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r <br /> . <br /> Sec.13.04 RIGFiTS OF SUBJECTS OF DATa <br /> Subd. 1. Type o[data. The righ[s of iadividuai on whom che data is scoced or ao be smred shall be as set focth in chis seccon. <br /> Subd.2. Information reqirired to be givea iadividual. r1n individual asYed to supply private or coafidendal data concecaing hi�self shall <br /> be iaformed of: (a)the purpose and iaunded use of che requesied dara wi�hin�he coliecdag 3cue agency,polidcal subdivision,or sarewide rystem: <br /> (b)whether he may tefuse or is legally tequired to supply tbe cequesud dara:(c)anY Imown coasequeace arisiag from his supptying or refusing w supplY <br /> private or conndendal data:and(d)the ideariry of a�er persoas or enrides auchorized by siar_or federal(aw to reteive the daa. This requiremenc shall <br /> not apply when an indir•idual is asked to suppty ia�adgadve dam,pursuanc to secrion 13.82.subdivision 5,tn a law enfoczemea�officer. <br /> The commissioner of re�enu nav ola' the nodce rzauired under this subdivision in the individual income rax or provem mz cefur.d <br /> instrueaans inste�d of on chose forms. <br /> Subd.3. accas to data b�iadividual. lipon requesc to a czsponsible auchoriry,an individual shall be infarmed whecher he is the subject <br /> of sror_d daea on individuals,and whecher ic is c[us�ed as public,private or confidendal. Lpan his furthec request,aa individual who is the subjecc <br /> of stor.d private or public dam on individuals sha12 be shown che dan widiout any chac3e m him and:if he desires,shall be informed of rhe concent <br /> and meaning of rhat daca. After an individual has bem shown[he privare daea and iaformed of irs meaning,che dara need not be d'uclosed oo hira for <br /> siz months diemaher unless a dispute ar acrion pursuanc w�his secaon is pending or addidooal dara oa che individua!has been collected or cmared. <br /> 'Ihe responsible au[horiry shall provida copies of the privace or pubiic daca upon requesc by the individuai subjecc of ehe dara. The responsible aurhociry <br /> may cequire�he requesring person m pay the acaial coscs of malcing,cerrifying,and campiling�he copies. <br /> 'ihe respansible authoriry shall compty immedia[ely,if possible,wieh any reqaest made pursuant to this subdivision,or wichin five days of <br /> the dace of che reqaes4 excluding Satucdays,Sundays and legal holidays,if immediace compliacce is no�possible. If he cannoc comply with[he requesc <br /> wirhin�hac titne,he shall so inform ehe iadividual,md may have an addidonal five days wirhia which to campty wich ehe cequest,excluding Saturdays. <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or comp(ete. An individual may contest che accuracy or completeness of public or pri�ate• <br /> data conceming himself. To exercise chis righc,an individuai shall nodfy in wriung ehe responsible auchoriry describing rhe aacu:e af the disagreemea�. .. <br /> The responsible auchoriry shall wichin 30 days ei�':er. (a)cocrect ehe daca found ro be inaccucare or incomple�e aad aaempt to nodfy pasc recipiencc of <br /> inaccuraa or incomplete dan,inciuding cecipiena named by che individual:or(b)notify d:e individual chac he believes rhe daca to be correct Data <br /> in dispuce shall be disc:osed only if the individual's sracement of disagreement is included wich[he disciosed daa. <br /> The dearminadon af the rrsponsible auehoriry may be appealed pursuant w the provisions of rhe adminisaarive procedure act mlacing to <br /> contes�ed cases. <br /> DATA PRIVACY t1DVISORY <br /> Ia accordance wich M.S. 13.04, Subd.2, "Rishcs of subjecu of data",we would like to inform you that your requesc <br /> for a permit or license from the City of Orono or any of its deparcments may require you to fumish certain private or <br /> confidencial information. <br /> You are notified 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 /> ;. The informacion may be shared with ocher local, stace or federal a�encies to the e:ccenc 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 ri�hts under M.S. 13.04 (available upon request) to review private data on yourself. <br /> 6, Your full name is required to process this applica[ion or perm.it. <br /> Arn �tiddle Last <br /> Addreu • <br /> �iry gtace Zip Phaae <br /> I undentand my ri;hts as scated above. <br /> Signaatte <br />