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Sr_.13.Q4 RIGHTS OF SLBJECTS OF DaT?� <br /> Subd. 1. T,vpe of data. 'Ihe righa ai icdividua!oc whom the dae is s:oced or w L+e sra�ed shall be�s sec focth ia this section. <br /> Subd.? Informaaon reqirired to be��m iadi'idual. ?.a individua!uk:d to s�pty privam ar confideadal daca coaceraing himself shalI <br /> L•e informed of: (a)rhe purpose and ian_nded use af�he requesr�daa withia ehe coilecdng 3are ageary,polidcal subdivisioa,or sncewide rystm; <br /> (b)ahe:her he may r.fuse or is leg3fty cequimd ro supply rhe cequesL-d dae:(e)aay 1�ow�n coasequeace arisiag from his supplyiag or cefusing to suPPtY <br /> priv�o�conr.dendal dara;and(d)the idendty of a�er persoas or enddes auchoriz:d by sear_or federal Law to ce:eive che dae. 'Ihis requuemenc stiall <br /> aoc app[y when an individual is asked to suppty iar•arigadve daca.Qursuanc ro sec=on 13.82,subdivision S,co a taw enfor�ecaeat officer. <br /> The commissioner of rt�enu nav ola- che nodc r-auired under[his subdivison in the individual incorne_tix_or prooem az cefur.d <br /> ir.s-ucdons inscaad of on chase forms. <br /> Subd.3. �iccess to data by individuai. lipon requcst m a cesponsible auehoriry,aa individual shall be informed whecher he is the subjecc <br /> of s;ar_d dara on individuals,and wherher it is dassified as public, privace or con;:dendai. Lpon Iiis further ceques�aa individual who is the subjecc <br /> of s�r_d pcivate or pubtic dam on indir•iduals shalt be shown ehe dan widiaut any caac3e m him and;if he desires,shall be iaiormed of ehe concenc <br /> a�d neuuag of[hat daa. Aher an individuai h�c been shown rhe privare daca and iaformed of ics meaaing,rhe data need noc be disclosed oo him for <br /> siz mon�s thereaR:r unlas a d'upute or acrion pucsuanc w chis secrian is pending or addidonal data on the individual has been collecmd or crea[ed. <br /> T-.�responsiblt au[horiry shall provida copies of che priva[e or public daca upon ceGuesc by�e iadividuzl subject of che daei. 'I"ne responsible auchoriry <br /> ¢�y cequir che cequesring person m pay the acnial cosc�of making,cerdfying.sr.d compiliag che copies. <br /> The responsible auchoriry shall comply imrt:edia�ely,if possible,wirh a:y Rquest sade pursuant co this subdivision,or wichin five days of <br /> �c da�of rha r.quesc,e�cluding Saturdays,Sundays and legal holidays,if immed"um comptiazce is not possible. If he caanac comply wieh the reques� <br /> willin thac time,he shall so infocm�he iadividuai,znd may have an addidonal6ve days wichia wluch to camply wic:�the request,ezciudiag Saturdays, <br /> Sundays and tegsl holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individual may contest che accurdcy or completeaess oF public or private• <br /> ds3 cor.cerning himself. To exec�ise�is righ�an individual shall norify in wridag�::caspeasbte aurhoriry describing�he nacu:e of die disagreemanc. .. <br /> Tte responsible auchoriry shall wichin 30 days eir:er. (a)corrnct rhe dara found to te inac�s:racr.or incompiete and aaempt to nadfy pasc recipiencs of <br /> i:accura:e or incomplece dae,inciuding recipieaa named by che iadividuai:or(b)codfy d:e iadividua!that he believes[he daa to be cocrect Dan <br /> ia dispuce shall be dise'.osed only if the individual's stacemenc of d'uagreemenc is�:luded wich[he disclosed dara. <br /> 'Ihe decerminadon of ehe rtsponsible auehoriry may be appealed pucsui.c ro the provisions of[he administrarive procedum act reladng co <br /> conms.:d cases. <br /> DAT�, PRIVACY ?�DVISORY <br /> In accordance with�I.S. 13.04,Subd.2, "Righcs of subjecu oi data", we would like to inform you that your request <br /> fo: a permit or license from the Ciry of Orono or any of its depz�ments 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 determine your qualification for the perm.it or license requested. <br /> ? You may refiue to supply daca, buc refusal may require that the Ciry deny the permic or license. <br /> ;. The information may be shared wich other Iocal, stata or federal agencies co the excenc necessary to process <br /> the permit or licease. <br /> :�, If your requested permit or license requires Council action to approve, some information may become <br /> public. <br /> �. You have cenaia riQhcs under �i.S. 13.04 (available upon request) to review private data on yourself. <br /> 6. Your full name is required to process this applicac:on or permic. <br /> F.�� rtiddle Lass <br /> elddr.ss � <br /> Ciry Sac� Zip PF.aae , <br /> I understaad my ri;hcs as staced above. . <br /> Signamre <br />