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. ., <br /> Sec.13.04 RIGHTS OF SUB.TEC'IS OF DaT?i ' <br /> Subd. 1. Type of data. The righcs of individual on whom rhe dara is stoced or to be swced shall be u sec forth in chis secdon. <br /> Subd.2. Intormaaon reqtrired to be�irw individual. An iadividual uked w supply private or confidenrial dara conceraing himself shall <br /> be informed o(: (a)the purpose and inmaded use of the requested data within the collecang 11•tate agency,polidal subdivision.or satewide rysum; <br /> (b)whechu he may refuse oY is.legally cequired to supply d�e cequesud data;(c)aay latown coagequence arisiag from his supplying or rel�siqg to supply <br /> privace or confidenda!data;and(d)the idenriry of othec peaoas or earides auchorized by stace or federal law to rrceive the data. This requiremenc shall <br /> noc apply when an individual is uked to supply invesrigarive dan,pursuaac[o secdoa 13.82,subdivision S,w a law en€oc�emeac officer. <br /> The coc�missioner of rcvenue mav vlac• che nodc- rauired under chis subdivision in the individual income tax or�rooem az refund <br /> inscrucdons inscead of on those focros. <br /> Subd.3. Aceess to data by iadividual. Upon requezc to a msponsible audiodry,an individual shall be informed whethec he is the subject <br /> of stoced daca on individuals,and whether it is classified u public,private or confidenaal. Upoa his fucthet cequesc,aa individual who is the subjecc <br /> of scored private or public dam on individuals shall be shown che dara wi�houc any charge m him and,-if he desires,shall be infocmed of the coatenc <br /> and maning of that data. After an individual has been shown che private daa and informed of iu meaning,the daa need not be d'uclosed to him for <br /> six months thereatur unleu a dispute or acdon pursuanc co [his secdon is pending or addidoaal data on the iadividual tias beea collected or created. <br /> The cesponsible auehoriry shall pmvide copies of�he private or public dars upon nquest by the iudividual subjecc of the dara. The responsible authoriry <br /> may require rhe requesring persort to pay the acaial cosu of making,ceaifying,and compiling�he copia. <br /> The cesponsible authoriry shall comply immediacely,if possibte,wieh any request made pursuant co this subdivision,o�wi[hin five days of <br /> the date ot die requesc,excluding Sacurdays,Sundays and legal holidays,if immediate compliance is noc possible. If he cannoc compty with the requesc <br /> wichin that time,he shall so inform the individual,and may have an addiaoaal five days within which oo comply wicb the request,excludiug Saturdays, <br /> Sundays uid legal holidays. <br /> Subd.4. Proeedure whea data is not accurate or complete. An iadividual may contest�he accuracy or completeness of public or private <br /> dara eonceming himseif. To execciu rhis righ�an individual shall nodfy in wridag ehe respomible aurhoriry describiag the naeure of the disagreemenc <br /> The respoasibte authoriry shall wiehin 30 days either. (a)comect the data fouad ro be inaccucate or incomplete aad attempc to nodfy past recipienrs of <br /> inaccurace or incomptece data,iacluding recipieact named by the individual;or(b)noafy the individual thac he believes the daa to be correcc Data <br /> in dispuce shall be disctosed only if che individual's statemenc of disagreement is ineluded with the disclosed data. <br /> The decerminaaon of ehe responsible auchoriry may be appealed pursumc to the provisions of che administraave procedun act niacing to <br /> contemd cases. • <br /> DATA PRIVACY ADVISORY <br /> In accordance with M.S. 13.04, Subd.2, "Righcs of subjecu of data",we would like to inform you that your request <br /> for a permit or license from the Ciry of Orono or any of its departments may require you to furnish certain private or <br /> confidential information. <br /> You aze notified thar. <br /> 1. The information you furnish will be used to detemune your qualification for the permit or license requested. <br /> 2. You may refuse to supply data, but refusal may require that the Ciry deny the permit or license. <br /> 3. The inforrnation may be shared wich ocher local, scace or federal agencies to the excenc necessary to process <br /> the permit or license. <br /> 4. If your requested permit or license requues Couacil action to approve, some information may become <br /> public. <br /> 5: You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself. <br /> 6. Your full name is required to process this application or permic. <br /> �-'�,_�.� t,� ��-�, <br /> Fint �tiddle �� <br /> ��a�c� 1 ���� C�1.�-��,z <br /> Address . <br /> N�;,�-,���� M� Ss�ns �t 2-o�io <br /> Ciry Sa[e Zip Phone <br /> I understand my rights a� scat d above. <br /> Signaare <br />