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Sec.13.01 RIGFiTS OF SL'BJECTS OF DaTA <br /> Subd. 1. Type o[data. The righ�s af iadividual on whom the daa is stared or m be stoced shall be as sec farrh ia chis secaon. <br /> Subd.2. Informaaoa reqirired to be�irm iadividaal. At►iadividual uked w supply privam or confidendal dara co¢c�rning himsalf shall <br /> be iaformed o� (a)the purpose and iattnded use af the csquested daa withia the coliecdng Sfatt agency,potidcal subdivision,or sntewide system: <br /> (b)w6edier he may refuse or is legally csquired co supply the requesud dara:(e)aay Imown coauq+ieace arising from his si:ppfyiag or refusing to supply <br /> privare or conndendal daa:and(d)rhe ideadry of o[her persoas or enddes authorized by scarr or federsl!aw to cective rhe dact. Ihis requiremenc s6a11 <br /> noc apply when an individual is asked m suppty iacesrigarive data,pursuant ro secrion 13.82,subdivision S,m a law ea:or�emeat officer. <br /> The commissioner of re�enu mav ola' che nodce re�uired under this subdivision in the individual incor,.e nz or prooem taz esfur.d <br /> insnucdons insuad of on chose focros. <br /> Subd.3. accas to data b�iadividual. lipon cequest to a respansibte aurhoriry,aa individual shall be infor:d whecher he is the subjecc <br /> of swr_d data on individuals,and whe�er it is clsssified as public,privace or conSdendai. L;pan his furcher request,aa i.dividual who is�he subject <br /> of stored privace or public data on indi�iduals shall be shawn the dara wiehout any char3e te him and;if he desires,shall be iniatmed of the concens <br /> and meaniag of chat data. After an individual has been shown che private daea and infarmed of ia meaaiag,ehe dara need not be disclosed oo him far <br /> six monrhs thereafur unless a d'upute o�acrion pucsuanc to chis secdon is pending or addidonal daca on the individual has been collected or crearcd. <br /> The responsibte auehority shall pcnvide copies of die privace or public dara upon requesc by the iadividual subject of the daea. The tespoasible aurhoriry <br /> may require che roquesring person m pay[he acniai cosa of making.cerdfying,and compiling ehe copies. <br /> 'i'he responsible auchoriry shali comply immediacely, if possible,wieh aay�+eqnest made pursuant co chis subdivision,or wichin five days of <br /> the dare of che requesG excluding Satucdays,Sundays and legal holidays,if immediace compl"�acce is not possible. If he ca,wot comply with the«quesc <br /> wi[hin rhac dme,he shail so inform ehe iadividual,md may have an addidonai five days wichin wluch to compiy wirh the cequest,excIuding Saeurdays, <br /> Sundays and legsl holidays. <br /> Subd.4. Procedure when data is aot aceurate or complete. An individual may contest che accuracy or coapleceness of public or pri�a�e • <br /> daa concerning himself. To execoise�is righc,an individual shall nodfy in wridng che responsble aurhoriry describing d:e nacu�oi rhe disagteemeac. .. <br /> 'I1�e responsible auehoriry shall within 30 days ei��er. (a)correct rhe data faund ro be inaccurnre or incomplete and ace�pc to noa.�past recipienu of <br /> inaccurac:or incomplece data, including tecipiencs named by che individual:or(b)aotify che iadividual thac he believa ehe dara to be correct Dan <br /> in dispuce shap be disc:osed only if[he individuai's sracement of disagreemenc is ir.cluded with[he disclosed dara. <br /> The demrminadon of the rrsponsible audsoriry may be appealed pursuanc ro[he provisions of[hz adminisaadve pro-.edum act reladng to <br /> contested cases. <br /> DATA PRIVACY ADVISORY <br /> In accordance wich�I.S. 13.04, Subd.2, "Righu of subjecu of data", we would like to inforia you that your request <br /> for a peraut or license from the Ciry of Orono or aay of its depaztments may require you to fi:mish certain private or <br /> confidencial information. <br /> You are notified that: <br /> 1, The information you furnish will be used to determine your qualification for the peraut or license requested. <br /> 2. You may refuse to supply data, buc refusal may require that the Ciry deny the permit or license. <br /> 3, The information may be shared wich ocher local, stace or federal agencies co the ezcenc necessary to process <br /> ihe permit or license. <br /> :�. If your requested permit or license requires Council action to approve, some information may become <br /> public. <br /> �. You have cenain righcs under M.S. 13.04 (available upon request) to review private daca on yourself. <br /> (, Your full name is required to process this applica[ion or permit. <br /> � � �� <br /> First � � �tiddle Last <br /> 2� ��� � � ` t(1-P rSt� �^ _ <br /> Addres� ���� � �v � � _" � <br /> Cicy + � Sm� Zip PF.aae <br /> I understaad my ri� ted above. . <br /> Signacure <br />