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� . <br /> . <br /> . Sec.13.04 RIGHTS OF SUBJEGTS OF D.�TA ' <br /> Subd. 1. Type o[data. 711e righcs of individual on whom the dara is swced or m be sw�ed shall be u sec focth ia this secaon. <br /> Subd.2. InformatIon nqirired to be�ivm indiridual. An individual uked to supply private or confidendal daa coccerniag himself shall <br /> be icformed of: (a)the purpose aad iatended use of rhe izquesred daa wichin the collecdag Scate ageary.poQdcal subdivision,or srrtewide rystem; <br /> (b)wheche�he taay refuu oti is.legally tequind to supply che requesud dara:(c)aaY la►own coauquence arising from his supplying or refusiag w supply <br /> privace or confidendal data;and(d)the idenriry of ocher pecsoas or eaddes auchorized by stace ar fedenl law co nceive the dara. This requiremeac shall <br /> noc apply when an individual is uked to supply invesdgadve daa,putsuant ro secdon 13.82,subdivision S,to a law enfot�emeat officer. <br /> The cec�missioner of revenue mav otac�the nodc- r-auired under this subdivision in the individual income tax or orooem ax cefund <br /> insc�ucdons inscead of on those fomu. <br /> Subd.3. Access to data by iadividual. Upon request to a responsible authociry,an individual shall be informed whether he is the subject <br /> o[swced dara on individuals,and whecher it is ctassified u public,private or confidenaal. Upon his tt�rcher reques�aa iadividual who is the subjecc <br /> of stoced privace or pubtic dam on iadividuals shall be stiown che dan wichout any charge to him and;if he desires,shall be informed of the content <br /> and meaning of�hat data. After an individual has been shown the private dara and informed o[ict meaning,the data need not be d'uclosed oo him for <br /> su months theceaher unless a d'ispute or acdon pursuanc to this secdon is pending oc addidonal dara on the iadividual has been coliected or creattd. <br /> The tesponsibie authoriry shall provide copies of the privare or pubtic dan upon request by the iadividual subjecc of the daa. 'Ihe cesponsible authoriry <br /> may nquire�e roquesang person W pay the accual coses af making,cemfying,and compiling the copia. <br /> Ttte cesponsible suehoriry shall comply immediately,if possible,wich any nequest made pursuant to this subdivision.or wit6in five days of <br /> the date of the nquesc,ezctuding Sacundays.Sundays and legal holidays,if immediace compliance is noc possible. If he cannoc compty with the requesc <br /> wichin d�at ame,he shall so inform t1►e individual,and may have an addidoaal five days wirhin which oo comply wich the request,exduding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Ptocedure when data is not accurate or complete. An iadividual may contest the accuracy or eompleteneu of public or private <br /> dan conceming himself. To exercise chis righ4 an individual shall nodfy in wridng rhe respoasible authoriry describing the nature of the disagreemeac <br /> The responsible authoriry shall within 30 days ei[her: (a)comecc tha data found ro be inaccurdte or iacomplece and aaempt to nodfy past recipiecus of <br /> inaccunte or incomplete data,including tecipiena named by che individual;or(b)notify the individual thac he believes the data to be cocrect Data <br /> in dispuce shall be disclosed only if the individual's statemenc of disagreement is included with the disclosed data. <br /> The dearminadon of the respoeuible auchoriry may be appealed pursuant to the provisions of the adminisaaave pcocedure act relating ro <br /> contesad cues. • <br /> DATA PRIVACY ADVISORY <br /> In accordance with M.S. 13.04, Subd.2, "Ri,,rhts of subjects 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 ics departmencs may require you to furnish certain private or <br /> confidencial information. <br /> You aze nocified that: <br /> 1. The information you furnish will be used to determine 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 information may be shazed with ocher local, stace or federal agencies to the euenc neeessary to process <br /> the permit or license. <br /> 4. If your requested permit or licease requires Council action to approve, some information may become <br /> public. <br /> 5. You have certain rights under M.S. 13.04 (available upon nquest) to review private data on yourself. <br /> 6. o r full name is required to ocess this applicacion or permic. <br /> First �tiddle Last <br /> Addceu <br /> �on� ��l �e �Gin ����� �o�-a��y <br /> Ciry Sace Zip Phone <br /> I understand my rights tated above. <br /> , • <br /> Signacure <br />