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Sec.13.04 RIGHTS OF STJBJECTS OF D�T.� <br /> Subd. 1. Type of data. The righrs of individual on whom che dara is stor=.i or to be scored shall be as set focth in this secaon. <br /> Subd.2. Information reqtrired to be given individual. An itdividuai askd to supplY pri�ate or confidendal data concerning himself shall <br /> be informed of: (a) the purpose aad in[ended use of the requesud dara v.i�in the c�o�ll�co�e uence aris'mgtfrom his�pplyiag or refus ng to suspply <br /> (b)whaher he may refuse oT is legally required to suppiy ehe requested daa:(c)any 4 <br /> privace or conndendal data;and(d)che idendry of ocher persons or euddes auchorized by srate or federal law to receive the daca..'Riis requ'uemenc shall <br /> not apply when an individuai is asked to supply invesdgadve dan,pucsur.�co seceoa 13.82, subdiv�sion 5, co a law enforcement o�cer. <br /> Tha commissioner of rovenua mav lace the nodce reauired Lr.der this subdivision in the individual income tax or ro em cax refund <br /> instructions instead of on those forms. <br /> Subd.3. ?.ecess to data by indiridual. Upon requesc to a responsibie aechoriry,an individual shall be informed whecher he is che subject <br /> of scored dara on individuals,and whe�ha ic is classified as pubtic,privam or confid�r.rial, to him and,"if her desires`•shall be linformed�of�he concent <br /> of scorcd privace or public data on individuals shall be shown che dara wiaout any c"n�� <br /> and meaning of�hat data. Afrzr an indiiidual has been shown the priva�.�an and in:ormed of ia meaning,che dara need not be disclosed to him for <br /> six mon[hs[hereaiter unless a dispute or action pursuant to this secdon is�ending or addidonal data on the individual has been cotlecud or creaced. <br /> The responsible auchoriry shall provide copies of the priva[e ac public data n�on reques:by che individual subject of ihe data. The responsible authoriry <br /> may require[he requesring person to pay the actual costs of makin¢,cer Jing,and compiling the copies. <br /> The responsible au�horiry shail comply immediatety,if possibi=,wich any r_quest made pursuant to this subdivision,or wichin five days of <br /> the date of che reQuest,ezcluding Sacurdays,Sundays and legal holidays,ii is.medi2te compliance is not possible. If he cannot comply with the requesc <br /> wiehin�liac cime,he shail so inform che individual,and may have an addi�onal five days wichin w(uch to comply wich che request,ezcluding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Pracedure when data is not accurate or complete. An indivitual may contest the accuracy or completeness af public or pri�'ate <br /> dara conceming himsetf. To exercise chis righG an individual shali nodfy ia wridng co resPansible authoriry describing che nacure of th�i��c�ien�cs of <br /> The responsible auchoriry shall wirhin 30 days eithec: (a)correct the dan icund to be inac�e�dividual thacth bel eves�he daraato be correcG Dara <br /> inaccurace or incomplete data, including recipients named by che individ�l;or(b) nodfy <br /> in dispu�e shall be disclosed only if the individual's sratemenc of d'uagr:e�=nc is i^.c:�_dad wich the disclosed data. <br /> Ttte decerminaaon of the rosponsible au[horiry may be appeal=d pursuaat to [he provisions of tha administradve p�ocedure act reladng to <br /> contested cases. . <br /> DATA PRIV�CY AD�"ISORY <br /> In accordanc ense f om the C ry o fOrono or hany of iU deparments�may equ re�you of fum sh cer[a n�p ivate or <br /> for a permit or lic <br /> confidential information. <br /> You are no[ified that: <br /> 1, The information you furnish will be used to dz:emune�'our qualification for the permit or license requested. <br /> Z, You may refuse to supply data, but refusal may require that the City deny the perm.it or license. rocess <br /> 3, The information may be shared wich other loc�l, state or federal a�encies to the extent necessary to p <br /> the permit or license. <br /> 4, If your requested permit or license requires Council accion to approve, some information may become <br /> . , public. ourself. <br /> �, You have�certain rights under M.S. 13.04 (available upon request) to review private data on y <br /> 6, Your full name is required [o process this application or perm.ic. <br /> .�-� ���.��. l <br /> �' ` �� e Lasc <br /> Fint i <br /> ���"c-� - C�� -�{��- l�7� <br /> Address� j'1 !� A ` �5� ��., <br /> � � U�jV <br /> Sta� Zip Phone <br /> Ciry <br /> I understand my rights as stated above. . <br /> Signamre <br />