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Sea13.0-� RIGHTS OF SUBJECTS OF DaT� <br /> Subd. 1. Type of data. The rieh�s of individual on whom�e data is sto:�or to be scored shall be as sec fo�th in this secaoo. <br /> Subd.2. Information reqirired to be given individual. An individual as��3 to supply priva�e or confidenaal data concerning himself shall <br /> be informed of: (a) che purpose and in[ended use of the requesud dara w:�in the collccring"state agency,poliaca!subdivision,or statewide syst�m; <br /> (b)whechzr he may refuse or is legally required to supply che requesced daa;(c)any l�own coasequence arising from his supplying or refusing to supply <br /> priva�e or conndendal data;and(d)the idenriry of other penons or entides aachorized by state or federal law to receive the data. 'Ihis requ'uemen�shali <br /> no[appfy when an individual is asked to supply invesdgarive dara,pursv:=.c[o secaoa 13.82,subdivision 5, to a law enforcemenc ofricer. <br /> The commissioner of re�•enue mav lace the norice reauired Lr.d�r this subdivision in the individual income tax or orooem tax refund <br /> instructions ins�ead of on those forms. <br /> Subd.3. Access to data b�indi�-iduai. Upon requesc to a res�:onsible aes�oriry,an individual shall be informed whether he is the subject <br /> of s[ored data on individuals, and whe[her it is classiFied as public, privac�or con�id=r.ria1. Upon his further request, an individual who is the subjecc <br /> of scor�i private or public data on individuals shall be shown the da�a wiu out any ci�rge to him and;if he desues, shall be informed of the contenc <br /> and meaning of�hat data. After an individual has been shown the priva��ar�and ia:ormed of i�s meaning,che data need not be disclosed to him for <br /> six mor.chs chereafter unless a dispute or acrion pursuan[co this secdon is�ending or addiaonal data on the individual has been collected or creaced. <br /> The responsiblz authoriry shall provide copies of the private or public da�a n�on requ-s:by che individual subjecc of che data. The responsible authoriry <br /> may require che requesdng person to pay the acnial costs of makine,cer.;;;ing, and compiling che copies. <br /> 'IY�e responsible au�horiry shali comply immediacety, if possib?=, wich any request made punuant to this subdivision,or within five days of <br /> the da�of[he reques�,exeluding Saturdays,Sundays and legal holidays,ii ir..mediace compliance is noc possible. If he eannot eomply with the requesc <br /> wirhin thac rime,he shall so inform the individual,and may have an addicer3l five days within which to compiy wich[he request,excluding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when dnta is not accurate or complete. :�n individual may contest the accuracy or completeness of public or private <br /> data cor.cerning himself. To exercise chis ri¢hc,an individuai shall noafy ia wridng c:responsible authoriry describing�he nacure of the disagreemeac. <br /> The responsib(e au�horiry shall wichin 30 days either. (a)correct the dac.icund to be inaccurate or incomplete and attempc to nodfy past recipients of <br /> inaccurce or incomplete data, including recipiencs named by che individL�l;or(b) r.oafy the individual thac he believes[he data to be correct. Data <br /> in dispuce shall be disclosed only if the individual's statemenc of disagre��:nt is L.c:::ded with the disclosed data. <br /> The de�erminarion of the rosponsib(e authoriry may be appea�e�pursuan:to the provisions of the adminisaarive procedure act relaang to <br /> conces:ed cases. <br /> DATA PRIV?,CY AD�ZSORY <br /> In accordance with M.S. 13.04, Subd.2, "Ri;hts of subjects oi data", we would like to inform you that your reauest <br /> for a permit or license from the City of Orono or any oi ia depar...ents may require you to furnish cercain priva�e or <br /> confidential information. <br /> You are notified that: <br /> 1, The information you fumish will be used to de:ermine �'our qualification for the permit or license requested. <br /> 2. You may refuse to supply data, buc refusal nay require tha[ the Ciry deny the permit or license. <br /> ;, The information may be shared wich other loczl, state or federal a�encies to the e:ctent necessary to process <br /> the pemut or license. <br /> 4. If your requested pernut or license requires Council action to approve, some information may become <br /> . public. <br /> �. You have cenain ri�hts under M.S. 13.04 (available upon request) to review private data on yourself. <br /> 6_ Your full name is required to process this applicacion or permic. <br /> i C, �! F'��-�2- <br /> Fin� � ddle Lasc <br /> ' d� . ' � <br /> Aa ress <br /> �.�,���� /�i�l SS�G � Sa-�>� .�'0a� <br /> City Stace Zip Phone <br /> I underst my ri;hts as st d above. <br /> , 1 . <br /> �� <br /> Signacur <br />