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-�_1--..,, <br /> . . .�• � <br /> Sec.13.04 RIGHTS OF SLlBJECIS OF D�TA � <br /> Subd. 1. Type of data. The righcs of individual on whom the data is scored oc co be scor:d shall be as sec forsh in this secdac. - <br /> Subd.2. IaPormaHon reqvired to be given iadiridual. An individusl uYed to supply private or confideaaal d.aea concemiag himsdf shatl <br /> be iatocmed of: (a)the purpose aad inteaded use of the reques�data wichin the eallecang Stare agency,polidcal subdivision,or satewide rystem; <br /> (b)whecha he may r:�use or is legal[y requimd to suppty the requesud daa;(c)any laiown coasequence arising!rom his supplyiag or refusing W supp(y <br /> priva�e oreonndendaI dara;ar.d(d)�he ideariry of o�her persons or encdes auchoriz:d by smce ar fedecai Iaw to receive the data. Thu tequirement shaIl <br /> �nnc apply when an individual is asked to suppiy invesdgacve daa,pursuaac ro seerioa 13.83,subdivision 5,to a taw enforcemen[ofFccer. <br /> The eommissionec of�evenue mav vlaee che nodce r�uir-d und-r chis subdivision in �he individual incone tax or oraoectv taz reCuad <br /> inscrucdocu�nsce�d oC on chose foans. <br /> Subd.3. Access to data by indivfdual. Upon requesc w a responsible au�horiry,an individual shall be infocraed whechec he is[he subjecc ' <br /> of scor_d dati on individuals,and whetha ic is dusified u pubiic,privacr,o�conFdendal. Upon his fucther requesc,aa individual who is the subjec� <br /> of scored private ac public daa on individuals shall be shown[he dam wichouc any charge to him and;if he desires,shall be infocmed of the eoateat <br /> and meaning ot that dara. Aher an individual hac been shown the privace data and iaformed of ics meaaing,the da�aeed not be disdosed ro hica for <br /> si�c moncfis thereacrcr unl:ss a dispute oc acdon pursuanc ta �his secdon is pending oc addidoaal daca on the individua!has been collec�d oc creared. <br /> The r_sponsibie authoriry shall pcovide eopies of the private or publie dan upon request by the iadividual subjecc of the dara. The responsible authoriry <br /> may require[he cequesang pecson to pay the accual cosc�of making,cerdfying,aad comp�ing the copiu. <br /> The responsibte authociry shall compiy immediace(y,if possibte,wirh any requesc made pursuant to thi5 subdivision,or wirhin ftve days of <br /> the dan_of the request.ezcluding Saturdays.Sundays and legal holidays,if immediate compliance is not possible. If he caanot comply with the requesc <br /> within that time,he shatl so infocm the individual,and may have an addidonat five days wi�hin which w comply wich the request,ezctuding Satundays. <br /> Sundays aad legat holidays. <br /> Subd.4. Procedure Khen data is not acc.vrate or complete. An individnal may coatest the accuracy or compteteness of public ocpcivate <br /> dan cancecning tivaselG To exercise this right,an individual shatl noefy in wridng the respoasbie suchoriry describing the nacure of the disagreemeec. <br /> The responsible authoriry shall wichin 30 days eirhec: (a)correct the dsta faund to be inaecurace or incamplete and attempt W nodfy past reeipieats of <br /> inaccurate or incomplete data, inctuding recipieacs named by the individ�ai;or(b)noafy the individual that he believes che data to be correcc Data <br /> in dispute shalt be disclosed only if the indir•idual's satem�nt of disagreerr,ent is inctuded with th:diselosed dara. <br /> The dececminadon of the responsible au�horiry may be appealed pursuant to the provisions oF the administrarive procedure act relaang to <br /> contested ca.ses. <br /> DATA PRIVACY ADYISORY � <br /> In accordance wi�h M.S. 13.04.Subd.2, "Rights of subjects of data"�we would like co inform you that your request <br /> for a pemut or license from the Ciry of Orono or any of its departments may require you to fumish cenain private or <br /> confideatial information. - � <br /> You aze nocified that:• <br /> 1. The information you furnish will be used to dttermine your qualification for the permit or license requested. <br /> 2. You may refuse to supply data, but refusal may require that the City deny the permit or licease. <br /> 3. The information may be shazed with other local�state or federal a�encies to the extent necessary to proctss <br /> ' the permit or license. <br /> 4. If your requated permit or license requires Council actlbn to approve, some information maq become <br /> public. <br /> 5. You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself. <br /> 6. Your full name is required to process this application or permic. <br /> Firsc � Middie �� <br /> Addreu <br /> Ciry State Zip Phaae <br /> I understand my ri� scated a � <br /> Signaturo <br />