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Sec.13.Q4 RIGKTS OF SUSJECTS OF DATA ' � <br /> Subd. 1. Type o[data. The righcs of iadividual on wham the data is scoced or to be scoced shalI be u sec focsh ia this secdoa <br /> � Subd.2. IntormaCoc req�rired to be givm individual. An iadividua!uked to suppiy private or confideadal daa coaceming himself sbaIl <br /> be informed oE: (a)the purpose and iateaded use of the requessed daa wichia the collecang�nm ageary.polidal subdivision,or satswide system; <br /> (b}whe�tec he tnay reCuse oY is legally ceqti�r:d to supply:the requesud data:(c)acy faiown caauquence arising from his supplyiag or refusiag to suppty <br /> p;ivsr_or co:.�daadaI dara;and(��e ideadry of och:r penoas or eaddes auchociz:d by scare oc fedenl law to rnceive the daa. Tbis requ'uemeac shall <br /> aot apply when an individual is uked to supply invurigacve daa,pursuaat to secdoa 13.82.subdivision S.oo a faw eafoc¢emeac officer. .- . • <br /> The eecnmissioner of rcvenu:mav olacr the nocce r_�uir:d und:�this subdivision in the individual income ax or orooem taa teFund <br /> insciucaons instexd of on those forms. • <br /> Subd.3. Acceu to data bv iad[vidual. Upon requesc to a tespansible auchoriry.an individual shall be info�ned whecher he is�he subject <br /> o[stor.d daa on iadividuals.and whechec it is ctassifud as pubGc,privac�or conF.deadal. Upon his lurcher tequesc�an icdividual who is the subjeu <br /> o!siored private or public daca on iadividuaIs shall be shown the dara wichout any chacge to him and;if he desires,shal!be infocmed of the eoaceac <br /> aad meaning of d�u data. Aher an individual has beea shown the priva�e dan and iatocmed o!In meauing,the dam ne:d not be disclosed oo him for <br /> six mondu thereaher unless a dispute or aeaon pursuanc w this secdon is pending or addidoaat dara on the iadividuaI bas beea eoUec�d or erea�d. <br /> The�espons3ie authociry shallprovide eopia of the priva�or public dam upon�equesc by the iadividual subject oE che daa. The respoasi'ble auchoriry <br /> may requics rhe nquating pecson to pay the accual eoses of makis�z,eecafying,and eomp�ing the copia. <br /> The cesponsib(e auchoriry shall comply imraedis�ety,if passible.wi�h aay cequac cude pursuant to chis subdivision,oc wichia five days of <br /> the dare ot the ceques�ezcluding Satucdays.Sundays and legal hoiidays.if inuned'uce compliaace is not pouible. If he eaaaot comply with the requesc <br /> wiehin duc dme.he shall sa inform the individuaI�and may have an addidoaaI five days within which to eomply wirh the requat,exctuding Saturdays, <br /> Sundays aad legal holidays. . . <br /> Subd.4. Ptocedure when data is not accurate or complete. M individual may eon�est dce accunry a�eompleteaess otpubiic oc pri��ace <br /> daa wneeming tiaaself. To ezeccise this right,an iadiv[dual shall aoaFy ta wtioag the tespons�ble auchoriry descdbiag dze nature of the diaagreemeat . <br /> The respa�uibte au�horiry shall wichia 30 days eieteer. (a)comecc tha daa found to be inaccuate or incomplete aad atcempc co nodfy past recipien�s of <br /> Inaccucue or incomplece data,inctuding cecipieacs named by che individuaI;or(b)nod[y rhe indtvidual thac he betieves the daa to be corcect Data <br /> in dispuce shall be disclosed only It the individual's statemenc of d'tsagreemenc is included with the d'udosed daa. <br /> . The de�emunaaon of ehe responsible auchociry may be appealed pursuant�the provisions of the adminiscaave procedure aet miadng to <br /> contemd cases. ' • • <br /> DATA PRTVACY ADYISORY � <br /> In accordance with M.S. 13.04,Subd.2, "Rights of subjecu of data",we would like to inform you that your request <br /> for a permic or license from the City of Orono or any of its deparcments may require you to furnish certaia private or <br /> confidential information. <br /> You aze notified thar. <br /> 1. The information you furnish will be used to detecmine your qualification for the permit or license requated. <br /> 2. You may refuse to supply data� but refusal may require that the Ciry deny the permic or license. � � <br /> 3. The information may be shazed wich other local,state or federal agencies to the excenc necessary to process <br /> the permit or license. � <br /> 4. If your requested pecmit or license requires Couacil action to appmve, some information may become <br /> public. � . . . _ . ' . <br /> 5. You have certain rights under M.S. 13.04�(available upon request) to review private data on.yourself. <br /> 6. Your full name is required to process this applieation or permic. <br /> �U�(�j ��t S V�.`��l� �C.�l�G i/f <br /> F�� ��n�S� ��G c,� I�'►��D�+� .Ul. �t _ <br /> Add �uL'� �l (��'l�� � / ' �N ��3`7 7 (X ��" � l <br /> 3-a�ie <br /> Ciry Sate Zip P�oae <br /> I understaad rights as stated abova <br /> Signaare <br />