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� <br /> i ' <br /> Sec.13.04 RIGfiTS OF S[JBJECTS OF D:�T.� <br /> Subd. 1. Type of data. The righrs of individual on whom[�e daca is stor=l or to be scored shall be as set focth in this secdon. <br /> Subd.2. Information reqirired to be givea individual. An icdividual ask�to supply privam or confidendal data concerning himself shall <br /> be informed of: (a)che purpose and inceaded use of the requesud dara wi�in[he collecang�tate agency,poliacal subdivision,or sratewide sysum; <br /> (b)whecher he may refuse oY is legally requimd to supply[he Rquested data:(c)any l�own consequence arising from his supplying or refusing to supQly <br /> priva�e or conndenaal data;and(d)the idendry of ocher persons or enddes xechorized by srate or federal law to rcceive the data..This requiremenc shall <br /> noc apply when an individual is asked to supply investigadve daa,pursv_.c to seccoa 13.82,subdivision 5,to a law enforcemenc o�cer. <br /> 'Ihe commissioner of re�•enue mav lace the norice reauired Lr.dar this subdivision in the individuai ir.come tax or ro emr tax refund <br /> instructions insczzd of on chose forms. <br /> Subd. 3. ?�ccess to data by iadi�idual. Upon request to a res�onsible ae�:^.oriry,an individual shall be informed whether he is the subject <br /> of stored data on individuals,and whe�her it is classified as public,privam ot confider.rial. Upon his further request,an individual who is the subjecc <br /> of s�or�i privace or public data on individuals shall be shown the dara wiu ou[any c'n��e to him and;if he dasires, shall be informed of rhe concenc <br /> and meaning of[hat dara. After an individual has been shown the priva��ac�and i�:ormed of i[s meaning,the daca need not be disclosed to him for <br /> six mon�hs chereafcer unless a dispute or acrion punuanc ta�his secrion is�:nding or addidonal data on the individual has been collected or creaced. <br /> 'Ihe responsible au�horiry shali provide copies of the private or public dac���on requa�by[he individual subject of the da[a. The responsible auchoriry <br /> may require ct►e requesang penon to pay the actual cosu of making,cer ling.and compiling the copies. <br /> The responsible auchoriry shall comply immedia�ely,if possib!_,wich any r-quest made pursuant to rhis subdivision,or wichin five days of <br /> the date of che request,excluding Samrdays,Sundays and tegal holidays,ii ir•.medi2ce compliance is not possible. If he cannot comply with the requesc <br /> wi[hin thac ame,he shall so inform the individual,and may have an addi�er.al five days within which to comply wi[h the request,excluding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. an individual may contest tht accuracy ar completeness of public ar pri�•ate <br /> daca conceming himself. To exercise�his righG an individuai shall nodfy ia wriring�=responsible authoriry describiag�he nacuce of the disagreement. <br /> The responsible au�horiry shall within 30 days eithec: (a)correct ehe dae icund to be inaccurnte or incomplete and aaempt to nodfy past recipienu of <br /> inaccura�e or incomplete dara, including recipiena named by che individi:l:or(b) codfy the individual thac he balieves the daca to be carrect. Dara <br /> in dispu�e shall be disclosed only if the individual's statement of disagre��ent is i.c:nded with the disclosed data. <br /> The decerminarion of the rasponsible auchoriry may be appea::u punuanc to che provisions of[he admiaistradve procedure act relaring to <br /> conresud cases. . <br /> DATA PRIV:�CY AD�'ISORY <br /> In accordance with M.S. 13.04, Subd.2, "Ri�hts of subjects oi data", we would like to inform you that your request <br /> for a permic or license from the Ciry of Orono or any oi iTa departments may require you to furnish certain private or <br /> confidential information. <br /> You are notified that: <br /> 1, The information you furnish will be used to de:emune y'our qualification for the permit or license requested. <br /> ?, You may refuse to supply data, but refusal rsay require that the City deny the permit or license. <br /> 3, The information may be shared with ocher loc�l, state or federal a;encies to the excent necessary to process <br /> the permit or license. <br /> 4, If your requested permit or license requires Council action to approve, some information may become <br /> . . public. <br /> � �, You have cer[ain ri;hts under M.S. 13.04 (2�ailable upon request) to review private data on yourself. <br /> 6, Your full name is required [o process this aoplica[ion or perm.ic. <br /> /� `�c��. I S o,�-� <br /> �►�r �t <br /> Finc Mid <br /> ,-�SC�3�% e��t� L� �Gt i�S Lt�'C�L, <br /> Address� ��L� 5����, ��a-��.� -���1_ <br /> 3 ✓� �1� <br /> State Zip Phone <br /> Ciry <br /> . <br /> I understand�ny ri�hts as stated ve. . <br /> _----__ <br /> ' nature <br />