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� <br /> I ' 4 <br /> Sec.13.0.t RIGHTS OF SUBJECTS OF D:�T?, <br /> Subd. 1. Type of data. 'Ihe rights of individual on whom�e data is storc3 or to be stored shall be as set focth in this secaon. <br /> Subd.2. Information reqirired to be given individual. An isdi�idual ask�to supply privace or confidendal data concerning himself shaIl <br /> be informed of: (a)the purpose and iamnded use of the requesud dara wi�in the collecting 3tare agency,poliacal subdivisian,or seatewide rystem; <br /> (b)whecher he may refuse oY is legally requiczd to suppty ehe requesced daa:(c)any lmown consequence arising from his supplying or refusing to supply <br /> privace or conndendal data;and(d)the idenary of o�her persoas or enrides a�ehoriz:d by state or federal law to rceive the da[a..This requiremenc shaIl <br /> noc apply when an individual is asked to supp[y invesrigarive dara,purs�c to seccoa 13.82,subdivision 5,to a law enforcemenc o�cer. <br /> Tht commissioner of revenue mav place the noace reauired erd-r this subdivision in the individual income tax or oropertv tax refund <br /> inscnicdons instead of on chose forms. <br /> Subd.3. Access to data by indicidual. Upon request to a r_ransible a�choriry,an individual shall be informed whe�her he is the subject <br /> oF scomd data on individuals,and whecher it is ctassified as public,pdvac�or confidecrial. Upon his further request,an iadividual who is[he subject <br /> of scorcd private or public data on individuals shail be shown the dara wiu out any c'nsrge to him and;if he desires,sball be informed of the concent <br /> and meaning of chac dara. Afczr an individual has been shown the priva��an and iL;ormed of ics meaning,che data need not be d'uclosed to him for <br /> six moa:tu thereaiter unless a dispute or acrion pursuant to[his secdon is rending or addidonal data on the individual has been collecced or creaced. <br /> The responsible authoriry shall provide copies of the private or public da�e�on requ:s:by the individual subject of che daca. The responsible authoriry <br /> may requir��he requesring person to pay the acmai coscs of makin¢,ce.=:;ing,ar.d compiling the copies. <br /> The responsible auchoriry shall comply immediacely,if possible,wi�Y►any r_quest made punuant to this subdivision,or within five days of <br /> the dac�of the reques�,excluding Saturdays,Sundays and legal holidays,ii is.mediace compliance is not possible. If he canaot comply wich che requesc <br /> wichin�hac time,he shail so inform the individual,and may have an addi�ecal five days wi[hin which to comply wi�h the request,excluding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure whea data is not accurate or complete. �n indiviZual may contest the accuracy or complereness of pubtic or pri�•ate <br /> daca cor.ccming himself. To exercise�his rieht,an individual shall nodfy ia wridng�s responsible authoriry describiag che nature of the disagreemeac. <br /> The resYonsible aurhoriry shall wichin 30 days either: (a)correct the daa icund to be inaccurate or incomplece and attemp�to nodfy past rccipiencs of <br /> inaccurace or incompiete data, including recipiants named by rhe individi:al:or(b)codCy che individual thac he believes the data to be correcG Data <br /> in dispuce shall be disclosed only if ehe individual's statemene of disagre=�enc is i.claded wieh the disdosed dara. <br /> The decerminarion of the rasponsible authoriry may be appea�:d pursuac�to the provisions of ehe adminisaarive proeedaro act relaang to <br /> contes:ed cases. . � • <br /> DATA PRTV:�CY AD�'ISORY <br /> In accordance with M.S. 13.04, Subd.2, "Rights of subjects ot data", we would like to inform you that your reauest <br /> for a peruut or license from the Ciry of Orono or any of i� depar:.�.ents may require you to furnish certain privace or <br /> confidential information. <br /> You are notified that: <br /> 1. The information you furnish will be used to de:ermine rour qualification for the permit or license requested. <br /> ?. You may refuse to supply daca, buc refusal aay require that the City deny the permit or license. <br /> 3, The information may be shared wi[h other loczl, state or federal agencies co the extent necessary to process <br /> the permit or license. <br /> 4. If your requested permit or license requires Council action to approve, some informa�ion may become <br /> . . public. <br /> �, You have cenain ri,Qhts under M.S. 13.04 (available upon request) to review private data on yourself. <br /> 6, Your full name is required to process this aoplica[ion or permic. � <br /> Firsc �fiddle Lasc <br /> Address • <br /> Ciry State Zip Phone . <br /> I understand my ri;hts as scated above. <br /> Signacure <br />