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.. � -�.,._. <br /> ♦ <br /> Sec.I3.04 RIGHTS OF S(JBJ'EGTS OF DATA <br /> •Subd. 1. Type of data. 7'he rights of indiviclual on whom the deta Is stored or to be S���tl be as set forth in this secdon. <br /> Subd.2. IaPormstloa required to be Eiven iadividual. pn�ividual asked ro supplY Private or confidential data conceming himself <br /> shall be informed of: (a)the purpose aM inoer�!uk of the requested date within the collecting sate atgeecy,poliocal sabdivision,or statewide <br /> sysoem:(b)wtuther I�may refuse or is IegallY raNirod to supplY qie requested data;(c)ar�,know��� <br /> refusing ro supply private or conhdencal daq;and(d}the ide Q�ence arising from his supplying or <br /> This requirement shall not appty when an individual is asked to��►y���gative.daffi upursuantbto se uon 13 82, subdivis on�5 toea Isw <br /> enforcement officer. <br /> The commissioner of reve �e Av olac•du npdce ro ire��ndPr hic c�����sion in the inri <br /> insi �crio s instead of on d+�c,� � ividual inc��+ �AY�� <br /> 5ubd. 3. Access to data by indlvidual, Upon request w a respons�ble authoriry,an individual shall be informed whether he is the <br /> subject of stored data on individuals,and whether it is classified as public,pcivate or contidential. Upon his further request,an individual wko <br /> is du subject of swred prevate or publis data on irxlividuals s1�aiE be shown the dara W�yp���y��ge to him and,if he desires,shalt be informed <br /> of the conteM and meaning of that dara. Afcer an individual has been shown the private data and informed of Its meaaing,the dara need not be <br /> disclosed to him for six months thereafper unless a dispt�te or action pucsuant W thi�secpon i�p���or additional data on the individual has been <br /> collected or crea0ed, The responsible autlwriry shal!provide copies of the private o�public data upon request by the individual subject of the data. <br /> 'Ihe cesponsible authoriry may require the requesting person to pay the actual costs of malQnE.certi{ying,and 6ompiling the copies. <br /> The responsible aurhority shall comply immediaoely,if possikle,with any rec�uesc made pursuant to this subdivision,or within fivt days <br /> of the date oP the request,ezcluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. lf he cannot comply with <br /> the roquest withirt that dme,he shall so inform the individual,and may have an addidona!five days within which m comply with the requeat, <br /> exctuding Saturdays,Svndays ard legal holidays. <br /> Stibd.4, Procedure when data Ly not accurate or canpkte.`pa individual may contest the accuracy or compleceness of public or <br /> privaoe data concerning himsetf. To exercise this right,an individual shall notify in wriang the respoasible suthority describing the nawre of the <br /> disagroement The nesponsible aathoriry s6all within 3p days oiWer. (a)correct the data found m'be inaccuraoe or incocnptete and actempt to notify <br /> past necipient�af inaccurace or incompkte da�,including recipients named by�te individual:or @)notify the individual that he believes the data <br /> to be correct. Data in dispute shat!be disc(osed only if the individuai's statement of disagreement is included with tho disclosed data. <br /> The determinat�n of the responsible auttroriry may be appealed pursuant to the provisions of the administradve procedure act reladng <br /> to conxsced cases. <br /> DATA PRIVACV Anvrcnuv <br /> In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of data", we would like W inform you that your <br /> request for a permit or license from ttie City of Orono or any of its departments may require you to furnish certain <br /> private or con�dential information. <br /> You are notified that: <br /> 1. The information you furnish wiIl be used to determine your qualification for the permit or license <br /> requested. <br /> 2. You mayrefuse to.supply data, but xefusal may require that the Ciry deny the permit or license. <br /> 3. Tlie'information may be shazed with other local, state or federal agencies to the extent_necessary to <br /> process the pernait or license. � <br /> 4. If your requested permit or license requires Council action to approve, some information may become <br /> " � public. . <br /> 5. You have certain rights under M.S. 13.04(available upon request)to review private data on yourself. <br /> 6. Your full name is required to process this application or permit. <br /> �V�N �� E,c�E HRr�N <br /> First � � Middle Last <br /> .?,��'s? L,�r�.�JS� A,�e,.. <br /> Address �� ����/ �/���� <br /> �� <br /> Ciry State Zip Phone <br /> I understand my tights as sta d v . <br /> . . <br /> Signaaire <br /> 6 <br />