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s���.�:�.oa aic[rrs ol�su�.r�c�rs or na�r,� - <br /> Subd.1. �Cype of daCa 'I�hc ri�hts of individuel on���hom thc d�ita is stored or tu be store.d shall be as sef forth in d�is section. � <br /> Subd.2. Information rcquired to be�iven indiviilual. An individuai askcd to supply private or confi�ential data concerning himsclfshrll be <br /> infonned of. (a)d�e purpose�ind intended use ot the rcqucsted data�vithin the collcctiila state agency,politicll subdivision,or state�vide systcm;(L) <br /> wheihcr he mny rcfuse or is Icgally requircd[o supply the rcqucs[ed data;(c)any kno���n consequence lrisin�from his supplying or rcfusin;to supply <br /> private or confidenti�il data;and(d)th�idcntity�of other persuns or entitics authorire�d by statc or fcdereil law to receive the da[a."Chis requirement shall <br /> not apply�vhen an individual is asked to supply invesligalive cfata,pursuant to section 13.32,subdivision 5,Lo a Ix���enforcemcnt oft�icer. <br /> Thc commissioncr of_rcvcmic mav+place thc notice requircd undcr this subdivision in thc iiulividual incomc tax or property tax rcfund <br /> instructions inslead oCon fhosc forms. <br /> Subd.3. Acecss to d.ita by individual. Upon rcquest to a responsible authority,an individual shall be�infornicd�vhether he is thc subject of <br /> stored data on individuals,and��hether il is classiticd as public,private or contidential. Upon his further requcst,an indi��idual who is thc subject of <br /> storcd privatc or public data on individu�ls shall be shown the data�vithout any cltarge ro him and,if hc dcsires,shall be informcd of the content and <br /> tneanina ot'that dnta. Atter an individual h�s been sho�vn the privatc dala and inCormcd o[its mcanin„the data necd not be discloscd to hin��for si� <br /> months thereaft�r unless a dispute or acfion pursuant lo this section is pendin�or additional data o�i fhe inctividual has becn collccted or creatcd. The <br /> responsible authoriry shall provide copics of the priv��tc or public dat�upon rcquest by the individu�l sul�ject ofthe data "l�hc responsible��uthori[y <br /> ma��rcquire thc requesting person to pay the acWal cosU�of mal:ina,c�ertilying,and compiling thc copies. <br /> The responsible authoriq�shall comply immediatcly,if possible,with�ny request made pursuant to this subdivision,or�vithin�five days of <br /> the date ofthc request,c�cluding S�turdays,Sundays�nd le:.�al holidays,ifimmediatecompliancc is not possible. Ifhe cannot comply�aith the rcquesl <br /> �vithin d�at time,he shall so inform thc individual,and inav h����c an aiddilional five days�vit�hin which to comply wid�thc request cxcludi�� �9aturdtiys�- <br /> Sundays and le�al holidays. <br /> Subd.d. Procedure���hen dala is not accurate or coinplete. nn indiviilual may conlest the accuracy or complc;r���ess of public oc private data <br /> conccrnin;I�imseif. To e�ercisc this ri�ht,an individu�l shall notify in writing lhe responsible�uthority describingihe nalure oPthe disagreement The <br /> responsible authority shall�vithin 30 days eilher. (a)correct thc dala Found to.be inaocurate or incomplefe and attempt lo notif��past recipicnts oi� <br /> inaccut��te or incomplete dat1,includino re�cipients namcd by thr,individunl;nr(h)noti ly the individual that he bclievcs the data to be correct. D�da in <br /> dispiite shall be discloscd only if the inciividual's statement of disagrecmcnt is indudecl�vith the djsdosed data. <br /> I he determintition of the responsible authority may be�ppcaCed pursuartt ta'{hb provisio��s of the administrali��e procedure act relatin2 to <br /> contcstcd cases. <br /> DATA PRI�'ACY.�Di'1S�12Y <br /> In accordance�vith M.S. 13.04,Subd.?,"Riahts of subjects of dat�",,we�vould lil:e to inform}rou that your request <br /> for a��ermit or license fro�n the City�f Orono or ai�y of its deparUi�ents may.,rcquire you to fiunish certain private or <br /> conFidential infortnation. � � � <br /> You are notified tl�at: <br /> l. The iilformation you furnish �vill be uscd to dcter-mine yotir qualification for the pennit or license <br /> requested. <br /> 2. You may refuse to supply data,but refusal may require thai the City deny the permit or license. <br /> ;. Tlie iilformation may be sl�arecl witl� ot�he�r local, state or federal agencies to the exi�ei�t necessary to <br /> process the pem�it or lice�lse. <br /> 4. If your requested permit or license req�iires Council actio��to approve, soil�e inforil�atioi� i1�ay become <br /> public. , , , <br /> 5. You have certain rights ��nder M.S. 13.04(available upon rcqucst�)to revie.��v private data on }�ow�self. <br /> G. Your fuli name is requir�d to process this applicatioii or permit. <br /> Girst �Aiiddlc Last <br /> riddress <br /> Cih' Statc "/.ip Phanc <br /> 1 under. �nd mi� o•i� ts�as stat�ed .�bove. <br /> . Z�i Y�-� _ <br /> s�;��,;������ <br /> Reset' orrn 3� <br />