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r . <br /> Sea13.04 RIGfiTS OF SUBJECTS OF DATa <br /> Subd. 1. Type of data. The ri¢h�of individual on whom the data is sw:�or to be s[nred shall be as set fotth in this secaon. <br /> Subd.2. Information reqirired to be given individual. An ir.dividual ask�co supplY Privace or confidenrial data conceming himself shall <br /> be informed of: (a)the purpose and incended use of the requesud data w:�in the coIIecang Stace agency,polidcal subdivision,or sratewide ryssem; <br /> (b)whecher he may refuse oY is legally required[o supply the requesced daa:(c)any 3�owa coasequence arising from his supplying or refusing to suppty <br /> privace or conndendai data;and(d)the idenriry.of ocher persons or enddes xaehorized by sta[e or federal law to rceive the daca..'ihis requiremca�s6a11 <br /> no�apply when an individual is asked to supply invesd¢adve data,purs�:c�o seccoa 13.8?,subdivision 5, co a!aw enforcemenc ofFicer.. <br /> 'Ihe cortunissioner of re�enue r�av Dlace the nodce reauired ard-r this subdivision in the individual income tax or oropern az tefund <br /> instn�ctions ins�ead of on chose forms. <br /> Subd.3. Access to data by individual. Upon request to a rsroasible aethority,an iadividual shall be informed whether he is the subject <br /> of scored da[a on individuais,and wherher it is classified as pubiic,privae or confider.aal. Upon his further request,aa individual who is[he subjecc <br /> of scorod priva�e or pubtic dara on individuals shall be shown che dara wiu.ouc any c':�rge to him and,-if he dzsires, shall be informed of the contenc <br /> and meaning of�hac dara. Afcer an individual has been shown the priva:�dan and ia:crmed of ics meaning,che dara need not be d'uclosed to tiun for <br /> six monchs ehereafcer unless a dispute or acrion pursuanc to this secuon is�ending or addidonal data on the individuai has been collected or creaced. <br /> The responsible au�horiry shall provide copies of the priva[e or public daca c:on reques:by che individual subject of che dara. The responsible auchoriry <br /> *-2y requEr�rhe requesting person to pay the acmal coscs of makin2,ce=.:•ing,and compiling che copies. <br /> The responsible au�horiry shall comply immediacely,if possible,wich anv r_quesc made pursuant to this subdivision,or wichin five days of <br /> the date of tht reques[,excluding Santrdays,Sundays and legal holidays,if is.mediate compliance is not possible. If he cannot comply with the request <br /> wi�hin[ha�ame,he shail so inform che individuai,and may have an addieoaai five da;s wichin which to comply with che request,exctuding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not acctu�ate or complete. An indiviZual may contest the accuracy or completeness oP public or pri�•ate <br /> da�conceming himself. To exercise�his right,an individu�l shall nodfy ia wridng ca responsible authoriry describing ehe nacure of the disagreemeoc. <br /> The responsible auchoriry shall wi�hin 30 days either: (a)correct[he da�icund to be inaccurate or incomplete and aaempe co nodfy past recipienu oF <br /> inaccurate or incomplete data, including recipients named by the individuI;or(b)r_odfy the individual that he believes the data to be correcc Data <br /> in dispuce shall be disclosed only if the individual's statement of disagr�:�:nc is i.c:a3ad with ehe disclosed data. <br /> The de�erminaaon of the rosponsible au[horiry may be appea::d pursuacc to che provisions of the adminisaarive procedure act relaang to <br /> contesced cases. . <br /> DATA PRIV�CY AD�'ISORY <br /> In accordance with M.S. 13.04, Subd.2, "Riohts of subjects ot e�ata , we would like to inform you that your reouest <br /> for a pemuc or license from the Ciry of Orono or any o�ia deparments may require you to furnish eenain privace or <br /> confidential information. <br /> You are no[ified thar. <br /> 1, The information you fumish will be used to dz:ermine�•our qualification for the permit or license requested. <br /> 2, You may refuse to supply data, but refusal nay require that the Ciry deny the permit or license. <br /> 3, The information may be shared with o[her loc�l, state or federal agencies to the extent necessary to process <br /> the peraut or license. <br /> 4. If your requested permit or license requires Council action to approve, some information may become <br /> . , public, • � <br /> j, . You have certain rights under M.S. 13.04 (available epon request) to review pri'vate data on yourself. <br /> 6, Your full name is required to process this application or permic. <br /> Fi�� Middle Lasc <br /> Address � <br /> Ciry Stace Zip Phone <br /> I understand my ri?hts as stated above. <br /> Signantre <br />