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Y r' <br /> Sec.13.U�t RIGFiTS OF SL'BJECTS OF D:�T� <br /> Subd. !. Tvpe of data. The righrs oi icdividuai on whom�he dat�is s:oc`d or w be scorcd shatl be u scc forch in�his seccon. <br /> Subd.2. InformaCon reqirired to be gi�en individual. �n individua!uked to suFpty private ar confidendal dan co¢ceraing himseif s�a11 <br /> be informed of: (a)the purpose and icr:nded use af the rzqucsred daca wiihin the callecdag Yar_agency,polidcal subdivisiou,oc sc3cewide ryn.:m; <br /> �b)wheher he may r.fuse or is Ie3aUy required m a:ppiy[he rtquesL-d data:(c)any Ice�*�n�oas-';ueace arising from his supplyi.-.g or refusing to supply <br /> privam or conf:dendal data;and(d)[he ideuriry of a�a persons or enodes aurhoriz:d by s�arn or fr.d�r.�l law co rec�ive�he dan. This requir_men�s�all <br /> no�apply when an individual is asked ro sspply ia�•adgsdve dan,pursuaac ro sr_=on 13.82,subdivision 5,to a Iaw enforceW:ac officer. <br /> 'Ihe commissioner of rvenue r.iav vli:_�he nocce raitired under this subdivision in the individual income az oc orooem az �efur.d <br /> inscrucaons ins.zxd of on�hose fortns. <br /> Subd. 3. Access to data bv iadiriduat. lipon rtquest tn a�esponsible au�horiry,aa individual shall be infocmed�vhe[her he is the subjecc <br /> of scard dara on individuals,and whe:her it is classifed as public,privac_or con::�=sda1• L:Fon his fur.her request,aa individual who is the subjecc <br /> of scord privace or pubtic dara on indi.iduals shalt be shown�he da�a wi�hout any caazge co h=�and;if he desires,shall be iniomed of che concer.c <br /> ar.d meaning of chat data. 1�her an individua!hu teen shown the private dac►ar,d iniormed oi ics meaaia3,che data aeed not be d'uclosed m him for <br /> siz mon�s dierafcec unless a dispu�e oc acdon pu:suanc tn �his secdon is pending or addirioeal da�s on che individuai 6as baea colIecred or crcaced. <br /> Tne respansibia authoriry shall provide copies oi che privace or pubiic data upon requ:sc by che icdividual subjecc of�he da�a. "I"ne responsible auchoriry <br /> msy r:quir_ �he requesring peaon ro pay che acaul cosa of making,cerdfying.scd compiliag the copies. <br /> The responsibie authoriry sha�lI comply ir.v::ediatcly,if possible, wi[h a:.v r.quest�Cc pursuant to chis subdivision,or wichin five days ot <br /> the dace of dsa request,ezclading 5acurdays,Sundays and legal holidays,if immed�m compliacce is noc possible. If he csnnoc comply wich the requesc <br /> wi�`�in�ha�dme,he shall so inform the individual,and may have an addirioaal five dsys wi�hin which co:omply wiia rhe request,cxcluding 5anin.-'ays. <br /> 5undays and ie3s1 holidays. <br /> Subd.4. Procedure when data is not accura[e or complete. An ir.div:�ua!may contest ehe accuracy or compleceness of pubiic or pri�•ate ' <br /> da[a cor.cerning himsetF. To ezer.ise chis right an individual shail norify in wridcg'.:e resPoesioie auchoriry describing dte nani:e oi the disagreemeot. . <br /> The responsib(z auchoriry shall within�0 days eio`.:r. (a)correcc the dira found[o te inaccL3�or incomplue atsd atz-.mpt to nodfy past reeipiencs of <br /> inaccurs:_or incomplece daca, inciuding recipie�a uamed by che individual;or(b)�oufy d:e izdividua!thac 6e betieves rhe data to be cocrect Dan <br /> in dispuce shall be dise'.osed only if[he individual's stacemenc of d'uagreement is�:luded wi=4 ehe disclosed dam. <br /> 'Ihe decermirudon af�he responsibla auehoriry may be appealed pucs�_.:co the p�Yisions of the admirasaarive pro.e3ure act retaang co <br /> con�esred cases. <br /> D?►T?. PRIVACY �,D�'ISOR�' <br /> In accordance wi[h�I.S. 13.04,Subd.2, "Ri�h�s oE subjeccs of data", �.�e would like to inform you that your reouest <br /> for a permit or license from the Ciry of Orono ar any of ics depz--•.ments nay rec}uire you to fumish certain private or <br /> confidencial information. <br /> You aze notified that: . <br /> 1. The information you furnish will be used to determi:.�your qezlification for the perm.it or license requested. <br /> ? You may refuse to supply da[a, buc refusal may reeuire that the Cicy deny [he perm.it or license. <br /> 3. The informacion may be shared wich o[her local, sca��or federal a�encies to the extenc necessary to process <br /> the permit or license. <br /> :�. If your requested permic or license requires Council action to approve, some information may become <br /> public. <br /> 5. You have certain riQhts under �1.5. 13.04 (availabl: upon r�quesc) to review private data on yourseif. <br /> 6. Your full name is required to process this applica�:on or pe.:Lit. <br /> F'�rst ytiddIe Last <br /> Add�ss <br /> Ciry Sa� Zip PF.a�e <br /> I un rstand my ri�hCs as sta�ed aoove. <br /> � <br /> ���� <br /> Signanir <br />