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. e <br /> Sec.13.0�i RIGHTS OF SUBJECTS OF DATa <br /> Subd. 1. Type of data. The righrs oi icdividual on whom the data is r•or:d or a�t�e swred shall be as sec forch ia chis secrian. <br /> Subd.'_. InfocmaCon reqirired to be�.m individual. An individual uked to suppty privare or confidendal daa coneeraing himself shall <br /> be informed of: (a)the purpose and iar_aded use of ehe requesred dam wirhin ehe collecdng Ytate ageary,palidcal subdivision,or snrewide rystem; <br /> �b)whe�er he may r.fuse or is legally required m supply the requesud dsta:(c)aay Imown eoestquence arisiag from his supptyiag or refusing w supply <br /> privare o�conr.dendal dara;and(d)the idenary of aeter peaoas or enddes aurhoriz:d by siam or fedeczl law to receive[he dara. This requiremeac stiall <br /> not appfy when an individual is asled ro supply iar•arigadve dae,pursuanc ro sc:aon 13.82,subdivision S,co a law enfoczeaeat officer. <br /> '!he commissioner of tevenue mav ola:e the nodce rauired unde�this subdivision in the individual incame tax o�orooertv taz esfur.d <br /> inscrucdons ins.a=d of on chose foRns. <br /> Subd.3. aecas to data br-iadividuaI. lipon request m a msponsible auchaciry,aa individual shall be informed whe�her he is ttie subjecc <br /> of sco�d data on individuals,and whe:her it is ctassified as public,privau-.or con::dendal. L;pon his fnrcher cequest,aa individual who is the subjecc <br /> of stor:d privace or public dae;on individuals shall be shown ehe dan widiout any cauge m him and;if he desires,shall be iniormed of[he con�enc <br /> az:d meaniag of rhat dam. After an individua!hit�een shown che priva�dae and iniormcd oi ics meaniag,the dara need noc be disclosed oo him for <br /> su mandu checeaiu�unless a d'upute ar acdon pursuanc to �his secdon is pending ar addidoa�i dact on the individual has been coilected or crcared. <br /> The cespansibie auehority shall pcovide copies of che privace or pu6lic data upon cee,uest by the iadividual subject of che dact. Tne respansible auchoriry <br /> may cequire che requesring person to pay the acnial cosa of making,cerdfying.u:d campiliag the copies. <br /> The respansible au[horiry shzll comply iaurcediately,if possible,with a:y request¢�ada purntant to this subdivisian,or wirhin five days oi <br /> the da[�of the reques4«ciuding Saturdays.Sundays and legal holidays,if immedi�4 compliaace is not possible. If he cannot comply widi�e requesc <br /> wiehia chac dtae,he shall so inform rhe individuai,and may have an addiuoaal five days wichia wluch to camply wic:�ehe request,ezctuding Saturdays, <br /> 5undays and legs!holidays. <br /> Subd.4. Proeedure whea data is not accurste or complete. An individual may concest che accuracy or compleceness of public or pri�ate - <br /> data canceming himself. To exemise�is righc,an individual shall nadfy in wridc;�:e respoasible auchoriry dascribing ehe naeu:e of the disagreemeaG .. <br /> The responsible auchoriry shall within 30 days eid:er. (a)corcncc�he dard found ro 6e inaccc:rac_or incomplece and aaempt to norify past recipienu of <br /> inaccurace or incomplete dan, inctuding recipiena named by[he individual:or(b)coafy el:e individuat thac he believes the daa to be correcc Dara <br /> in dispuce shall be dise!osed onIy if ehe individual's sracemene of d'uagreement is irciuded wich[he d'uelosed daa. <br /> 'Ihe decerminadon of eha rzsponsible auchoriry enay be appealed pursui:c to the provisions of eht adminisaarive procedure act reladng to <br /> conmsc:d cases. <br /> DATA PRNACY �D`'ISORY <br /> In accordaace wich v1.S. 13.04,Subd.2, "Righu of subjecu of da[a", �•e would like to inform you that your request <br /> for a permit or license from the Ciry of Orono or any of ics depz�ments may require you to furnish cercain private or <br /> confiden[ial information. <br /> You are nocified thac: . <br /> 1, The information you furaish will be used to determi,::e your qualification for the perm.it or license requested. <br /> ? You may refuse to supply daca, buc refusal may require that the Ciry deny the permic or license. <br /> ;. The information may be shued with other local, stac�or federal a;encies to the extenc 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 cercaia riQhcs uader M.S. 13.04 (available upon request) to review private data oa yourself. <br /> 6, Your full name is required to process this application or perm.ic. <br /> �'a o�o SGyy.�.� �,g���-� <br /> Firsc �tiddle Last <br /> SssD .�'t � ��� �o, <br /> Addczss • <br /> � � ,vr� SS33( �j7o-�S�/"� <br /> Cicy Stsr� Zip PF.aae <br /> I understand m ri�hts as staced . <br /> az- <br /> �_-- <br /> Signscuce <br />