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� �,3� � ��5� <br /> � <br /> Sec.13.0�i RIGH'TS OF SL'BJECTS OF DaTa <br /> Subd. 1. Tvpe ot data. 13e righcs of iadividual on whom�he daca is nored or co be stored shall be as sec fonh ia this secrion. <br /> Subd.2. Information req�red to be givm individual. An ir.dividuai asked to suppiy private or coafidendal dara eonceraing himseif sha]I <br /> be informed oF (a)rhe purQose and iamnded use of�he ceques,�dam wi�in chc collecdag 3-race agenry,poliacal subdivision,ar sratewide rystem: <br /> (b)whesher he may refuse aT is legally csquited to suppiy the cer,uattd dac�:(c)aaY la�own coasequeace arising from his supplyiag or refusing to supply <br /> privare or conndendal dara:and(d)�he idendty of ocEer peaoas or eaddes authorized by starL or federal law to�eceive rhe dara. This tequiremenc shalI <br /> not apply when an indir•iduai is asf:ed to supply iacadgaave daa.Qursn3nc ro secrion 13.82,subdivision 5,w a law enfareemen[officer. <br /> The cammissioner of re�enu r�av oli- the no�c r-auired under this subdivision in the individuai income tax or proaertv taz refur.d <br /> instrucrions instead of on ehose focros. <br /> Subd.3. Aeeess to data b�individual. lipon requesc ro a responsible aurhoriry,an individual shall be informed whether he is the subjecc <br /> of stor_d dara on individuaLs,and whesher ic is clusified as pubLc,priva`or confidendal. Lipon his fucdser requesc,an individuai who is the subjecc <br /> of stor.�d privace or public dan on individuals shall be shown rhe dan wid:out any cha:ge tn him and;if he desires,shall be iniormed of ttie concenc <br /> and m:aning of ehat dan. Afur an individual has 6een shown the privare data and informed of ics meaaiag,the dara need noc be disclosed to him for <br /> six monrhs chereaher unless a d"upute or acdon pucsuanc to �his secrion is pending oc addidonal data on che individual has been collected or creared. <br /> The responsibie authoriey shall provide copies of the privaee or public dara upon mquesc by the individual subject of�he data. The responsible auehoriry <br /> may czquire dse requesring penon ro pay ehe acaial cosu of maidng.cerrifying•and compiling ehe copies. <br /> The responsible aurhoriry shall comply immediately,if possible,wi[h aay request made pursuant to chis subdivision,or within five days of <br /> the date of che reques4 ezciuding Satuniays.Sundays and legal holidays.if immediace compliaace is nat pouible. If he caanot comply wi�h the reques� <br /> wi�hin chac dme,he shail so iaform dse individual,uid may have an addidonal five days wirhia which to comply wi[h the request,excluding Saturdays. <br /> Sundays and legal hotidays. <br /> Subd.4. Procedure when data is not aceurate or complete. ?.n individual may contest che accutacy or compleceness of public or pri�at: ' <br /> dara conceming himself. To exercise�his righc,an individual shall noafy in wridng�he responsbte au[horiry describing che nacure of the disagreemeac. .. <br /> 'I1u tesponsible auchoriry shall within 30 days eid:er. (a)corr.ct che daca found oo be inaccuratL or incompleu and aaempt W n�dfy past recipienu of <br /> inaccurace or incomplece dact,inctuding recipiena eamed by rhe individual:or(b)aorify[he individual thac he believes rhe dard to be correcc Daea <br /> in dispuce shall be disc'.osed only if ehe individuai's stacemenc of d'uagreemenc is included wich ehe d'uclosed data. <br /> The decerminadon of the responsible authoriry may be appealed pursuanc to the provisions of the adminisuarive procedure act reladng to <br /> concested cases. <br /> DAT?, PRIVACY t1D�'ISORY <br /> In accordance wich�I.S. 13.04, Subd.2, "Ri�cs of subjects of data", we would like to inform you tha[your request <br /> for a permit or license from the Ciry of Orono or any of iu deparcments may require you to furnish certain private or <br /> confidencial information. <br /> You are notified that: . <br /> 1, The information you furnish will be used to decermine your qualification for the permit or license requested. <br /> 2, You may refuse to supply data, buc refusal may require thac the Ciry deny the perm.ic or lieense. <br /> 3, The information may be shared with ocher local, state or federal a�encies to the excent 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 /> �. You have certain riQhts under M.S. 13.04 (available upon request) to review private data on yourself. <br /> E, Your full name is required to process this applica[ion or permit. <br /> � �r �ir�� `��l ' <br /> �► �t <br /> Fusc � <br /> � <br /> .�.ddreu / O � 6� <br /> l <br /> C�ry m� Zip Phone <br /> I uad stan� my rights st d bove. . <br /> Signaatre <br />