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. � <br /> Sec.13.0�2 RIGFi'LS OF SUBJEC'TS OF DAT?► <br /> Subd. 1. Type of data. The righ�s oi icdividual an whom che daei is r•or:d ar o�be srnred shalI be as sec forrh in chis secrion. <br /> Subd.2. Infocmaaoa req�ssred m be�vm iadividual. a.n individual uked w suppiy private or confidendal data coacerniag himself sfiall <br /> be informed oF (a)ehe pucpase and ia�nded use of the cequested dam wichin ehe collecdng 3ci�agenry,polirical subdivision,oc satewide rystem; <br /> �b)whether he may�fuse or is(egaIIy requitzd m supply the[equesud data:(c)any I�owa coasequeace arising from his supplyiag or refusing to supply <br /> pcivarr oc confidendai dara;and(d)che idenriry of a�er pecsoas or enddes au�hariz:d bY scar.or federsl law to re:eive[he daes. Ttiis tequirement stiall <br /> noc apply when an individual is�sked to suppiy in�arigadve dam.Qursuaat co sec�on 13.82,subdivision 5,m a taw enforteaeac officer. <br /> The eommissioner of rvenue mav oli:e che nodce r:auired under ehis subdivision in the individua! income tix or orooem mz cefur.d <br /> insmccrions insttad of on chose forms. <br /> Subd.3. ?iccess to data b.individual. Lipon requesc te a�zspansibte auchoriry,aa individual shall be informed whecher he is the subjecc <br /> of scncod dara on individuals,and whe:her it is classified u public,privau-.or con::dendal. L;gon 6is furcher request,aa individuai who is the subjecc <br /> of stor.d privace or public data on indir•iduals shall be shown�he dan wichout aay cau3e tn him and:if he desires,shall be iniocmed af the concenc <br /> ar:d meaning of diat dars. Aher an individual h3s been shown the priva�e dara and iaforsaed of its mesning,[he data need noc be d'uclosed to him for <br /> six mondu diecrafrer unless a dispuu or acdon pursuanc w ehis secdoa is pending or addiaoaa.t dan oa the individual has beea collecud or creared. <br /> The respacuible auehoriry shall pravide copies of dit privace or public data upon requesc by[he icdividual subjecc of che dac�. Tne responsible authoriry <br /> may �:quire che requesring peaan to pay ehe acmal cases of maScing.cerrifying.ar.d compiIing che copies. <br /> The responsible authoriry shall compty immediacety,if passible,wich a:y 2quest�de pursuant to this subdivision,or within five days oP <br /> the dar.of che requesG e�ciuding Samrdays.Sundays and legal halidays,if immed'uc�campliance is noc possible. If he cannoc comply wich rhe requesc <br /> w{chin d�ac dme,he shall so infarm the individual,and may have an addidoaal five days wichia which w comply wic'�the requess,ezciuding Saeurdays. <br /> 5undays and legsl holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individual may concest the accuracy or complaeaess of public or private' <br /> dara eonceming himself. To ezeccise�is righc,an individual shall nadfy in wridcg�:e respansble aurhoriry dascribing�tte aaeu:e of[he d'uagreemaat. .. <br /> The cesponsibla auehoriry shall wichin 30 days eia`er. (a)corrnct�he dara found m te inaccLrit or incomplete and aaempc co nodfy pasc recipiencs of <br /> inaccurace oc incomplete dact, inciuding recipiena named by che individuai:or(b)coafy cl:e individual chac he believes rhe data to be corcecc Data <br /> in d'upuce shsll be disc'.osed only if ehe individuai's sta�emenc of disagreemenc is�.cluded aich[he disclosed dara. <br /> The decerminadon of ehe responsibte au�horiry may be appealed purssa-c to the provisions of[ha adminis�rive pro.edure act reladng to <br /> conmsced cues. <br /> DATA PRIVACY �D`'ISORY <br /> In accordance wich M.S. 13.04, Subd.2, "Righcs oE subjeca oi data", �c•e would like to inform you that your requesc <br /> for a perm.it 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 notified that: . <br /> 1. The informatioa you furnish will be used to determine your qualification for the perm.it or license requested. <br /> ?. You may refuse to supply daca, buc refusal may require that the Ciry deay the perm.ic or license. <br /> ;. The information may be shared with ocher local, stace or federal agencies to the extent necessary to process <br /> . the permit or license. <br /> 4. If your requested permit ar license requires Council action to approve, some information may become <br /> public. <br /> 5. You have cenain righcs under i1�1.S. 13.04 (available upon reQuest) to review private data on yourself. <br /> 6, Your full name is required to process this application or permi[. <br /> Firsc l�tiddla Lasc <br /> addr.ss � <br /> Cicy Smr� Zip Phane <br /> I understand my ri�hcs as staced above. . <br /> Signatu <br />