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`�..�: <br /> � ; <br /> 1 <br /> Sec.13.Oh RIGHTS OF SUBJECTS OF D�TA <br /> Subd. 1. Type of data. The rizhcs of individual on whom the data is store3 or to be scnr:d shaIl be as set for[h in this secdoa. = <br /> Subd.2. Information reqtrired to be given indicidual. An individual azked to suppiy privare or confideoaai dara concerning himsetf shall <br /> bz informed of: (a) [he purpose and inr:aded use of tho r.quuc.3 data wi�hin the colle:dng Star�ageacy,polidcal subdivisioo,or sratewide system; <br /> (b)whecher he may refuse or is le3al[y requir_d to supply the r_quested dac3;(c)any Imown coasequence arising from his supplying or refusing to supply <br /> privace orcoruidendaI data;ar.d(d)the idanary of otherparsoas or enoaes auchoriz=d by sca�e or federal law ro receive the dara. Zhis requiremeat sha11 <br /> not app[y whan an individual is asked to supply invesri�adve daca,pursuanc to secdon 13.82,subdivision 5, to a law enforcement ofFccer. - <br /> The comr,ussioner of revenue mav olace �he noece r_ouird und=r[his subdivision in the individual income tax or orooem az refued <br /> insrrucdons insccad oE on chose forms. <br /> Subd.3. Access to data by iadivzdual. lipon request to a responsible auchoriry,an individual shall be inFormed whethec he is the subject � <br /> of scord dati on individuals,and whether it is classified�s pubiic,private or conFdendal. Upon[vs furcher reques�,an individual who is the subjec� <br /> of s[ored privace or public daca on individuais shall bt shown che dat�wichout any char3e to}iim and,-if he desires, shalI be informed of the conten� <br /> and meaning of chat data. Aher an individual h�s been shown[he privare data and informed of iu meaning, the data need not be disclosed to him for <br /> six monchs cf:ereaiter unless a dispute or acaon pursuzn�to chis secaon is prnding or addidoaal data on the individual has been collecc�d or creared. <br /> Tht rsponsibl�atcthoriry shall provide copies of the private or public data upon reques�by the individual subjecc of thc data. Thz responsible aucfiority <br /> may requir the requesdng ptrson to pay the accual cosu of rt�king,cerafying,and compiling the copies. <br /> 'Ihe responsible auchoriry shall eonpty immediately,if possible,wich any tzquest made pursuant to this subdivision,or wichin five days of <br /> the date of�he requesc,exciuding Sacurdays,Sundays and legal holidays,iF immediate compliance is not possible. If he cannot compty with the request <br /> within chat time,he shall so inform[he individual,and may have an addiaonal five days wicfiin which to comply with the request,excluding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or compleee. An individual may contest tho accuracy or completeness of public orprivate <br /> data conceming hiriself. To exercise�his ri¢hc,an individual shall noa"ry in wriring[he responsible auchoriry dtscribing the nacure of the disagreemeat. <br /> The responsible authoriry shall wichin 30 days eicher: (a)corrcc che dam found to be inaccura�e or incomplece and attemp[to nodfy past recipien�of <br /> inaccunte or incomplece dara, including recipien�s named by che individual; ar(b)noafy the individaal that he betieves che data ro be coaecc. Data <br /> in dispute shaii be disclosed only if the individual's sc3�emeat of disagr:ement is included wich the disclosed daca. <br /> Th�decerminadon of the responsible authoriry may be appealed Pursuant to the provisions of che administradve procedure act re(adng to <br /> conta�ed eases <br /> DATA PRIVACY ADVISORY <br /> In accordance with M.S. 13.04, Subd.2, "Ri�hts of subjects of data", we would li.ke to inform you tha[your request <br /> for a pernut or license from the Ciry of Orono or any of its departments may require you to fumish certain private or <br /> confidential information. <br /> You are notified thar.� <br /> 1. The information you fumish will be used to determine your qualification for the permit or license requested. <br /> 2. You may refuse to supply data, but refusal may require tha[ the City deny the perm.it or license. <br /> 3. The information may be shared with ocher local, state or federal a�encies to the extent necessary to process <br /> ' the permit 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 rishts 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 /> � �, � . <br /> l����' -� �� ��-��--- <br /> First �iiddla /,� Las� <br /> �� �; � > ���y�;, �,2. �:�;,� l:. 1-V Y�- <br /> Address `� �' <br /> �,�,�� ,'L, �, ,� `� 'y�-� c-�;/ �" C��-�-�-�-/, `�°�� <br /> Ciry Smte Zip Phane r <br /> � <br /> I understan my ri;hts as,�tated�above: <br /> � � �' \ x j� ' <br /> '`". / <br /> � <br /> � '�� ` ��� ---- <br /> � <br /> Signan:re <br />