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• t <br /> Sec.13.Q4 RIGATS OF SVBJEGTS OF DATA ' <br /> . a <br /> Subd. 1. Type o[data. The righcs of individual on whom che data is stoced or w be srnrcd shali be u set for�h ia this secdon. <br /> � Subd.2. Informa�oc reqtnrcd to be girm indIridual. �1n iadividuaF uked w supQly private or eoafidendal daa concecaing himself shali <br /> be informed o`: (a)che purpose and iarended use of che cequared daa wichia the eollecang 3tate ageary.poliacal subdivision,or sa�wide rysrem; <br /> . (b)whet�u he taay reFuse oT is legally cecry'tr.d to suPPtY.the tequesred dsra:(c)aay fmowa eaasequeace uisiag frum his supplyiag or reti�sing to r.:pply <br /> privat:or coci.;deaca!daa;ar:d(�the ideadry o[o�h:c pecsoas ocenddes aucharized by sate orfedaral law to ceceive the daca. This requiremeac ss�ii <br /> aoc apply w�en an ie.dividual ts uked to siipply invesagadve dan,pursuant w secaoa 13.82.subdivisioa S.oo a Iaw enfocsemeac officer. . . - <br /> Ttte eor:unissioner of reyenus mav olac-the noac- rauird und-r this subdivision in the individual ir►come ta�c or orooeccv taz refuad <br /> Insccueaons inscead of on rhose fomu. • , . � <br /> Subd.3. Aecess to data by indiriduaI. Upon requesc w a respoasible auchoary.an iadividual shaii be infonaed whaher he is the subjeec <br /> o[stored dsa on individuals,aad whecher it is etassified u public,pdvat�oc eonP.denaal. Upaa his furchec cequest�aa iadividual who is the subje:c <br /> of stored privace or:public daa on.icdi+viduals shall be shown ehe dan wichaac any�charge to him uid.'if he des'�re;;s�all be In[ocmed of ttie eoacenc <br /> and meaning o!chat daa. Afuc an individual has bxa shown the pcivate dara a�id infocmed ot I�meanieg,che daa nead not be dixloxd oo him for <br /> siz moad�s thereafur uniess ardispuu or aeaon pursuant w this secaon is pending or addidooal daa oer ehr individual has beea calIa`-d or erear�d. <br /> Ihe cespoasibtc autkociry shall'provide copies of che privar-.or pubtic daca uFon request b�Qie individuai subjecc o��se dara: T�e respoan'ble auchariry <br /> may require the�cequesdng person to pay the accual eosts af making,cerdfying,aad eomp�ing the eopia. <br /> 'Ihe responsible auchoriry shal!eomply immediscely,it Qossibie,wieh aay cequat made pursuanc to�his subdivision,or wichin five days of <br /> the date o[the reques�,excluding Saturdays,Sundays and legal hotidays,if inunediate compliaace it not possible. If he canaot comply wirh the requesc <br /> wichin dut dme.he shall so in[orm the individual,and may have nn addidoaat five days wiehin whieh m comply wi'ch the cequest,eacludin'g Saaudays, <br /> Sundays and kgal holidays. . . <br /> Subd.4. Procedure whea data L�not aceurate or eomplete. M individual may contest�he accuncy or completeness of public or privace <br /> daa conceming l�im�mself. To ezeocise chis right,an individual shail noafy ta wridng the reapoasffile audwdry descdbing the nanin of du disagreemeec . <br /> The nspoasibte authociry shall wi�hia 30 days eieher. (a)correcc che dsta found to be inaccunte oc incomptete aad aaempc to aodfy past recipiencs of <br /> Inaccunte or ineomple�e data,induding recipieacs named by�he individual:or(b)aoafy the iedividual thac he believes rhe data to be correct Daca <br /> in dispuce shall be d"uclosed oaly it the individual's stacement of disagreemeat is ine(uded wieh the d'uclosed daa. <br /> The decerminadon of the rasponsble auchoriry may be appealed pursuant to the provisions of the adminisaaave procedure act reladag to <br /> contemd ases. � . • � <br /> DATA PRiVACY ADYISORY � <br /> In aecordance wich M.S. 13.04,Subd.2, "Rirshcs of subjecu of data",we would like to inform you that your request <br /> for a peruut or license from the City of Orono or any of i[s departments may require you to furnish certain private or <br /> confidencial information. <br /> You aze notified thar. <br /> 1. The information you furnish will be used 4o determine your qualificadon for th�permit or license requested. <br /> 2. You may refuse to supply data; but refusal may r�quire that the Ciry deny the permit or licease. <br /> 3. The information may be shazed wich other local,stace or federal ageucies to the eicent necessary to precess <br /> the permit or license. � <br /> 4. If your requested permit or license requires Council actioa to approve� sonne informadoa�y:;become <br /> . public. � � � . . . . . <br /> �5. You have certain rights under M.S. 13.04�(available upon reqnest) to review private data on.yourself. <br /> 6. Your full name is requircd to process this application or pecmi�. <br /> Fust � Middle Last • <br /> Address � <br /> Ciry Sate Zip Ptioae <br /> I understand my ri�ts as�stated above. , . , � , , .. <br /> . , <br /> Signaarc <br />