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� , . <br /> Sca13.04 RYCrHTS OF Srt$IECTS OF DAr.� • <br /> Suhd. 1. Type o[da�a. 'Thc rigbcs of individual oa whom�e da�a is ewced or co be s�ored shall be�sec foeth in rhis aecdoa. <br /> Subd.3. Yaformndoa req�ared to be given iadivldual. An indiv9dual asted�o svPP�Y Pnvace or wnfidendal datc conccming himsalP shall <br /> be iaformcd a!: (a)�he pu�se and inwnded use of fie�equesud da4 withiu the collccdag Srare ageneY.peliccal sabdi�isina.or s�arcwidc rymm: <br /> (b)whether he may�sfuse or is leg�lly required m supply rhe reques[ed d��a:(c)anY knowa caasequence arising Pmm his suppiying oc nfusing o�suPP�Y <br /> privau or aonfidendal data;and(d)rhe idaariry of odier penoas or enrieas au�horized by s�ate or federal law co meivc me data. This re4uiremen�shali <br /> � not apply when an individual is asked to supQly invcsdgaave dara,punuan��o secoon 13.62,svbdivisioa i. to a�aW es�f°rcemonc officer. <br /> 'Ilie comm'seioner of rcvenue mav 1Ace shc norice r ired under this s�bdiVision in rhe individusl ineome Cix or rooeccv �x_Rfund <br /> ins�rucuons ins�ead oP on rhnse forms. , <br /> Subd.3. Access co d�ta by individunl. Upan reques[ro a it�poasib►e an�ho�ry,an individual shall be inForcned whethec he is�e suhject <br /> of swred dara on individuals,and whe�her ic is elassified as public,priva�or canridznrial. Upon his fusrher reques�,sa inciividual who is�e subjac[ <br /> of senred pri�at�or puhlic daa on individuals shall bc shown�he daza w��hout any cha��m����he desiros,shap ba infoaned of dic coateni <br /> and meaning of chac dara. Af�er nn individus!has heen sho��e P����ara a�d'°tomud of i�mcaaiaS,ihe data n�eed no�be disciosed ro him for <br /> six atond�s rhereaf�er uNass a dispuu or acaon pursuanc cn iltis secrion is pcnding or addirional dara on�e iadividual has bccn collec�ed or cres[ed. <br /> The respoasible authoria shx11 provide copias oC dte pnvace or public dara upor reques by the indi��dual s�bJcc�of d►e dar3. Tt�e�csponsible auchoriq� <br /> :,�y.e�i�e rhe rcque•sang person to pay�he acaial costs of malcing.cerdfying,aad compiliag�he cnp'ses. <br /> y ��::!:::�^-p:y immedia�ely,iP passiblc,a'i�any reques�made pursuasu m�his subdivision,or wi�hia fiva dnys of <br /> The responsible su�hoii� �� <br /> tha dax of dia rcquest,excluding Sar�rdaYs.Sundays and iegal holidays.if;mi ::disu�����F!:W.==*.`-nee.3esibfc. Tf he c.:lnnc coraply wich du requesc <br /> wirhin�hat�ime,hc shall so infarm�ha individual, and may have an addibonal five days wiehia which to comply wiw�ho��qucs�,cxctudin�S�:.t:+iais� <br /> Sun�ys snd �egal holidays. <br /> Subd.4. �.'roeedure when d�ta is not neeura[e or eomplece. An individuat may con[est�he accurscy oc complcc�ness of pubiic or priva�e <br /> dsia eoncarning himself. To exercisa�his righ�,an individual shall nodty in wriung rhr responsible au�ho�ip dascri6ing chp naa�re of d��ei�grecn�t�s of <br /> 'i'he tcspo�uible sudioriry shall wi[hin 30 days einc�t: (a)corrcct the d��c�faund ro bc inaccuraw or incom le�e and a�m �to noufy p �p <br /> inaccucsce or incomplose daca,iaetuding recipienrs named by�e indiv�du�l:ar(b)nodfy cha individual�ha�he bclicves rhe dara co be conecc. Dam <br /> in d'ispua shall he disclosod only if�hc individual's sneemenL of disag�emrni is includad wiih�he disclosed data. <br /> 'fhe dcierminarion of rhe respersible auihoriry may bc app�::►lcd pursuan[to rhe provisioos of che adminisrr�cive procedure act reladng w <br /> contes�ed cases. • <br /> DATA PRI'�'ACY ADVIS012Y <br /> In accordauce wirh M.S. 13.o4, Subd.2, "Ri�hts af subjeccs of data", we would like to inform you tha�your requesc <br /> for a permit or license from �he Ciry of Orono or any of its deparnnents may require you to furnish cettaia privace or <br /> confiden�ial informa[ion. <br /> You are nocified rhat: <br /> 1, The information you furnish will be used to de�etmine your quali�icacion for[he permic or lieense requesied. <br /> 2. You may refuse to supply data, bu�refus:�l may require that che Ciry deny che permic or license. <br /> 3, The information may be shared wirh other local, scate or federal agencies to che extent necessary to proecss <br /> the permit or license. <br /> 4. IP your requested permic or license requires Council ae�ion to approve, some informacion may become <br /> public. <br /> 5, Yeu bave cettain rights under M.S. 13.0�4 (avnilable upon request) to review private data ou yourself. <br /> 6, Your full nam� is reqn:rec� �c. Yrcc�ss th��� appliea[ion or peTmz�. <br /> ��N�c � � y��`f�c�-� - <br /> F� <br /> M�a�� �� <br /> Address � <br /> 5�� Zip Phone <br /> C;ry <br /> • t unders�and my righcs as��ated ab� . <br /> � ^\ <br /> . <br /> � <br /> Signacure � <br />