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Sec.13.0�i RIGHTS OF SUBJECTS OF DAT� <br /> Subd. 1. Type of data. The righ�oi iadividuai on whom the dact is sor.d or m bc scnrsd shall be as set for�h ia chis secaan. <br /> Subd.2. Informatian reqirired to be�rm iadividual. An iadividual uked to sugply private or coafidendal data coaceraing himsalf shalI <br /> be informed of: (a)�he purpose and inL.aded use of�he«quested dam wichia�he collecdag 3u�.agenry,polidcsl subdivuiaa,or sntewide rystem; <br /> �b)whe�er he taay rfuse or is legally tequited m supply the cequesud data:(c)any l�own coatequeace arisiag from his suQplyi:g or cefiuing to supply <br /> privace or conr.dendaI data;and(d)[he idendty af octer persaas or earides auchariz�by star_or fed�rsl law co re�eive rhe daa. This requiremeac shall <br /> aot apply when an individual is uked to suppiy iar•arigadve dam,punuan�to se:aaa 13.82.subdivision S, co a law enfocc:Weac officer: <br /> The eommissioner of rtvenue mav Ia:e the nodce crauired under ehis subdivision in the individual income es or orooem az tefur.d <br /> inscivcdans ins.exd of an�hose forms. <br /> Subd.3. Access to data br•iadividuaI. Upan requesc m a respansible auchoriry,aa individual shall be informed whaher he is che subjecc <br /> of stnr_d data an individuals,and whe:her it it ciusified as public,privace or con:.d=nriai• L,"Fan his further cequest,an indiv;�uai who is�he subjecc <br /> of smr:d private or public dae�on individuals shall be stiown ehe dan wi�hauc any ciuge rn him and:if he desires,shall be iafocmed of ihe concenc <br /> and meaning of chat data. Aher an individuai h:is been shown che privare dara and informed of ia meaniag,che dan need eoc be disclosed ou hirn for <br /> siz manehs dsemafuc unleu a dispute o�acdon pursuanc rn �his secrion is pending ac addidoa�l daet on che individual has beea collectrl or creamd. <br /> 'Ihe responsible au[hority shall provide copies of die privaee or pu6lic data upon reGuesc by the iadividual subject of che daei. T::e mspoasible auchoriry <br /> may require che�equesdng person ro pay the acaial cosu oF inafcing,cerdfying,u:d campiliag the copies. . <br /> The respansible aurhoriry shall compty iaunediacety,if pouible,wich a:y�quesc a�ade pursuanc to chis subdivision,or wichin five days of <br /> the da�.of che requesG excluding Saturdays.Sundays and legai holidays,iF immed'uc�compliaac�is noc possible. If he canaoc comply widi rhe requesc <br /> wi�hin d�ac titne,he shall so inform rhe individual,and may have an addidonal five days wichin which to comply wic4�he requ:s:,ezcludiag Saturdays. <br /> Sundays and legsl holidays. <br /> Subd.4. Procedure when data is not accurate or compiete. An ir.div':dual may contest the accuracy or comple`aess of publie or pri�ate' <br /> dara coctcerning himself. To exeroise�is righc,an individual shall nodfy in wridng cl:=respaasbie aurhoriry describing�tte na��::of[he disagreemaac. ., <br /> The responsibte auchoricy shall wichin 30 days eir.�er. (a)correcc rhe daca found ro 6e inacec:rac_or incomplece and aaempc to r.odfy past recipiencs of <br /> inaccura�e o�incomplece dars, inciuding mcipiena named by[he individual:or(b)eodfy d:e individual chac he believes the daca to be coctecc Dan <br /> in dispuce shsll be disc:osed only if ehe individual's sracemenc of d'uagreement is�:luded wic.h[he disclosed dan. <br /> 'Ihe dece.�minadon of che responsible auchoriry may be appealed pucsu�:.c co the provisions of che sdminisaarive p;o:edure act reladng ro <br /> conmsced cases. <br /> DATA PRIVACY aDVISORY <br /> In accordance wich M.S. 13.04,Subd.2, "Righcs of subjeccs oi data",we would like to inform you that yaur reauest <br /> for a permit or license from the Ciry of Orono or any of its depz�ments may require you to furnisa certain private or <br /> confidencial information. <br /> You are notified that: . <br /> 1, The information you furnish will be used to determine your qualification for the permit or license requested. <br /> ? You may refuse to supply data, buc refusal may require that the Ciry deny the perm.it or license. <br /> ;. The information may be shared wich ocher local, scac�or federal a�encies to the excenc necessary to process <br /> the permit or license. <br /> :�, If your requested perm.it or license requires Council action to approve, some infor^L.acion may become <br /> public. <br /> �, You have cenain ri�hts under M.S. 13.04 (available upon request) to review privace daca on yourself. <br /> 6, Your full nazne is required to process this applicacion or perm.ic. <br /> �� ��l � �j` � � �� � <br /> 1,.� � 1 <br /> ��t �� �t <br /> Fusc��� l!>>1� <br /> Address� � ,� ^ � � �C'7�� / % �/�v�� <br /> )•J Z1�) - <br /> Cicy Sar� Zip Phc.._ <br /> I understand my ri;hts ace ove. . <br /> Signamre <br />