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r <br /> Sec.13.Ot RIGFi'I'S OF SL'BJECTS OF DAT?, <br /> Subd. 1. Type of data. The righcs ai iadividual oa wham�he data is r,or_d or a�be srnced shall be as sec forch ia�his secrion. <br /> Subd.2. InPormaaon reqirired to be�.m iadividual. An individual uY:d tc suppiy privare or confideadal dara conce:aing himself shalI <br /> be informed af: (a)[he purpose acd inr..nded use of che requested dam wichia che callecdng 3u�agenry,palirical subdivision,or sacewide rystem: <br /> �b)whethec he may rfuse or is legally cequired ro supply che requesced daa:(c)aay Imown coas.-e,ueace arisiag from his supplyiag or r.fusing to supply <br /> privare or conndendal data;and(d)[he idenriry af acher peaoas or eadries aurhoriz:d by scam or federsl law ro ceceive the daa. This:equiremeac s6a11 <br /> not apply whan an individual is asked to suppl_v iar•arigadve dae+,pursuanc to sec_an 13.82,subdivision 5,m a law enfo�eaeat officer. <br /> The commissioner of revenue nav ofa:_che nacce �auired under chis subdivir.on in the individual income tsx or orooem az cefur.d <br /> instrucdons insm=d of on chose foans. <br /> Subd.3. Aecess to data b�individuai. tipon requesc to a�zspansible auchoriry,an iadividual shall be informed wF.e�:er he is ehe subject <br /> of scored dara on individuals,and whe�fier it is classified as public,privar.or con::d:ncal. L,'Foa his fursh�r ceques�an iadividual who is tlte subjecc <br /> of stor:d private or public daa on indir•iduals shall be shown the dara wichoue any ci�cge cn hiia and:iF he desires,shall be iniar�ed of the concenc <br /> ar.d mesniag of ehae dard. After an individual has been shown ehe private dac3 and iafarsed oi ia meauin3,the dara need noc be disclased to him for <br /> siz mondu ehereafur unleu a dispute or acdon pursuanc m ehis secaon is pendLlg a�addidoaal dae on rh: individual has beea collected or creamd. <br /> The respansibia auehariry shall pcovida copies of�ha pdvace or public data upon cequ:sc by the individual subject of che dara. 'I"ne r�pansible aurhoriry <br /> may tequire che requesring person to pay the acaal coses of making,certifying,ar.d campiling che copies. <br /> 'Ihe cesponsible authoriry shall compty immediacely,if possible,wirh a:y;�quest�de putsuant to this subdivision,or wirhin five days of <br /> the dan.of che rquesc,exciuding Sacurdays.Sundays and legal holidays,if immedu�compliaace is not possible. If he cannot comply wich che nquesc <br /> wichin that dcae,he shail so inform che individual,and may have an addidonai five days wichin which to camply wic�the request,ezc!uding Saturdays. <br /> 5undays and legsl holidays. <br /> Subd.4. Proeedure when data u not accurate or complete. An ir.dividual may canr_st the accuracy or compieceness of publie or private- <br /> dsta concerning himself. To exer�ise chis righc,an individual shall nodfy in wricng�:e cespecsble auchoriry dacribing dte nam:e o�the disagteemeat. .. <br /> The responsibla auchoriry shall wi[hin 30 days eiwer. (a)corcecc che data faund co Le inaca:r3�or incomplece and aaempt to no�.4�past tecipients af <br /> inaccurs�e or incomplece dae, inciuding recipieea named by �he individual:or(b)¢odfy tl:e individual that he believes che daci m be correct Dan <br /> in dispuce shall be disc'.ased only if the individual's statemenc of disagrenment is ir:luded wic'�[he disclosed dara. <br /> The decerminadon of ehe responsible auchoriry may be appealed pursu�:.c to che pr�visions of cha adminisuarive pro.edure acc reladag to <br /> concesced cases. <br /> DAT�, PRIVACY aD�"ISORY <br /> In accordaace wich M.S. 13.04,Subd.2, "RiQhcs of subjecu oi daca",�•e would like co inform you that your requesc <br /> for a permit or license from the Ciry of Orono ar aay of ics depzLmencs may require you to fumisa cenain private or <br /> confidential information. <br /> You are notified that: . <br /> 1. The information you furnish will be used to determi�e your qualification for che permit or license requested. <br /> ? You may refuse to supply data, buc refusal may reouire that the Ciry deny the perm.ic or license. <br /> 3, The information may be shared with ocher local, scac�or federal agencies co the excenc necessary to process <br /> the permit or license. <br /> .�. If your requested permit or licease requires Council action to approve, some information may become <br /> public. <br /> �, You have certain ri�h[s uader M.S. 13.04 (availabl: upon request) to review private dzta on yourseif. <br /> 6. Your full name is required to process this applicacion or pe:mit. <br /> F�� l�tiddle �� <br /> Addceu • <br /> Ciry Sa` Zip P�ane <br /> I understaad my ri� cs as d above. . <br /> �- . — Q �� <br /> Signacure <br />