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. � <br /> � Y <br /> r ► <br /> Sec.13.04 RIGFiTS OF SCfB.TECTS OF D�T.�, <br /> Subd. 1. Type of data. 'Ihe righc�oF individual on whom[he data is sto:�or co be scored shall be as set for[h in this secaon. <br /> Subd.2. Information reqirired to be given individual. An ir.di�idual uY�to supply private or con8denual data concerning himself shalt <br /> be informed of: (a)�he purpose and imm�ded use of the requesud data wi�in the eoIIecdng rrace agency,poliacal subdivision,or statewide rysrem; <br /> (b)whechar he may refuse oY is legally required to supply che tequested dan:(c)any l�owa coasequenco arising from his supplying or tefusing to supply <br /> priva�e or conndenaai data;and(d)the idendry of other peaoas otenddes a�chorized by state or fedecal law to receive the data..This tequiremen�shall <br /> noc apply whan an indir•idual is asked to suppiv invesagarive daa,purn:�=t to seccoa 13.82,subdivision 5,to a law enforcement o�cer. <br /> Tht commissioner of ce��enua mav vlace the nodce rewired erd-r this subdivision in the individual income tax or prooem tax refund <br /> instcuceions instead of on those forms. <br /> Subd.3. ?,ccess to data by indi.idual. Upon requesc to a reroasible aec�:oriry,an individual shall be informed whether he is the subject <br /> of stored data on individuals,and whether it is classified as public,privar�or confider.rial. Upon his fur[her request,aa individual who is the subjecc <br /> of scorod privace or public data on individuals shall be shown the dara wi�out any c'c�rge to him and;if he desires,shall be info�med of[he concenc <br /> and meaning of chac dara. Afcer an individual�s been shown[he priva��an and ic:or�ed of irs meaning.[he dara need not be disclosed to him for <br /> six monchs chereaiter unless a dispuce or acuon pursuanc to this secdon is zending or addirional data on the individual has been collec�ed or creaced. <br /> The cesponsible auchoriry shali provide copies of ehe privace or public dac�a:on requ�:by[he individual subject of the data. The responsible authoriry <br /> may require che requesdng person to pay the acaa!coscs of making,ce.=:;ing,and eompiling the copies. <br /> The responsible auehoriry shall cor..ply immedia�ely,if possib!e.wich any r_quest made pursuant to this subdivision,or within five days of <br /> the date of the requesc,excluding Samrdays,Sundays and tegal holidays,ii is.mediat:eompliance is not possible. If he cannot comply with the request <br /> wiehin chac dme.he shail so infarm ehe individual,and may have an addizeral five days wichin which to cortply wirh�he request,ezcluding Saturdays, <br /> Sundays and legal hotidays. <br /> Subd.4. Procedure when d�ta is not accurate or complete. �n individual may contesc the accuracy or completeness of public or pri�ate <br /> daca eonceming himself. To exercise chis righc,an individual shall norify ia wriang ce respoasible authoriry describing�he nacure of the disagreemenc. <br /> The nsponsible auchoriry shall wichin 30 days eirher: (a)correct the dae tcand to be inaccurate or incomplete and aaempc to nodfy pasc recipiencs of <br /> inaccurace or incomptete da�a, including recipients named by the individz:al;or(b)codfy che individual that he believes the data to be correcG Dac� <br /> in dispuce shsil be disclosed oniy if the individual's sta�emene of disagr:��enc is i.c:ided with�he disclosed daca. <br /> The decerminaaon of[he rtsponsible au�horiry may be appea�:3 pursuacc co the provisions of ehe adminisaarive proeedure act relaang to <br /> contated cases. . � <br /> DATA PRIV�CY AD�ZSORY <br /> In accordance wich M.S. 13.04,Subd.2, "Ri;hts of subjects ot data",we would like to inform you that your reauest <br /> for a pemuc or license from the Ciry of Orono or any of ia depar.L.ents may require you to furnish certain priva[e or <br /> confidencial information. <br /> You are notified that: <br /> 1, The information you furnish will be used to de:ermine�•our qualif cation for the permit or license requested. <br /> 2. You may refuse to suoply data, buc refusal nay require that the City deny the permit or license. <br /> 3, The information may be shazed with other loc�l, 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 cer[ain rights under N1.S. 13.04 (a.ailable upoa reques[) to review private data on yourself. <br /> 6, Your full name is required to process this applicacion or permi�. <br /> /rIA�X Ev��.U,F �ie���e - <br /> Firsc �fiddla �t <br /> 70__ z�__���rT .� �2� �3�ov ��o���>�v� .��r ,) D�o�v <br /> Address <br /> /►1���E��� �rI�J a�s3�� ysa-�Z sy� <br /> Ciry State Z►p Phone <br /> �So? -L/7f a?S"� <br /> ' I under '� ated above. <br />� <br /> sig <br /> �. - <br />