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` " � <br /> Sea13.04 RIGI�iTS OF SUBJECTS OF DATa <br /> Subd. 1. Type of data. The righcs of icdividual on whom[he data is stored or w be stored shall be as set forth in this secrion. <br /> Subd.'_. Information reqirired to be�ven individual. An individual asked to supply privace or confidenrial dard concerning himself shall <br /> be iaformed of: (a)the purpose and inteaded use of che requested data wichin[he collecdng"state agency,politica!subdivision,or sracewide rystem; <br /> (b)whecher he may tefuse oY is legatly tequired to sl:npty[he requested data;(c)any Imown coastquencc arising from his supplying or refusing to suppty <br /> privace or conndenaal dara;and(d)the idendty of ocher persoas or enudes au[horiz=d by sram or fedzral law to receive[he dara. 'Ihis requiremen�shall <br /> not apply whzn an individual is asked to svppty incesu¢arive dan, pursuanc ro secaon 13.82, subdivision 5, to a law enforeement ofFicer. <br /> 'Ihe commissioner of re�enu r�av pla- ch nodce reauired under chis subdivision in �he individual income rax or propem taz refur.d <br /> instrucdons u:scead of on chose forms. <br /> Subd. 3. access to data b�individuaI. lipon requesc to a responsible authoriry,an individual shall be informed whether he is[he subjecc <br /> of s�or_d da[a on individuals,and whecher ic is cl�csified as public, private or confidendal. lipon his fur�her requesc, an individual who is the subje:c <br /> of stor:d priva�e or pubiic dan on individuals shall be shown[he dara wi�houc any char3e tD him and:if he desires, shall be informed of[he con�enc <br /> and meaniag of chat data. After an individual h�s be:n shown che privace data and informed oI ics meaning,the data need not be disclosed to him for <br /> siz monfis ;hereaiter unless a dispute or acdon pursuanc co ehis secrion is pending or addiaooal dara on the individua!has beea collected or ezeaced. <br /> The responsible auchoriry shali provide copies of die privace or public data upon requesc by ehe individual subject of�he dara. Tne responsible authoriry <br /> may require[he requesting person to pay the acnlal costs of making.cerrifying,and compiling [he copies. <br /> The responsible auchoriry shall compiy immedia[ely, if possible, wi�h any request made pursuant to this subdivision,or within five days oi <br /> the da�e of the requesc,excluding Saturdays.Sundays and legal holidays,if immediace compliance is not possible. If he cannoc comply with the request <br /> wi[hin thac time,he shall so inform[he individual,and may have an addiuonal five days wichin which to comply wich�he request,excluding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or compiete. An individual may contest che accuracy or complzceness of public or private ' <br /> dara conceming himself. To exercise[his righc,an individual shall noafy in wricing�he respoosible au[horiry describing�he nacu:e of the disagreemeat. . <br /> The responsible auchoriry shail within 30 days ei4`:er: (a)correcc the data found[o be inaccurdte or incomplete and attempt to noafy past recipienu oi <br /> inaccurac�or incomplete da[a, inctuding recipiencs named by [he individual;or(b)nodfy tt:e individual tha�he believes[he dara to be correct. Data <br /> in dispuce shall be disc!osed only if[he individual's sracemenc of disagreemenc is ir.cluded wirh�he disclosed data. <br /> The decerminarion of ehe responsibte auchoriry may be appealed pursuanc to the provisions of[he administcarive procedure act reladng to <br /> contes:ed cases. <br /> DAT�, PRNACY ADVISORY <br /> In accordance wich M.S. 13.04, Subd.2, "Rights of subjects of data", we would like to inform you that your reauest <br /> for a permit or license from the City of Orono or any of its deparcments may require you to fumish certain private or <br /> confiden[ial 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, buc refusal may require thac the Ciry deny the perm.it or license. <br /> 3. The information may be shared with ocher local, state or federal agencies to the extent necessary to process <br /> the pemut or license. <br /> 4. If your requested permic or license requires Council action to approve, some information may become <br /> public. <br /> �, You have certain riQhts under M.S. 13.04 (available upon request) to review private data on yourself. <br /> (. Your full name is required to process [his applicacion or perm.it. <br /> First �tiddle Last <br /> Address <br /> Ciry Stace Zip Phone <br /> I understand my ri�hts as stated above. <br /> i��'' � c�z <br /> Signa[ure <br />