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. j <br /> . � � ' y <br /> See.13.04 RIGATS OF S[JBJECTS OF DA?A ' <br /> Subd. 1. Type of data. The righcs o!iadividual oa whom the data is swced or�o be sca�ed shall be u sec focch ia this seetion. <br /> � Subd.2. IntocmaGoa nqi3red to be givm individual. An iadividuaI uYed to supply pcivate or conFidendal dan conceraing himself shaIl <br /> be iafocmed o`: (a)the purpose aad inreaded use oE the cequesud dan withia the collecdag Eta�e agenry.polidaI subdivisioa,or sntewide rysum; <br /> � (b)whe�er he caay refuse or u,legalty requir_d�o suppty.�he mtuesred dara:(cj aay tmowa coosequeace arisi.cg from his siipplyiag or re[using to syppty <br /> privac�or con.�ider.dsi dara;arid(d)the idendry of ochupersoas or enrides auchacized by snce or federal law to rn:eive ehe dara. This requiremeac shali <br /> aoc appty w�en ari ie.dividuaI is uked to supply iavesdgadve dan,pursuaat ro seedon 13.82,subdivisioa S,oo a law entoccemdac officer. .� . � <br /> The eec:tmissioner of rcvenua mav oTace the aace- rauir-d und���is subdivision in the individual income eaz or orooem raz refund <br /> insc�vcaons inscesd of on those fomu. • <br /> Subd.3. Aecas to data by iadiv[dual. Upon request w a responsible auchoriry,an'mdividual shaIl be informed whether he is�he subjecc <br /> o!stor:d daa on individuats.and whecher ic is dassiGed u public,privat�or conF.deaoal. Upoa his furcher requesc.an iedividual who is�he subjr.c <br /> of stoced private or public dara an tndividuals shall be shown ehe dam wirhout any charge to him aad;it he duiru.shall be infocmed of the eonteac <br /> and meaniag o[d�at data. Afur an individual has beea shown the pcivare dan aad inforaied o[ics meaaing,che daa nead not be disclosed oo hua for <br /> six months thereahet unless a d'�spute or aecon punvanc to this secdon is pending oc addidoeal dara on the iadividual has beea eoUected or erea�.d. <br /> The cespaasible aurhoriry shall'provide eopia ol the pdvu-or pub[ic dara upon request by rhe individual subject of�he daa. The responsi'ble auehociry <br /> may require�he cequesdng peaon W pay che accual eoses oF inaking,cecdfying,usd comp�ing the copia. <br /> The responsible aurhoriry shall compiy immediacety.if Qossible,wieh aay tequac made pursuuu w�his su6division,or wi�hin five days of <br /> the dace o[the requesc,exctuding Saturdays.Sundays and legal hotidays,lf immediace compGaace is not possible. Ithe cannoc comply with the request <br /> wi�hin thac dme.he shail so inform the iadividual.and may have an addidoaaI five days wirhin which to comply wich the cequac.exctudia'g Saturdays, <br /> Sandays and legal holtdays. . . <br /> Subd.4. Procedure when data Ls not acearate or complete. M iadividual may eontest the acc�nry or completeaess of pubtie orpriva[e <br /> dam coacuning fiimseif. To execcise this right,an individuaI shaIl aodfy ia wridag ehe cespoosibie aud�odry desen'bing the nanue of the d'wgreemeac. . <br /> The respoasible auehoriry shall wichia 30 days eicher: (a)correct rhe dara tound ro be inaccunte or iacomptete and atumpc to nodfy pasc recipients of <br /> inaccucace or incompiece data,including recipieacs named by che individual;or(b)nodfy the individual thac he betieves the dara to be cocrect Dat� <br /> Ia dispua shall be d'uclosed only if the individual's staeemenc of d'uagreement is inciuded wich the d'ucloud daa. <br /> The de�ecminadon of the responsible auchoriry may be appealed pursuant to the provisions of the adminismave pcocedure act retating to <br /> eontesced eases. ' - • <br /> DATA PRIVACY ADYISORY � <br /> In accordance wich M.S. 13.04,Subd.2, "Ri�hts of subjects of data",we would like to inform you that your request <br /> for a permit or license from the Ciry of Orono or any of iu deparcmenu may require you to furnish certain private or <br /> confidential information. <br /> You are notified that: <br /> 1. The information you furnish will be used to determine your qualihcation for the pecmit or license requated. <br /> 2. You may refuse to supply daca, but refusal may require that the Ciry deay the permic or license. � <br /> 3. The informatioa may be shazed with ocher local,stac�or federal agencies to the exceac necessary to process <br /> the permit or license. � <br /> 4. If your requested permit or license requires Council action to approve� some iaformation may become <br /> . public. ' � � . . . . , . . <br /> S. You have certain rights under M.S. 13.04�(available upon requesc) to review privace data on.younolf. . . <br /> 6. Your full name is required to process this applicacion or permic. <br /> GS �� Vl� � �lG �l/e�s <br /> Finc �tiadle �r Lasc . <br /> (n S L3�Gc,(� le � <br /> ��c�et� t�rgr �r�� 'L � �'1/11�-� SS-��L{ (�«-g�f3-o�'(�/a <br /> Ciry Scite Zip Ptiaee <br /> I understaad my ri;hts as stated above. <br /> Signacure <br />