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. . . . � .. <br /> � <br /> Sec.13.Q4 RIGFiTS OF S'ttB,TECTS OF DATAi - - • � <br /> Sabd. i. Type oC data. The righcs of iadividual on whom the data is sroced or m be smred sbalI be u sec focth ia this scction. <br /> � Subd.2. InformatIon nquired to be givm individual. ,+.n individuaI uked w suP4lY Pri'��or eoafideadal daa caaceraing himself shaIl <br /> be infoc�ed oF (a)the purgase and tacended use of the requesced dara wichia the eoilecdng 3tate agenry.polidal subdivision.or sa�ewide rysem• <br /> ' � (b)whet�erha:..ay r.Fust or u_IegalIy requ'u:d to supply.che r.quesctd ds�:(c)aay latowa eaasequeacs arisiag fi+om his suppiying or;efuting to supply : . <br /> . privaca or coti.der.caI dam;ar.d(cn c�e ideaary o[o�her persoas o�eadda aucsorizcd by scsce or fe�e�'!�w;�r.c:ive t�e d3c�. This r.quiremeac shatl` <br /> net appiy w::ea an ir.dividuaI is uked to supply invuagidve data,pursuaat ro secdoa 13.82,subdivisioa 5,oo a Iaw en[ec�emeatotneer. •• . - � <br /> The eer.unissioner of revenue mav otaca the nodc�t-auir-d und-r this subdivision in the'individual tncocrte az or oroaem raz refund <br /> inmucdons�nscezd of on those foessLs. - . • <br /> Subd.3. Aecess to datz br individual. Upon requesc to a cespoasible auchodry.an'mdividuaI shall be informed wheche�he u the subjecc <br /> o[stoc:d dan on indtviduaLt.aad whechet ic is eIassifi:d u public,privat�or coaF.deadal. Upea his ttuther rquest,aa iedividual who is the subj:ec <br /> of stocai priva::or publfc daa on iadividuaIs shall be showtt�he daa wic}saut u�y charge to him usd;il he duires.shatl be infocmed of the eoateac <br /> and meaning o[dut dsa. Afur aa individual has beea shown the peivatB daci ar.d Informed ot ics meaaiag.ehe daa ne:d not be diselosed oo hun far <br /> siz mondu themfur anlas a dispuce or aedon pursuanc w this secdon is pending oc aQdidonal daca on the iadividual has beea eaUec�d or ereac:d. <br /> The tespotisibte audsoriry shallp�ovide eopies of ehe pcivaru or pubtic daa upon tequest by die individual subject o[the daa. The cesponsibte auchoriry <br /> may mquire�he requadng person ro pay the accual eosu of making,eecdfying,aud eomp�ing the eoQies. ' <br /> The tesponsible authoriry shall eomply immedistety.if possible,wich aay request made pursuant co this subdivision,ar wichin five days of <br /> the da�e of die teqaac.ezciuding Saturdays.Sundays usd legal hotidays,if irsuaediate eompliaace is not pouibTe. If he eanaot eompty wich the request <br /> wi[hin that dme.he shall so inform the individual.and may have an addidooai five days wi[hia which to compty wich the cequest,exciudia'g Satutdays, <br /> Sundays and le3aI holidays. . , . . . <br /> Su�d.4. Procedure whea data is not aeeurate or fomplete. An individual may eon`st the accuracy or,eompleteneu af public orpdvate <br /> dara eoneerning h�.:nsetf. To ezecche this righ�an[ndivtduai thall nadfy fa wridag the respomtble audtociry desen'biag the aaeuee of the disagreemene . <br /> The nspoasib;o .�.:::oriry shall wi�hia 30 days either. (a)correct che dan found to be inaccunte or iacomplete�ed ac�empt to aoufy past recipiencs of <br /> inaccucace or ince.—,.plece daca.inctuding�eeipiencs named by tbe individual;or(b)aoafy the iadivlduaI thai he believes the data to be eo�reet Daa <br /> in dispuce shall be disciosed only it che individual's statemenc o!disagreem:at is taduded wi�h the d'udosed data. <br /> , Zhe decemtinadon oi the cesponsble authoriry tnay be appealed pursuanc oo the provi;ions of the adminisQadve procedure ut relatiag to <br /> eontes�d eases. ' . • � . � <br /> � DATA PRIVACY ADYISORY � <br /> In accordance with M.S. 13.04�Subd.2, "Ri�r.hts of subjeccs of data",we wouId like to inform you that your request <br /> for a pernut or license from the City of Orono or any of its departments may require you to furaish certaia private or <br /> confidential information. <br /> You aze notified that: <br /> 1. The information you furaish will be used to deternaine your qualificacion for the permit or license requested. <br /> 2. You may refiue to supply data, but refusal may require that the Ciry deny the permit or license. � � <br /> 3. The information may be shazed with other local,state or federat agencies to the extent aecessary to process <br /> the permit or license. � <br /> 4. If your requested permit or licease requires Council action to approve, some iaformation may become <br /> . public, ' . � � • � : . � . . . � <br /> �3. . You.have certai.n rights under M.S. 13.04�(availabie upon request) to review private data on.yourself. ` . . . <br /> 6. Your full na.tae is requi�ed to process this application or permic. <br /> F�� � �r�a�� �� • <br /> Addcess _ _ _ _ <br /> Ciry Sam Zip P�oae <br /> I underscan ted above. <br /> . � � . ' <br /> Signamre • <br />