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.., � <br /> Sea13.0�i RIGIiTS OF SITB.TECTS OF D.+►Ta <br /> Subd. 1. Type o[data. The righcs af iadividual on whom che data is stored or oo be scoced shall be as sec for[h ia this seccon. <br /> Subd.2. Informaaoc reqirired to be yiven iadividual. An individual asked w supply private or confideada!daa concerning himself shall <br /> be informed oF (a)the purpose and inrraded use of the csquesred dara wi�hin the collecdng 3t�re agency,palitical subdivisian,or stacewide rystem; <br /> (b)whesher he may refuse or is legaIIy�squired co supply the requested dua:(c)any Imown coauqueace arising from his supplyiag or refusing to supplY <br /> privace or conndendal dara;and(d)the idenury of o�e�persoas or endries au�horized by srare or federsl law to receive che dara. 'Ihis cequiremenc shall <br /> not app[y when an individual is uf:ed to suppty iacarigadve dae,pursuane to secrion 13.83,subdivision 5,w a law enfor�eaeat officer. <br /> The commissioner of re�enL r�av ali- the nodce raauiczd under this subdivision in the individual income tax or oropem taz tsfur.d <br /> instsuctions instexd of on ehose farms. <br /> Subd.3. Access to data b.iadividuai. Qpon request to a cesponsible aurhoriry,aa individual shall be informed whether he is the subjec� <br /> of stor_d dard on individuals,and whe:6er it is c[3ssifted as public,private or confidendal. lipon his fur[her reques�an individual who is the subjecc <br /> of storcd private or public dam on indi�iduals shall be shown che dara wichouc any charge m him and:if he desires,shall be iniormed of the coacenc <br /> and meaning of chu daa. Aher an individual has been shown che privare dara and informed of iu meaaing,the dara need noc be disclosed oo him for <br /> six monrhs chereaher unless a d'upute or acrion punuanc to �his sezrion is pending or addidonal dara on ehe individual has been collecud or crea[ed. <br /> The respansible auehoriry shall provide copies of tha privace or public data upon cequesc by rhe individual subjecc of ehe dan. Tne responsible aurhoriry <br /> may�equire the requesting person to pay the aca�al costs of making.cerdfying,and compiliag the copies. <br /> The responsible auchociry shall comply immediatety,if possible,wieh any requesc made punvant to this subdivision,or within five days of <br /> the date of rhe requesc,ezcluding Samrdays,Sundays and legal halidays,if immediace compliacce is noc possible. If he cannoc compty with�e«quest <br /> wichin rhac dme,he shall w inform ehe individual,and may have an addidonal five days wirhin wtuch to comply wich[he cequest,exc(uding Saturdays. <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individua(may contest che accurdcy or compleceness of public or private• <br /> dara conceming himsdf. To exercise�is righc,an individual shall nodfy in wridn�ct►e respaasble aurhoricy describing che nacu:e of.the disagreemenc. .. <br /> The responsibte auehority shall within 30 days eic.`er. (a)corroct ehe dara found to be inaccurnce or incompleu and aaempt w nodfy past recipienss of <br /> inaccurac:oc incomplete dact,inctuding recipiena named by the individual:or(b)noafy che individual thac he believes[he daca to be corcecc. Dara <br /> ia d'upuce shall be disc:osed only if che individual's stacement of disagnemenc is included wich[he disclosed dara. <br /> The decenninadon of the rrsponsible auchoriry may be appealed pursuant to [he provisions of the adminisuarive pro:edure act relaaag co <br /> concesced cues. <br /> DATA PRIVACY ADVISORY <br /> In accordance wich M.S. 13.04,Subd.2, "Rights of subjeccs 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 ics deparcments may require you to furnisfl certain private or <br /> confidencial information. <br /> You are notified that: <br /> i. 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, buc refusal may require that the Ciry deny the permit or license. <br /> 3. The information may be shared with other local, stace or federal agencies co the escenc necessary to process <br /> the permit or license. <br /> :}, If your requested permit or license requires Council action to approve, some information may become <br /> public. <br /> �, You have certain ri?hcs under M.S. 13.04 (available upon requesc) to review private data on yourself. <br /> fi, Your full name is required to process this application or permic. <br /> L, Sc�n� <br /> �� ���.-�� _ <br /> � �� � f�� Last <br /> F�U %%J (�J�i�/� "f <br /> aaaress M� �',33� y 7�"9C1�S' . <br /> s h��r�Z <br /> City Stace Zip Phone <br /> I understand my riQ as staced abo . . <br /> Signamre <br />