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. � <br /> Sec.13.04 RIGFITS OF SIlB.TECTS OF DATA <br /> Subd. 1. Type of data. The righcc of individual on whom�e data is stor_3 or co be scored shall be as set forch in this secdon. <br /> Subd.2. Information reqirired to be given individual. An individua!azke3 to supply private or confidendal daca conceruing himself shall <br /> be informed of: (a)the purpose and intended use of the r+equesred data ai�in the collecang Stare agency,poliacal subdivision,or statewide rysum; <br /> (b)whether he may refuse oY is legally required to supply[he rsquested dan:(c)any f�own coasequence arising from his supplying or rcfusing to supply <br />• privace or conndenaal data;and(d)[he idendry of o�her persoas or enddes auehorized by stace or federal iaw co reccive the data..This requiremeo[shall <br /> not apply when an individual is asked to suppiy invesdgauve daci, pursu�^c co secaoa 13.8?, subdivision 5,co a law enforeemenc officer. <br /> 'Ihe commissioner of re�enue mav alace che norice rewired erd-r this subdivision in the individual income tax or oropem az refund <br /> inst�uctions instead of on[hose forms. <br /> Subd.3. Access to data by indi�idual. Upon request to a rescoasible aechoriry,an individual shall be informed whaher he is the subject <br /> of scored data on individuals,and wheeher it is classified as public,privac�or con6den�al. Upon his further request,an iadividual who is ehe subjecc <br /> of scored private or public data on individuals shall be shown the dara wi�:ouc any e':ur3e to him and;if he dasires, shall be informed of che concenc <br /> and meaning of chac data. Afcer an indiiidual has been shown che priva�,Cac�and in:ormed of ics meaning,the data need not be disclosed to him for <br /> six monchs chereafcer unless a dispute o�acrion pursuanc to �his secdon is cending oc addidonal data on the individuai has been coliected or crea�ed. <br /> The responsible auchority shall provide copies of the privace or pubtic dac�a�on reques:by[he individual subjecc of�he data. The responsible au�horiry <br /> r:;ay require the requesting person to pay the actual cos�s of makin¢,cer�:ing,and compiling the copies. <br /> The responsible au[horiry shall eomply immedia�ely, if possCole,wieh aay rques�mada pursuant to this subdivision,or wichin five days of <br /> the dace of che requesc,exctuding Sacurdays,Sundays and legal holidays,if irr.rnediace compliance is not possible. If he cannot compty with che reques� <br /> within[hac ame,he shall so inform ehe individual,and may have an addicoc3l five days wi�hin which[o comply wich the request,eaciuding Sacurdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data Ls not accurate or complete. ?.n individuzl may contest tha accuracy or completeness of public or pri�•ate <br /> dara conceming himself. To execcise chis right,an individua!shall nodfy ia wriang cc responsible auchoriry dascribing che nacure of the disagreemenc. <br /> The responsible authoriry shall within 30 days either: (a)correct the dan icund to bc inaccurate or incomplete and attempc to nodfy past recipients of <br /> inaccu�ate or incomplete data, including recipients named by che individrJ:or(b)codfy the individual tha�he believes[he data to be correc� Dan <br /> in dispu�e shall be disclosed only if the individual's sta[emenc of disagr::�:nc is is:c:aded wic!►the disclosed data. <br /> The decerminadon of the responsible authoriry may be appeal:d pursuanc to the provisions of the adminisnarive proceduro act reiaang to <br /> contested cases. . ,,,,, <br /> DATA PRIV�CY ADVISORY <br /> In accordance with M.S. 13.04,Subd.2, "Rights of subjects oi data", we would like to inform you that your reauesc <br /> for a permit or license from the Ciry of Orono or any of i[s deparments may require you to furnish certain privace or <br /> confidencial information. <br /> You are notified that: <br /> 1, The information you furnish will be used to de:ermine��our qualification for the permit or license requested. <br /> 2. You may refuse to supply data, but refusal may require that the City deny the perm.it or license. <br /> 3, The informatioa may be shared wi[h other local, state or federal agencies to the extent 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 /> . , publi�. • � <br /> 5, You have certain rights under M.S. 13.04 (avaitable upoa request) to review private data on yourself. <br /> (, Your full name is required to process this agplicacion or perm.ic. <br /> Fint Middle Last <br /> Address • <br /> Cjry .. .. State Zip Phone , <br /> I understand my rights as stated above. . <br /> � ,� �� <br /> «/� ' � <br /> Signature <br />