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Sea13.0-i RIGHTS OF SUBJECTS OF DaT�, <br /> Subd. 1. Tvpe of data. The righcs oi icdividual on whom[he data is storcd or m be scorcd shall be as se�forth in chis secrion. <br /> Subd.'_. Informaaon reqirired to be�vea individual. ,3n individual azked co suppiy privatc or confidendal dara concerning himself shall <br /> be informed of: (a) the purpose and inr_nded use of che cequested dara wichin�he collecang i-tare agency, polirical subdivision,or scit�wide rystem: <br /> �b)wheu'�er he may rtfuse or is legally required ro si:pply[he requested data;(c)any lmown coasequence arising from his supplying or refusing co supply <br /> priva[e or conr.denrial da[a;and(d)the idendty of oc�er persoas or enddes au[hocized by stare or fed�ral law co rr�eive che dara. "Ihis requirmenc s6a11 <br /> not apply when an individual is asked to suppty in�•esri¢auve dae, pursuan[to secaon 13.82, subdivision 5, to a law enforceci�nc officer. <br /> "Ihe comriissioner of rc�e�u nav pla� the nodc- r�uired under this subdivision in the individuai income tix or prooem taz refur.d <br /> instrucdons ins:ead of on chose forms. <br /> Subd. 3. ?,ecess to data br•individual. lipon request to a Rsponsible auchoriry,an individual shall be informed wherher he is the subjecc <br /> of scor_d daca on individuals,and wheller i[is classified as public, private or confidenaal. ligon his fur�her request,an individual who is the subjecc <br /> of stord priva�e or pubiic dats on individuals shall be shown[he dara wichout any char3e m hia and,-if he desires, shall 6e iniormed of the concenc <br /> ar.d meaning oi d:at da[a. After an individua!h�s been shown[he privare da[a and informed o[its meaning,che data need not be disctosed co him for <br /> six mon�hs chereaiur unless a dispute or acrion pu;suanc to this secrion is pending or addidona!dac3 on the individual has beeo coilected or created. <br /> Tne responsibie authoriry shall provide copies of�hz pcivace or public data upon requ�st by the individual subjecc of che dara. Tne responsibie auchoriry <br /> may cequir che requesring person to pay the acn�l cosu of makine.cerrifying,and compiling che copies. <br /> T�:e respunsitla auLhoriry• s5a1:comp:y i.^v:iediace:y, if possib?•, wi�h any request made pursuanc to this subdivision,or wichin five days oi <br /> the dace of che rquesc,ezcluding Samrdays,Sundays and legal holidays,iF immediate compliance is noc possible. If he canno�comply wi[h the request <br /> wiehin chac ame,he shall so inform the individual,and may have an addidoaal five days wi[hia which co compiy wi[h the rcquest,exciuding Saturdays. <br /> Sundays and legsl holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individual may contest the accurdcy or completeness of pubiic or pri�•ate ' <br /> data conceming himself. To execsue chis righ[,an individual shall noafy in wri¢ng�he respoasible auchoriry describing che nacu:e of the disagreemeac. .. <br /> The responsiblc auchoriry sh�ll within 30 days ei�`._r: (a)correcc the data found co be inac:urdre or incomple�e and aaempt to nodfy past recipiencs of <br /> inaccurace or incomplece data, including recipieca named by [he individual: or(b)aodfy the individual that he believes rhe dara to be correcc Dara <br /> in dispu�e shall be disc:osed only if[he individual's stacement of disagreemenc is ir.cluded wich[he disclosed daca. <br /> 'Ihe deserminaaon of the rtsponsible auchoriry may be appealed pursuanc to ehe provisions of�he adminisuarive procedure act reladng co <br /> contested cases. <br /> DAT?, PRIVACY ADVISORY <br /> In accordance wich M.S. 13.04, Subd.2, "Ri�ts of subjecu of data", we would like to inform you tha[your reouesc <br /> for a permit or license from the Ciry of Orono or any of its depar�ments may require you [o 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 /> '� You may refuse to supply data, but refusal may require thac the Ciry deny the permic or license. <br /> ;. The information may be shared with ocher local, state or federal agencies to the extea�necessary to process <br /> the permit or license. <br /> :l. If your requested permit or license requires Council action to approve, some information may become <br /> public. <br /> �. You have certain riQhts under �1.S. 13.04 (available upon request) to review private data on yourself. <br /> 6. Your full name is required to process this applica[ioa or perm.it. <br /> Fint �Siddle Last <br /> � Address <br /> Ciry State Zip Phone <br /> I under t my rights as stated above. <br /> n� !�� ` ' <br /> �s <br /> Signant <br />