /> may require[he requesang person to pay the accual cosis of making,cerrifying,and comp�ing the copies. <br /> 'Ihe responsible aurhoriry shall comply immediacely,if possible,wi�h any request made pursuant to this subdivision,or wichin five days of <br /> the date of che requesc,exciuding Sanicdays.Sundays and tegal holidays,if immediace compliance is not possible. If he cannot comply wi�h the requesc <br /> wi�hin chac ame,he shall so inform che individuai,and may have an addidonal five days wichin which to comply wich the requesc,e�cluding Saairdays, <br /> Sundays and legal holidays. <br /> Subd.4. Pracedure v�hen data i�not accurate or eomplete. M individual may coatest the accuracy or compleceness otpublic orpri�ate <br /> dara conceming hinself. To ezercise chis ri¢ht,an individual shall nodfy in wridng the respoasible auchoriry describing the nature of the disagceemeat <br /> The responsible auchoriry shall within 30 days eicher: (a)eorrect che dara found ro be inaccurate or incomplae and attempt co nodfy pazt ncipieau of <br /> inaccurcce or incomplete daca, induding recipienes namcd by�he individusi; or(b)noafy the individaal that he believes the daca to be cocrecc Data <br /> in dispute shail be discloscd only if the individual's sc�cem�nt of disagreement is included wich the d"uctosed daca. <br /> Tha dececminaaon of che responsible au�horiry may be appealed punuant to the provisions of che admicusaaave procedure act relaang to <br /> contestcd casts. <br /> DATA PRIVACY ADVISORY . <br /> In accordance with M.S. 13.04, Subd.2, "Rights of subjects of data", we would like to inform you that your request <br /> for a permit or license from the Ciry of Orono or any of its departments may require you to furnish cercain private or <br /> confidential informacion. " <br /> You aze notified that:• <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 City deny the permit or license. <br /> 3. Zhe information may be shared wich other local, sta[e or federal agencies to the ezcent necessary to process <br /> ' the permit or license. <br /> 4. If your requested permit or license requ�res Council actlbn to approve, some information may become <br /> public. <br /> 5. You hav� ceriain rights under M.S. 13.04 (available upon request) to review private daia on yourself. <br /> 6. Your full name is required to process this application or permit. . • <br /> �c�/�i�Z�� � y�}—�J� i'�rc—c,t-�i2 . <br /> First tifiddle L.asc <br /> �l�� �; � i-f�,, Y ( c� � <br /> Address <br /> ��L�U����it-t /�N ����� � �� �1�-v3 � �/ ' <br /> Ciry Snm Zip Phone <br /> I undecstand my ri�hts az state above. <br /> , . <br /> Signature ..._ _-_ . <br />