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Sec.13.Q4 RIGFiTS OF SUBJECIS OF DATA ' <br /> Suhd. i. Type o[data. The righcs af individual on wham[he data is scoced or ro be scorcd shalI be u set fo�ch in this secrion. <br /> Subd.2. Iatormation reqiured to be given iadivfdual. ?.n individuat uY:d w suppty privare oreoafidendal daa conceraing himself sh3I1 <br /> be infor¢:ed o,`: (a)the purpose aad in[eaded use of the requuted dam within the eollecdng 3tate agenty,paliacal subd.ivision,or smmwide rystem; <br /> (b)whewerhe rray rF�se ar is.legally requir.d to suooty 4he r_quesud dara;(cj aay Imown eanscqueece arising from his supplyiag or refusing to supply <br /> privace or con.9deccaI dati;ar.d(d)the ideadry of other persoas oreadries auchocized by su�e or federal law to r_:eive c�e da�. 'Ihis r.quircmeat shall <br /> not appiy when an ir:dividuaI is asked to supply invesdgarive dara,pursuaac ro secdoa 13.82,subdivision 5, rn a law enfactement ofncer. � <br /> "Ihe cenmissioner of revenue mav p1ac� �he nodce r�uir:d under this subdivision in the individual incorrte eiz or orooem t�z refund <br /> inscrucdons inscead of on[hose forms. <br /> Subd.3. Access to daca by indiriduai. Upon requac to a responsible aurhoary,an individual shall be inforraed whether he is�he subjecc <br /> of swr.d daa on individuaLs,aad whechec ic is dass�ed as pubtic,private or conF.denaal. Upoa his furcher reques�,an individaal who is che subjea <br /> of stor.d priva�e or public dara on individuaIs shall be shown ehe daci wichout any charge ro him and;if he desira,shalI be infocmed of the eoacanc <br /> ar.d meaning oC chat data. After an individual has been shown[he privare daca usd iaformed o(ic�meaaing,�he data need not be disclased Do him for <br /> six mondu eher_after unless a dispuw o�acaon punuanc to this secdon is pending or addidona!dan on the individual has been coliec`d or craamd. <br /> The responsibte auehoriry shall provida eopies of che priva�or pubtic daca upon request by the individual subjecc of�he daca. T'he responsible authoriry <br /> may requir_ che rsquesdng person to pay the accual coscs oi making,eerdfying,and eompiling the eopia. <br /> The responsible authoriry shaIl comply immedia�eiy, if possible,wich any request made pursuant to this subdivision,or wi�hin five days of <br /> the da�e oF�he raques4 ezcluding Sacurdays,Sundays and legal holidays,if immediace compliance is noc possible. If he canaot comply wich the requesc <br /> wichin rhat dme,he shall so inform che individual,and may have an addidonal five days within which to comply wich the request,excluding Sacurdays, <br /> Sundays and legal holidays. . <br /> Subd.4. Pracedure when data t�not accurate or complete. An individual may eonGsc�he accurdcy or eompletaness of pubiic or privace <br /> dam conceming himsdf. To exercise chis right,an individual shall nodfy in wridng ehe responsible auctioriry dascribing the nature oF the disagreemeac. <br /> The responsible auchoriry shall within 30 days eicher: (a)correcc�ha data faund to be inaccurer�or incomptete and aa:mpc to norify pasc tecipiencs of <br /> inaccu�ate or incamplece data,induding recipieacs named by che individual;or(b)nodfy the individual thac he believes the dae3 to be carrecc Dars <br /> in dispuce shall be disclosed onIy if the individual's sta[er,sent of disagrcem:nt is includtd with the disclosed data. <br /> 'Ihe da�ecminauan of the responsib(a auchoriry may be appealed pursuan�m the provisions of the adminisaaave procedure act relaang to <br /> eoncesud cases. • <br /> DATA PRIVACY ADVISORY <br /> In accordance with M.S. 13.04, Subd.2, "Rights of subjects of data", we would like to inform you that your request <br /> for a permit or license from the City of Orono or any of its depanments may require you to furnish cercain private or <br /> confidential information. <br /> You are notified that: <br /> i. The information you furnish will be used to determine your qualification for che permit or license requested. <br /> 2. You may refuse to suppiy data, but refusal may require that the Ciry deny the permit or license. <br /> 3. The information may be shared wich ocher local, stace or federal a�encies to the e�tent necessary to process <br /> the permit or license. <br /> 4. If your requested permic or licease requires Council action to approve, some information may become <br /> public. <br /> 5. You have certain rights under M.S. 13.04 (availabie upon request) to review private data on yourself. <br /> 6. Your full name is required to process this applicacion or perm.i[. <br /> / ; <br /> C��Ci��� ���,``��/i�/ `v��/�� <br /> F'ust �fiddle Last � <br /> ��_���� �(_� ��✓��r l�� <br /> Addreu �.� <br /> �/i`>G//�I/ r���(__ `7 "xi�� � ��- 5��j� <br /> Ciry St+ce Zip Ptione <br /> I understand my ri�hts as stated abov.e. <br /> � /� � <br /> Sigrucure <br />