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Sec.13.04 RIGHTS OF S'�JBJECTS OF DATA ' Subd. 1. Type o[data. �he righc�of individual oa whom the dara is scoced or co be stoRd shall be u sec focth ia this secaon. Subd.2. Intormaaon required to be given individual. An iadividual uked w wpply private or confidendal dan conceraing himsdf shall be infotmed of: (a)the purpose and iatended use of che ttquesced dan wirhia the collecdag Ytate agenry.polidcal subdivisioa.or satewide rystem: (b)whether he taay re[use or is.legally required to supply che cequesud data:(c)any lasown caasequence arisiag from his supplying or refusiag to suppty priva[e or confidendal dara:and(d)che idencry o!other pecsons or earides authorized by stace or federal law to trceive the dara. 'Ihis requinmecc shall not apply when an individual is uked[o supply invesdgadve dan,pucsuaat oo secdon I3.82,subdivisioa S,m a law en[occemeac officer. The coc�missioner o�f rcvenue mav vlaca che noric� reauired under rhis su,b�division in [he individual ineome taz oc propem taz refund insnvccians insce�d of on chose forms. • Subd.3. Access to data bp individual. Upon tequest to a responsible authoriry,an iadividual shall be informed whether he is che subjecc of stooed daca on individuals,aad whecher it is ctass�ed u public,privace or confidenaal. Upon��er cequesc,an individual who is the subjecc of stoced privace,or public daa on iadividuals shall be shown�he dara wichout any,chargr to him and,-.it he desires,shall be informed of the coatenc and meaning of thu data. Aher an individual has been shown�6e privace daa and informed of ics meaaiag.the daca need not be disclosed oo hitn for suc mondu thenafur unless a dispute or acaon punvanc w chis secdon is pending or addiaonal dara on the individual has been colleued or creared. 'Ihe cesponsible authociry shall provide eopies of the privace or public data upon request by the individual Subject of che data. The responsible authoriry may cequire the requesdng pason w pay the accual cosu of making,ceRifying,and compiling che copies. ; The cesponsible auchoriry shall comply immediately,if possible,wieh aay requesc made pursuanc to this subdivision,or wichin five days of the dace of che requesc,ezctuding Saairdays,Sundays and legal holidays,if immediace comptiance is not possible. If he cannoc comply wirh the requesc wirhin that ame,he shail so inform the individual,and may have an addidoaal five days within which,to comply wich the request,ezcluding Satundays, Sundays u►d,kgaj holidays." ' � .$pbd.4. Ptocedure when data is not ascurate or compiete. An ic�ividual may contest the accuracy or completeness of public or private dan conceming himsetL To exercise chis right,an individual shall noafy in wridag die responsible suthoriry=descriYling the eacure of the disagreemeac The cespoasibte authoriry shall within 30 days either: (a)comecc�he data found[o be inaccunte or incompiece and attempc to nodfy past recipients of inaccurate or incomptete data,including recipienrs named by che individual;or(b)noafy the individual that�he believes rhe data to be correcG Data in dispuce shall be disclosed only if the individual's statemenc o(disagreement is included with the d'uclosed data. The decerminaaon of the responsible auchoriry may be appealed pursuanc oo the provisions of the adminisaarive procedure acc nlaang to contesud cases. • DATA PRIVACY ADVISORY In accordance with M.S. 13.04,Subd.2, "Righcs of subjects of data",we would like to inform you that your request for a peraut or license from the Ciry of Orono or any of ics deparcments may require you to furnish certain private or confidencial information. You aze notified thar. 1. The information you furnish will be used to detg�m�ne.your qualification for the permit or license requested. 2. You may refuse to supply data, but refusal may requir� that the Ciry deny the permit or license. 3. The information may be shared with other local, state or federal agencies to the euent necessary to process the permit or license. 4. If your requested permit or license requires Council action to approve, some information may become public. S. Yoy,have certain,rights under M.S. 13.04 (available upon request) to review private data on yourself. 6, Your full�n�tnt is:required to process this application or permit. � (,�/( ��(/1w� L\ ��=�'S cCf Firsc „� �ti dle Lasc /Zo � Iti(..�-%l�i wP,`�%t � � �� (��( Addre�l Ic1✓�2,'(�—t'� � � � �� Ciry T Sate Zip raone I understan ri,Qh `u scated above. � � Sigct�mce