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. r <br /> Sea13.0-t RIGHTS OF SUB.TECTS OF DAT?. <br /> Subd. 1. Tvpe of da[a. The rigti�s oP i�dividual on whom the data is so:cd or ro be scnred shall be as se�fonh ia�6.is secdan. <br /> Subd.?. Informadon reqirired to be�vm individual. An individual uY:d co suppIy private or confideadal dam concerning himself shalI <br /> be informed of: (a) c;e purpose and inr:nded use of che requessed dam wichin�e collecdng�'ar_agency, poliucal subdivision,or sacewide rystm; <br /> �b)whe:her he may r_�.ue or is le3a[Iy required co suppiy�he rertuesud dan;(c)any l�own cnasrYueace aris�g from tiis supplyi.^.;or refusing co supply <br /> privace or conr.dencaI da[a:and(d)ehe idenriry of o�er persoas or er.naes auchoriz�by ssa�.or fed�ral law to receive the dsn. This requir.meac shall <br /> noc appfy whan an ir.d:�•idual is asked to sspply iacesrigadve daci, Qursuaa�ro secaon 13.82, subdivision 5, rn a taw enforceW�a�o�cer. <br /> The comr,.issioner of rvenue mav ❑la.e che nocce r.auir:d under thu subdivision in [he individua! income tax or orooem taz cefur.d <br /> instrucdons ins:tsd of an�hose forms. <br /> Subd.3. ?,ccess to data br•iadiridual. (ipon rtquest[o a rzsponsiblt auchority,an individual shall be inforraed whecher he is[he subjec� <br /> of scor_d dara an ind:viCuals,and whe:her it is ciassifed as public, privace or con:.�e^¢al. L:Fon his fur,her reques�, an individual who is the rubjecc <br /> of stor:d privace or public daa on ir.dir•iduals shall be shown the daci wichouc any caar3e ta hi�and,�if he desires, shall be informed of the con�enc <br /> ar.d meaning oi chac dac�. After an individua!h�s becn shown che privace dari and iaior;.ied oi ics meaniag,[he dara need not be disclosed oo him for <br /> su mon�hs charafLr�n?ess a dupute or acdon pu:suanc w �his secdon is pendLl3 or addiaoa�l data on che individual has beea collected or creared. <br /> 'Ihe responsibia au�or,.y shall providc copies of che private or public dara upon r.quuc by tEe individusl subject of�he daci. T'ne responsible auchoriry <br /> may r:quir the requesang person to pay the aca�l coses of rssaking.cerrifying,u:d compiling t6e,copies. <br /> The responsible auchoriry shall comply ina:ediace(y, if possibte, wich�:.�request s3d�pursuant to this rubdivision,or wi[hin five days oi <br /> the dace of ef:a reques4 ezciuding Sar.�cdays.Sur,days and legal holidays,if immedL::complia�ce is noc possible. If he cannot comply with che requesc <br /> wi4'�in rhac asne,he shaii so irtform che individual,u:d may have an addidooal five days wichin which co comply wic:}[he request,ezcluding Saturdays, <br /> 3undays and legsl hotidays. <br /> Subd.4. Procedure whea data u not accurate or complete. P.n ir.dividual may contest the accurdcy or compleceaess of public or pm•a�e ' <br /> data cor.cerning hurself. To exorise r�is righc,an individual shall noafy in wrid�g�:e resporsioie auchoriry describing�he na�u:e oi the disagreemenc. . <br /> The responsColz aucl:oriry shsll wichin 30 days ei�`er. (a)corrrct che data found ro t�inaccc3m or incompiece and aaempt to nna:y past recipienrs of <br /> inaccura.e or incomple:e dars, including recipienrs named by [he individual; or(6)�oafy c2:= iadividual thac he believes che daa to be correcc. Dacs <br /> in dispu�e shall be disc'.os:d onty if�he individual's sncemenc of disagreemenc is ir:;uded wi_'�che disclosed dara. <br /> The dece.^•.::adon oF ct:e responsihl�auchoriry may be appealed purs.:�'.co che pr�visions of tha administrarive procedure act reladng ro <br /> concesced cases. <br /> DAT:� PRIVACY :�D`'ISORY <br /> In accordance wich�1.5. 13.04, Subd.2, "RiQhcs of subjeccs oi data", �e•e would like to inform you that your reauest <br /> for a permit or license from che Ciry of Orono or any of ics depz�.L:ents nay require you to fumis� cercain private or <br /> confidencial inforcnation. <br /> You are nocified that: <br /> 1. Tne information you fi:rnish will be used to determir.�your qualification for the permit or license requested. <br /> ? You may refuse to supply da[a, but refusal may reeuire that the Ciry deny the permic or license. <br /> ;, The information may be shared with ocher local, scac�or federal a�encies co the ex[eac necessary to process <br /> the perm.it or license. <br /> .}. Ii your requested permit or license requires Council action to approve, some informacion may become <br /> public. <br /> �. Yeu have certain riQhcs under �i.S. 13.04 (availabl� uoo❑ request) to review private data on yourself. <br /> 6. Your full name is required to process chis applica�:oa or pe:mit. <br /> �-r��t<—' r i c'�_��('1)Z � C `�C i"►�1�'`' �� <br /> Firsc l��ddle Last <br /> -Z_� ``'`�- �.� ��`�� - <br /> � ?�ddrss � 1��� , ��� .�.)��� (:.., � ��q'�/. � <br /> _ C� ��. ; , . <br /> Ciry Sn` Zip `Phona <br /> _____I underst�^d my righcs �s scaced aoove. <br /> -- - �-,, --- <br /> 1�!��L, <br /> � <br />