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Sec.13.04 RIGFTTS OF SUBJECTS OF DaTa Subd. 1. Type af data. The righcs of individual on whom�e data is s�:=3 or to be ssnred shall be as sec forth in this secrion. Subd.2. Information reqirired to be given indiridual. An ir.dividua!ask�to supplY private or confidendal data conceming himself shall be informed of: (a)the purpose and iatended use of the rcquested dam wi�in t��o�coaseque¢ce aris'wg`from his�pplying or refiis ng to svSpply (b)wheeher he may refuse ot is legally required to supply the requesced dati:(c)any privace o�conndendal data;and(d)the idendry of o�her persoas or enudes auchorized by stace or fede�al law to receive the data..Zhis requiremenc shall not apply whzn an individual is asked to supply invesdgadve daca,pursur.t to secaoa 13.8?,subdivision 5, to a law enforcemenc o�cer. 'Ihe commissioner of reeenut mav lace the nodce reauired er.d:r this subdivision in the individual income tax or oro em rax refund inscruccions inscead of on chose forms. Subd.3. Access to data by indi�-idual. Upon request to a reseansibie aethoriry,a an�Sl��ec request�aa�indiv dualewho s the ubject of scored data on individuais,and whecher ic is classified as public,privau.or confcder.aal. to him and,-if he desires, shall be informed of the concenc of score�i private or public data on individuals shall be shown[he data wia.out any c'1'� and meaning of chat dara. After an individual has been shown che privas��an and iz:oaned of ics meaniag.[he dars need not be disclosed to him for six mon�hs[hereaiter unless a dispute or acrion pursuanc co �his secdon is�ending or addi6onal data on the individual has been collected or creaced. The responsible auchoriry shatl provide copies of the private or public daca L�on reques:by�he individual subject of che data. The responsible auchoriry may require et►e requesring person to pay the actual costs of makin¢,ce^.�ing, ar.d compiling the copies. The responsible authoriry shall comply immediacely,if possibl=.Wich any r_quest made pursuant to this subdivision,o�wichin five days of the date of che reques�,exciuding Saardays,Sundays and legal holidays,ii iramediacr compliance is not possible. If he canaot comply wich che request wichin thac time,he shall so inform che individual,and may have an addicer.al five days wichin which to comply wich the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure whea data is not accurate or complete. �n individual may contest the accuracy or completeness of public or pri�•ate dara conceming himself. To ezercise this ri¢ht,an individual shall aodfy ia wriring ce responsible authoriry describiag che nantre of the�d�rseac c�em�of The responsible auchoriry shall withia 30 days eicher: (a)correcc the dan icund to be inaccurate or incomplete and aaempt to nodfy p P inaccurace or incomplete data,including recipients named by the individi:al;ar(b) nodfy the individual thac he believes the data to be correct. Data in dispuce shall be disclosed only if the individual's statemen[of disagre��:nc is i.c:_ded with the disclosed daca. The deczrminadon of the rosponsible auchoriry may be appeal==pursua�:to �he provisions of che adminisaarive procedure acc reladng to contested cases. • DAT� PRIVACY AD�ZSORY In accordance�e om the C'ry o fOrono or ant y oi uu,deparmencs�may equ re�you of fum sh certa n�p ivace or for a pernut or lice confidential information. You are notif ed that: 1, The information you furnish will be used to de:ermine�'our qualification for the permit or license requested. 2, You may refuse to supply data, buc refusal nay require that the City deny the permit or license. 3, The information may be shared wich o[her loc�l, state or federal agencies to the extenc necessary to process the permit or license. 4, If your requested permit or license requires Council action to approve, some information may become . , . public. • �, 1'ou have certain rights under M.S. 13.04 (available upon request) to review private da[a on yourself. 6, Your full name is required to process this aoolica[ion or perm.ic. G,� ' - �{L Lasc VSi e First � .� � Address �� \�' �� •� �"1��—� / � �Y ,F 1�^ Stace Z�p Phone Ciry I unders d y ri?hts as stated above. . � � _ r� (� S i;nant