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. <br /> � . . - _ . . <br /> Sec.13.04 RIGATS OF SVBJECIS OF DATA - -- , _� - - • • . <br /> Satd. i. ?ype oI data. ?he righct of[ndividual aa whom dte data is stacsd or w be snoc:d sbalI be u sec tocih m chis secdcn, � <br /> Subd.2. Iatormation nquired to be yivm iadlvidual. ,+�n sdividual uksd to supP1Y Pcivac:or eoafidendal dara coaceraiag himsetf sh�U <br /> be iafocm:d o.: (a)the purpase acd inc:nded use oE the cequac�daa wichia the eoUecdng 3tire ageary.polidai subdivision,or sa�wide rystem• <br /> � ••(b)whe�e:he r.ay rFiise oY u legatly requ'ir:d m supply che mqaesc:d data:(c)zay I�owa eaasequecca ar�tiag fmm his sicppiyiag ot refusiag to suppi� <br /> : privac�orcoa::deaEsl daa;and(�t�e idendry o[a�:rpe�soas arearides auciariz:d by mie o�f-�e='L-�:i�r.c:ive r�e daa. Tttis cequire�ent s.�.11 . . <br /> �not apply w;;ea art i.dividuaI is uked to supply iavesagadve daa,pacsuaet oo secdac 13.8L.subdivision 5,oo a!aw eafactemeat ofticea .r� :. :- , . <br /> The eeaimissioner of reveaue mav otsc••che nadr_ rauir-d urtd-r this sutdivuion in the individual irtcome tu or omoem taz retbrd <br /> Inmuetions L�suad of on those faetns. <br /> Subd.3. Aceess to data bY indivZdual, Upon requesc co a�espaasible au�hodry.aa individ�al shaIl be infoaaed whe�her he is�he subjecc <br /> of stord daa on iadividu3ls.aad whecha it Is elassifi:d u pablic,privar or eanF.deadal. Upoa his fucsher rques�aa iadividwl wito is th-,subjea <br /> of siocrd priva::or public daa on Iadividuals shaIi be showa the daca w��tsout any charge to him uid;if he des'ues�sha11 be iaCocmed o[the coatenc <br /> aad meaaing o[dut daa. Aher aa individual has beea shown cbe privatb daa arsd Iatormed ol ics maaing.che dan ne.-d noc be ditclosed to him tor <br /> six moachs thereafuc ac�l:ss a d'upuce oc actioa puesuanc w this secdon Is peading or addidooal daca on the iadividual hu beea eotIecc:d or ereated. <br /> The cesponsibie anthociry shatlpcovide eop'ies o(the pcivau o�public dan apan request by the iadividual subjecc o[the daa. �e respoos4bie aurhoriry <br /> may requir:rhe csquesdng person to pay che acaca!cosu aF nsakiag�eecdfyin�.aad eomp�liag the eopia. • � <br /> Ttse cesQonsbie authoriry shall eompiy immediatety�i!peuibie.wi�h aay request mad:pursuant to thi.s subdivisioa,oc wichin five days of ' <br /> the dax o[the requesc.excluding Saardays.Sundays and tegal holidays.if icsuaediate eompliaace is not pouible. If he eanaoc eompty wirh ti�e requesc � <br /> withia dut ti�ae,he shall to hiform�he individuaI.aad may have an addidooaI t►ve days wichin which to compiy wich the cequu�ezcIuding Saturdays. ' <br /> Sandays utd(egal hol'idays. � . . _ . , . <br /> Subd.4. Proeedure whm dzta Ls not aeeunte or eomplete. An iadividual may eonc:st the ace�rary or eomple�eaess olpubtic or privace <br /> dzn eonceming h'uasel! To acetcise chis righ�an trtdiv�ual shatl nodfy ia wridng dte respoos�Ie auchoriry daenbiag the naeure ef die d'uagreemeac ' <br /> The tesporuible auchodry shall wichia 30 days ei�:er. (a)eotrect the dara fouad m be inaccunte or iacomptete aad uump�w nodCy past raipieats of <br /> tnaceucate oc incomplece dara.lacluding recipiea�s naresed by the individuaI;or(b)ttadty the iadividual that he believes the d�to be correct Dati <br /> In dispace shall be d'uclosed onIy it the individual's satecaenc o!disagreeac:ac Is iaeluded winc�he d'ucloud dam. <br /> The daecminadon of ehe respoasible aurhoriry may be appealed pursuaac to the provisions of the admtnisaadve proceduce ace teladag to <br /> eontescd casas. ' . . . . . . <br /> . DATA PRTVACY ADYISORY . . . � � ; <br /> In accordance with M.S. 13.04�Subd.Z, "Ri�.Phu of subjects of data",we would like to inform you t&at your nquat <br /> for a peraut or Iicecue from the Ciry of Orono or any of ics deparcments may require you to furnish cerca.i.n private or <br /> confideatial information. <br /> You are notified that: <br /> 1. The informatioa you furnish will be used to determine your qualifcadon for the permit orlicense requested. <br /> 2. You may refuse to suppty data, but refusal may require tlzat the Ciry deny the perm.it or license. ' � <br /> 3. The information may be shared vsrith o�her local,scace or federal a;eacia to the euenc necusary to pmcess <br /> the permit or license. ' <br /> 4. If your requested pecmit or license requires Couacil actioa to approve, some iaformation may become � ;� <br /> . public, � • _ �. . . . . . . � . - �: <br /> . .'S. � You.have certaia righcs under M.S. I3.04�(available upon requat) to review private data on,yourself. . . ' <br /> 6. Your full name is required to process this application or permic. <br /> F�� � �r�aa�� � . <br /> . ,�aa�u - �...� _ <br /> Ciry Sate Zip Phone <br /> I understaad my rights as stated above. <br /> Signacure . • <br />