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Stc.13.0�t RIGHTS OF SUBJECTS OF D�T.a Subd. l. Type of data. The cigha or individual on whom�he da�a is scorcd or to be storcd shall be as se�ionh in this secaon. Subd. '_. Iaformation req�rired to be�vea indicidual. �n iadividual asked co supply privatc or conndcnaal daa concerning himself shall bz informed of: (a) �he purposc and incendzd use of the rcquested daca wi�hin[he collecang'state agency, polidcal subdivision,or stacewide rysum; (b)whecher he may retuse or is legally cequired co suoply che requcsud dan:(c)any leiown consequeace arising from his supplying or refusing to supply pnva�e or confidenaal daca:and(d)�he idcnacy oi other persoos or enaaes au�horized by stice or federal Iaw to receive che data. 'Ihis requuement shall no[apply when an individual is asked co supply iaveso¢aave dara. pursuanc[o secnon 13.82, subdivision�. to a law enforcement o�cer. Tha cor,i.missioner of reve^ue mav olsce �.ne nodce reauir.d undar his subdi�•ision in che ir,dividual income ta.e or orooem caz refund ins[;,�ccions insread oi on rhose forms. Subd. 3. .�.ccess to data by indi�idual. (;oon request to a responsible authonty,an individual shall be infor.ned whe[her he is the subjecc oi stored data on individuals, and whe:hzr i�is c:assiried as public, pnvae�or contidannal. lipon his iurvyer request, an individual who is;he subjecc ot scored privace or public daea on individuals shall be shown cht dsta wichouc any chsrge co him and, ii he desires, shall be informed of�he con�en� and meaning of�hac daca. .�her an individual has been shown ct:e privace da�a snd iniormed of ia meaning, the da�a need noc be disclosed co hun for six mon�hs [hereartec unless a dispuce or acaon purnanc�o chis secaon is pending or addiaooal dara on rhe individual has been collecced or crea�ed. 'Ihe responsible auchoriry shall provide copies or th�pnvace or public daea upon requtst by�he individual subjzct oi che da�a. The responsible authonry may require che requesting person to pay che accual cosu of mak:ng. cemfyine• and compiling �he copies. The responsible auehoriry shall comply immediace�y. if possibie, wi�h any requese made pursuanc co this subdivision, or wi�hin five days of che dace of[he request,zxcluding Saturdays.Sundays and lezal holidays,ii immediace compliance is no[possib(e. If he cannoc comply wi[h the reques� wichin�hac ame,he shall so inform che individual,and may have an addiaonal tive days within which co comply wi�h ehe requesc,excluding Sanirdays, Sundays and legal holidays. Subd.4. Procedure whea data is not accurate or complete. An individual may con�est�he accuracy or compieceness of public or private dacz concerning himself. To exeFcise chis righ[,an individual shall nod"ry in wricing the responsible auchoriry describing[he nature of the disagreemenc. "Che responsible au�horiry shatl within 30 days eicher: (a)correct che dara found to be inaccurace or incomplece and attempc[o norify past recipienrs of inaccurace or incomolece data, inctudin¢ recipiencs named by che individual: or(b) nod"ry [he individual �ha[he believes the data ro be correcc. Data in dispute sha(I be disclosed only if che individual's sta�emen�of disaereement is inctuded wich che disetosed data. The decerminacion of che responsible au�horicy may be aopaaled pursuan�to the provisions oi�he adminis�raave procedure acc relacing �o contested cases. DATA PRIVACY aDVISORY In accordance wi[h M.S. li.04, Subd. 2, "Righa of subjec[s of data", we would like to inform you cha[your request for a permi� or license from che City oT Orono or any of ics depanmencs may require you to furnish cerain private or confidential informa�ion. 'i ou arz :.otifted c�at: 1. The information you furnisa will be used to decermine your qualification for the perm.i� or license requested. 2. You may reiuse [o supply data, buc refusal may require thac the City deny the permit or license. ;. The informacion may be shared wich o[her local, sta[e or federal a�encies to[he extent necessary [o process the permi[ or license. :}. If your requested permit or license requires Council action to approve, some informa[ion may become public. �. You have certain righcs under �t.S. 13.04 (available upon request) co review private data on yourself. 6, Your full name is required [o process this applica[ion or permit. Firn 1�tiddle �� Address Ciry Srate Zip Phone I undencand my rights as stated above. � �� V� , gnacure