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� <br /> . � <br /> Sec.13.0�t RIGH'TS OF SUBJECTS OF DAT?i <br /> Subd. 1. Type ot data. The righcs of iadividual on whom che dara is scoced or co be swred shall be as sec focth in chis secrion. <br /> Su6d.2. Informatioc reqirired to be givm iadividval. An iadividual asYed w supplY private or confidendal dara concerniag bimself shall <br /> be iaformed of: (a)the purpou and iaroaded use of che tequesr�data withia�he collecdng Yera ageacy,poliacal subdivision,or stacewide rystem: <br /> (b)whether he may isfuse or is legalIy isqui:ed m supply the cequesced dac3:(c)anY iaio"'n coauqueace arising fmm his supplyiag or refusing to suPP�Y <br /> privare or confldenrial daa;and(d)[he idenrity of a�er penons or enddes auchorized by stam or Yeders!law to recaive the da�a. This requiremenc shall <br /> not apply when an indir•idual is asked to supply incadgacve daa,pursuant co secdon 13.83,subdivisian 5,to a law enforcement officer. <br /> The commissioner of revenu r�av ola- the nodce reauired under this subdivision in the individual income rax or orooem taz refur.d <br /> instnicdons inscead of on chose forms. <br /> Subd.3. access to data br•iadividuai. Upan requesc to a responsible auchoriry,an individual shall be informed whe�her he is the subjecc <br /> of scor_d data on individuals,and whe:her it is classified as pubiic,privau-.or confidendal. Lipon his further cequest,aa iadividual who is the subjecc <br /> of stor.d privace or public dara on individuals shall be shown ehe dan without any charge re him and:if he desires,shall be informed of the contenc <br /> and meaning of rhat data. After an individual has been shown che privare daca and iaformed af iu meaning.�he data need not be disclosed ro hun for <br /> siz monchs chereafur unleu a d'upuu or acrion punvanc to ttsis secdon is pending or addidonal dara oa[he individual has been collected or creared. <br /> The responsible auehority shall provide copies of the priva�e or public dara upon cequesc by ehe individust subject of che dan. The rosponsible auehoriry <br /> may �equire che cequesring person ro pay the acaal cosa of making.cerrifying.and compiling the copies. <br /> The responsible aurhoriry shali comply iaunediacely,if possibie,with aay reqnest mada pursuant to this subdivision,or wichin five days of <br /> the dare of che requesG excluding Sacu�days,Sundays and legal holidays,if immediace compliacce is not possible. If he canaot compty with the requesc <br /> wichin chac dme,he shall so infocm the individual,md may have an addidoaal five days wichia which co compiy wieh the request,ezeLudiag Saturdays. <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurste or comp[ete. An individual may contest rhe accuracy or compleceness of public or private' <br /> data conceming himseif. To ezercise chis right,an individual shali nodfy in wriang�he respoasible auchoricy dacribing ehe naaire of.the disagreemeac. .. <br /> The responsible auchoriry shall wichia 30 days eicher. (a)correct ehe data found to be inaccurare or incomplete and aaempt to nerify past recipients of <br /> inaccurac:or incomplete dac1, including cecipima named by che individual:or(b)nodfy[he individua![hat he believes rhe dara to be cocrect Data <br /> ia dispuce shall be disc:osed only if the individual's stacemene of disagreement is included wich rhe disclosed data. <br /> 'ihe decerminadon of ehe responsible wehoriry taay be appealed pursuanc to the provisions of tht adminisnarive procedure act reladag to <br /> concested cues. <br /> DATA PRIVACY r1DVISORY <br /> Ia accordance wich M.S. 13.04, Subd.2, "Rights of subjecu of data",we would like to inform you that your requesc . <br /> for a permit or license from the Ciry of Orono or any of i[s departments may require you to furnish certain private or <br /> confidential information. <br /> You are notified that: <br /> 1, The information you furnish will be used to decermine your qualification for the permit or license requested. <br /> ?. You may refuse to suppiy data, but refusal may require that the Ciry deny the permit or license. <br /> 3, The information may be shared with ocher local, state or federal agencies to the extenc 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 /> public. <br /> �, You have certain riQhcs under M.S. 13.04 (available upon request) to review private data on yourself. <br /> 6. Your full name is required to process this applicacion or permit. <br /> < <br /> � � �� <br /> �c;a t t <br /> F�n� ��o� ���� ,�.��- <br /> aaa�u � �� ���� ��3C1� � �/- � 6 Z ( � <br /> City Stace Zip Phoae <br /> I understand m rights as aced above. . <br /> Signature <br />