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w � <br /> a <br /> Sec.13.03 RIGFiTS OF SUBJECTS OF D?.Ta <br /> Subd. 1. Type of data. The righcc of individuai on whom�e dara is stor�3 or to be scor.d shall be as set focth in this secaon. <br /> Subd.2. Information req�rired to be given iadividual. r1n icdi�ridual askd w supply privac�or confidenrial data concerning himself shall <br /> be informed of: (a)the purpose and in�ended use of che requesud daa wi�in the eollecang State agency,polidcal subdivision,or sracewide sysum; <br /> (b)whether he may refuse oY is legally tequiced to supply che requested dan:(c)any I�owa coatequence arising from his supplying or tefusing w supply <br /> privace or conndendal data;and(d)[he idendry of ocher persoac or enddes acchorized by srate or federsl!aw to rceive the da[a..This reqnirement s6a11 <br /> no[apply whan an indir•idual is asked to supply invesdgadve daca,purs�:c to seccoa 13.82,subdivision 5,co a law enforcement officer. <br /> The commissioner of re�enue mav vlace the noace reauircd erd-r this subdivision in the individual income tax or orooem tax refund <br /> insnuc�ions inscead of on those forms. <br /> Subd.3. Access to data by indi�iduai. Upon requesc to a r_roasible aurhoriry,an individual shall be informed whether he is the subject <br /> of scored data on individuals,and whecher it is class�ed as public,priva�or confidecrial. Upon his furcher requesc,an individual who is the subject <br /> of scored privace or public dard on individuals shali be shown che dara wiu ouc any c'n��e to him a:.d:if he desires,shall be informed of the contenc <br /> and meaning of chac data. Aftar an individual has been shown che privaw Can and ic:ormed of ics�eanin8.the daca need not be d'uclosed ro him for <br /> six mon�hs�herea[cer unless a dispute or acdon pursuant to ehis secrion is pending or addiaonal da�on the individual has been collected or creaced. <br /> The responsible auchority shall provide copies of the privace or public dac�cron requ:s:by che individul subjecc of the dara. The responsible auchoriry <br /> may require ehe requesdng person to pay[he acaal costc of makin¢,ce.^:;in�,and compiling the copies. <br /> The responsible auchoriry shall compty immediacety,if possible,wi�h any request made parsuant to this subdivision,or wichin five days of <br /> the da�e of the requesc,eaciuding Saturdays,Sundays and legai holidays,if ir..mediac_compliance is r.oc possibte. If he cannot comply wich the requesc <br /> wichin cha[dme.he shall so inform�he individual,and may have an addicer.al five da�s within which to compiy wich the request,eacluding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurste or complete. �.n indivituxl may conc�st d:e accuracy or completeness of pubtic or pri�•ate <br /> daca concerning tiimsNf. To exercise�his right,an individual shall noafy ia wriang ce respoasible authoriry dascribing�he nacure of the disagreemeac. <br /> The responsible authoriry shall wichin 30 days either: (a)correct rhe dae icund to be inaccucatc or ir.complete and aaempt to nodfy past recipiencs of <br /> inaccurate or incomplete data, including recipiencs named by[he individi:al;or(b)eodfy th�indiv:dual that he believes the data to be coaect. Dac� <br /> in dispuce shsll be disclosed only if the individual's stacemenc af disagrea�en[is i^.clided with ch:disclosed daca. <br /> The decerminarion of che rosponsible auehoriry may ba appea:a3 pucsuacc to the provisions of[he adminisaadve procedure act relaang to <br /> contested cases. . � <br /> DATA PRIV:�CY AD�'ISORY <br /> In accordance with M.S. 13.04, Subd.2, "RiP,,hts of subjects of data", we would like to inform you tha[your request <br /> for a permit or license from the Ciry of Orono or any of ia deparments may require you to furnish cercain privace or <br /> confidential information. <br /> You are notified that: <br /> 1, The information you furnish will be used to de:emune}•our qualification for the permit or license requested. <br /> 2. You may refuse to supply data, buc refusal iaay require that the Ciry deny the permit or license. <br /> 3, The information may be shared wi[h ocher loczl, sta[e or federal agencies to the exten[necessary to process <br /> the permit or license. <br /> 4. If your requested permit or license requires Council accion to aoprove, some information may become <br /> . , public: <br /> �, You have certain rights under M.S. 13.04 (a�ailabie upon request) to review private data on yourself. <br /> 6. Your full name is required co process this anplicacion or perm.ic. � <br /> Fint yiiadle Last <br /> Address • <br /> Ciry Stace Zip Phone . <br /> I underscand my ri�hts a� scated above. . <br /> Signacure <br />