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t 1 � <br /> . � <br /> Sa.13.04 RIGHTS OF SUBJECTS OF DATA <br /> Subd.1. Type of d�a. Tlu rights of individual on whom the data is storod�w ba stored shap be as set forth in�is section. <br /> Subd.2.Information roquired to be given individ�ml.M individuat asiced to suPP1Y P►n'ste or confid�iat�c�ing him�elfsimil be <br /> informal of: (a)tht purpose aai intended use of the�equ�dala within the coAecting sta6e agency,politicai�bdivision,or statewide systeen;(F►) <br /> whethcr he may refuse or is Icga11Y ro4uired to supply the�equesbed data;(c)enY lawwn conse9u�e arising fr�his s�plying or refusinB��Y <br /> private or confidernial data;atd(d)du ideirtity ofot}�perso�s or entities a�d#iarized by sta0e�Eedaal!aw w receive the deta.Zhis roquirerrientslmll <br /> not apply when mi itedividual is aslced to supply investigative dam,putsoent W xdion 13.82,aubdivisia�5,to a law enforcemem officer. <br /> Th..c�m�i... of revenue�y_nlece the twtice teny���d�is subdivisia�in tlu individuel i�ocae��oroue�y� <br /> i�tions iostead of on tt�se foims. <br /> Subd.3.Access to data by individ�l.Upon req�ust to a responsiWe at�rity,an iodividual shall be iaf�whe�Ca he i�ttie subjed of <br /> �ored data on i�ivid�is,and whether it is cdassified as public,private a confidential. Upon his fiutl�er request,an individ�l wfm is d�e subject of <br /> storod private or pablic data on i�ividimis shal!be shown the d�without a�ry cfwrge W him and,if he desires,simtl be informed of the cromeM and <br /> meaning of that data. AR�an individual has boen shown tiu private data and infarmod of its meaning,tlre data neod not be disclosai to hbn fw six <br /> monUu thereaRer unlwss a dispube or action pursumetm this sectioe is pending or additionai da0�oa the individuat has ban collected or crested. The <br /> responsble suttarity shatl provide copies ef the private or public data up�m request by the individ�m!subjact of tha data The responsible suthority <br /> mer require the roauesting persa►to pav tt�acwat c�ts of matring,ceitifying,ana c�mp��ing the copies. <br /> 'llie nesponsible sud�ocity shall compiy immediffie{y,if possibie,with azry mquest made pursuent w this subdivisim►,or within Sve days of <br /> thc daDe of d�e request,exsludin8 SahudaYs,Sw►deYs and legal 6olidays,if ia�ediate compliarxx is not posstble.ff6e�uwtcompty with the roquesf. <br /> witlun that time.he shall so inform tfw individusl,and may heva en additianal five days within which t�comply witl�tl�e�equest,excluding SswrdaYs, <br /> Sundays and legal holiciays- <br /> 3ubd.4.Proce,durc when data is aot acc�ate wmmpletie.An i�ividuel may contest tlie acc�y or completeness of public or private data <br /> conceming himself.To enercise this right,an individuel�ait not�y in writingtt�resporeible eu8writy describmg the neha�e ofthe disa�eement'The <br /> responsible suthority shail within 30 days eitt�: (a)corrax the data fo�to be inaccwabe or im�nplete md atDe�npt to notify past�scipie�ts of <br /> iimccurete a�ic�complete dets,'vycluding recipiaHs nemed by d�e individual;or(b}ttotify tfie individuai fhat he believes du data W be cro�rect.l�ata in <br /> dispute s6a11 be disclosed only if the udividuaPs statement of disegrceme.nt is ir�t�ed with the discloeod data <br /> 'Ihe detertninetian of d�e respongible autho�ity rtny be appealed p►esu�t tio U�e prov�ia�s af the administrative proced►ue act re�ati�g to <br /> contested cases. <br /> DATA PRIVACY ADVISQRY <br /> In accordance with M.S.13.04,Subd.2,"Rights of subja�s of data",we would tike to ic►form you that your r8quest <br /> for a permit or license from the Cfty of Orono or any of its departments may require you to furnish certain private or <br /> confidartial information <br /> You aze notified that: <br /> 1. '�'he infornaation you fumish will be used to detennine your qualification for the permit or license <br /> requested. <br /> 2. You may refuse to supply data,but refi�sal may require t6at the City deny the permit or license. <br /> 3. The information may be shared wid�other local,st�te or federal agencies to t2ie eactent necessary to <br /> process the pe�mit or license. <br /> 4. If your requested permit or license requires Council action to apprave,some information may become <br /> public. <br /> 5. You have certain rights under M.S. 13.04(available upon request)ta review private data on yourself. <br /> 6. Your full name is requirai to process this application or permit. <br /> Jack T Carter <br /> Frst Middk Lnst <br /> 1161 Wayzata Bivd East #218 <br /> Address <br /> Wayzata � 55391 (952)380-9988 <br /> C'�y r State Z3p P�e <br /> I nnderstand my rig6ts above. <br /> s�estnre <br /> Reset Form 32 <br />