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Sec.13.04 RIGHTS OF SUBJECTS OF DaTa <br /> Subd. 1. Type of data. The righ�s of individual on whom the dara is stored or�o be stored shall be as set fonh in this secrion. <br /> Subd.2. Information reqirired to be�ven individual. �.n individual�sked ro supply private or confidenrial dara coocerning himself shall <br /> be informed of: (a)the purpose and inrended use of the requested data within the collecang'state agency, polirical subdivision,or sratewide rystem; <br /> �b)whecher he may refuse oY is legally mquimd to suppty the requested data;(c)any frnown consequence arising from his supplying or refusing to supply <br /> priva[e or conndenoal data;and(d)the idenrity o[o�er persoas or enddes au[horized by scace or federal law to receive the data. This requirement shall <br /> not apply when an individual is asked ro supp�y u:�'zsnearive data, pursuant to secdon 13.82, subdivision 5, to a law enforcement officer. <br /> The commissioner of re�enu mav pfa-� the rocce rauired under this subdivision in the individual income tax or propertv raz refund <br /> inscrucdons ins[zad of on[hose forms. <br /> Subd. 3. Access to data bc individuaI. Upon requesc to a responsibfe authoriry,an individual shall be informed whether he is the subject <br /> of scored data on individuals,and whether it is classified as public, private or confidendal. lipon his further request,an individual who is the subjec[ <br /> of stored private or public dan on individuals shall be shown the data wi[hout any charge to him and, if he desires, shall be informed of the content <br /> and meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to hun for <br /> six months thereafrer unless a dispute or acdon pursuanc to �his secaon is pending or addiaooal dara on the individuai has been collected or created. <br /> The responsibie authoriry shall provide copies of che private or public data upon request by the individual subject of the dara. The responsible au[horiry <br /> may require[he requesring person to pay the acnial costs of making. cerrifying,and compiling the copies. <br /> The responsible authoriry shall comply immediatety, if possible, with any request madt pursuant to[his subdivision,or within ftve days of <br /> the date of the request,exciuding Sanirdays.Sundays and lezal holidays,if immediate compliance is noc possible. If he cannot comply with the request <br /> wichin chat time,he shall so inform the individual,and may have an addidonal five days wichin which to comply with the request,excluding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or pri�•ate <br /> data conceming himself. To exercise[his rieht,an individual shall nodfy in wriring�he responsible authoriry describing the na[ure of the disagreement. <br /> The responsible authoriry shall wichin 30 days eid:er: (a)correct che data found eo be inaccurar�or incomplete and attempc to noafy past recipients of <br /> inaccurace or incomplete data, including recipien�s named by che individual; or(b)noafy [he individual that he believes rhe data to be correcc. Data <br /> in dispute shall be disclosed only if the individual's statement of disagreement is included wi[h the disclosed data. <br /> The decerminanon of the responsible au[horiry may be appealed punuanc ro the provisions of the administrarive procedure act relaring ro <br /> contested cases. <br /> D:�Ta PRIVACY ADVISORY <br /> In accordance with M.S. 13.04, Subd.2, "Ri�ts of subjects of data", we would like to inform you that your request <br /> for a permit or license from the Ciry of Orono or any of its departments may require you to furnish cenain private or <br /> confidential information. <br /> You are notified that: <br /> 1, The information you furnish wiil be used to determine your qualification for the permit or license requested. <br /> ?. You may refuse to supply data, but refusal may require that the City deny the permit or license. <br /> 3, The information may be shared with other local, state or federal a�encies to the extent 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 rights under :�i.S. 13.04 (available upon request) to review private data on yourself. <br /> (, Your full name is required to process this application or perm.it. ` <br /> �� ��� , ,"�lt j�io�l, <br /> �� � �tiddle Last <br /> First <br /> �� �� �� G�� <br /> � / ��,�j iS�/3 <� ��� ���%� <br /> Addre , <br /> �iJ !�/ /L-� <br /> Ciry State Zip Phone <br /> I understand my ��hts as staced abov _ <br /> / <br /> L� �� � <br /> Signatur <br />