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� <br /> � <br /> . + <br /> Sec.13.0-i RIGHTS OF SliB.TECTS OF DaT.a <br /> Subd. 1. Tvpe of data. 'I�e righcs oi icdividual on whom[he daca is stored ot m be scorcd shali be bs set forth in this secrion. <br /> Subd.2. Information reqtrirrd to be�ven individual. ?.n ir.dividual asked to supply privart ar confidendal dard conceraing himself shall <br /> be informed of: (a)the purQase and ir.rnded use of�he tequested dara within[he collecdng 3vre agency,polidcal subdivisioo,or sracewide rystem: <br /> (b)whether he may refuse or is legally rer,uired ro suppty tbe requested daca:(c)any Imown coasequeace arising from his supplying or refusing co supply <br /> privace or conr.dendal dara;ar.d(d)the ideadcy of ocher persoas or enrides auchorized by su[-or fedzral law to receive the dara. This requiremenc shall <br /> noc app(y when an individual is asked to svpply ia�esri¢adve data, pursuaac�o secdon 13.82,subdivision 5, to a law enforcemeac o�cer. <br /> "Ihe commissioner of r L nav pla'��he noer r�uired under chis subdivision in the individua! income etx or_prooem raz rofur.d <br /> instrucaons inst�ad of on�hose forms. <br /> Subd. 3. Access to data b�individual. lipon request to a responsible auchoriry,an individual shall be informed�vhe[her he is che subjecc <br /> of scnr_d data on individuals,and whe:her it is clusified as pubiic, privau:or confidendal. lipon tus funher reques�,aa individual who is the subjecc <br /> of stord privace or public daa on ir:dividuals shall be shown�he dam wict:out any cha�3e[n him and;if he desires, shall be iniormed of[he concenc <br /> and meaning oi[hac dara_ Aher an individual has be:n shown che privare dara and informed oi ics meaning,[he data need not be disclosed co him for <br /> six mon�hs cherafur uriless a d'upute o�acrion pursuanc[o �his secdon is pending or addidonal daci on the individual has been collected or creared. <br /> The rosponsibla authoriry shall provide copies of cha private or public dara upon requ�sc by the individua!subject of ihe da[a. T'ne tesponsible auchoriry <br /> may rzquire[he requesring penon ro pay che acaial coscs of making,cerafying,and compiling the copies. <br /> The responsibla auchoriry shall comply immedia[ely, if possible, wich any request made punuant co this subdivision,or within five days oi <br /> the dacr of the requesc,e�ciuding Saturdays,Sundays and legal holidays, if immediace compliance is no�possible. If he cannoc comply wi[h the requesc <br /> wi[hin rha[dme,he shall so inform che individual,and may have an addiaonal Five days wirhin which to comply wi[h[he request,exciuding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individual may concest the accuracy or compleceness oF public or pri�•ate - <br /> data conceming himself. To exerise c�is righ[,an individual shall nodfy in wricing che respoasib(e auchoriry describing[he nanire of the disagreemeac. .. <br /> The responsible aurhoriry shall wichia:0 days ei��:r: (a)correct[he dara found to be inac:urate or incomplete and attempc to nodfy past recipiencs of <br /> inaccurar or incomplete dac�, inciuding recipiena aamed by [he individual: or(b)aorify [he individua!thac he believes the dara to be correct. Data <br /> in dispuce shall be dise!osed only if tt:e individual's sntemenc of disagreemenc is included wich the disclosed da[a. <br /> "Ihe decerminauon of che r�sponsible au�horiry may be appealed pursuanc to the provisions of cha adminisaadve pro:edure act reladng to <br /> contested cases. <br /> DAT�, PRIV�,CY ADVISORY <br /> In accordance wich�I.S. 13.04, Subd.2, "RiQhts of subjeccs 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 i[s depanments may require you to fumish certain private or <br /> confidential information. <br /> You are notified that: <br /> 1, The informa[ion you furnish will be used to determine your qualification for the pecmit or license requested. <br /> ?. You may refuse to supply data, but refusal may require that the Ciry deny the permit or license. <br /> ;. The information may be shared with ocher local, stace or federal a�encies to the extent necessary to process <br /> the permit or license. <br /> .�. If your requested perm.it or license requires Council action to approve, some information may become <br /> public. <br /> 5. You have cenaia riQhts under M.S. 13.04 (availabie upon request) to review private data on yourself. <br /> (, Your full name is required to process chis applica[ion or permit. <br /> i%� 1� }�-���- �d��► ��-z.�� — <br /> Fin� �tiddla Last <br /> �"f 3S f/�/z l�� �N�� �[� <br /> Address <br /> 1ti2cx.��� V►�lN �"S 3�`y- 9S�-��17�-�Y 763 <br /> Ciry Sta�e Zip Phanz <br /> I understand my ri;hcs �s staced above. <br /> c <br /> Signacuce <br />