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� <br /> . � <br /> Sec.13.04 RIGHTS OF SUB.TECTS OF DaT� <br /> Subd. 1. Type of data. "Ihe rizhrs of individual on whom[he data is stored or to be scored shall be as sec for�h in this secaon. <br /> Subd.2. Informaaon reqirired to be given individual. An individual asked to supply privare or confidearial dara coacerning him.self shall <br /> bz informed of: (a)the purpose and iarended use of che requesred dam wichin the collecang"state ageacy, poliacal subdivisioo,or sracewide rysum; <br /> (b)whecher he may refuse or is legally required to supply the requested data;(c)any lrnown coa5equence arising from his supplying or refusing to supp(y <br /> • privace or confidendal data;and(d)the idenary of other pzrsoas or enaaes auchorized by state or federal law to receive the dara. This requiremen[shall <br /> noc app(y when an individual is asked to supply invesrigadve dam,pursuan�to secdon 13.82, subdivision 5, to a law enforcement of�icer. - <br /> Thz commissioner of revenu� mav olace the noace reauired und:r[his subdivision in the individual ir.come tax or orooern tax �fund <br /> instrucrions instzad of on[hose forms. <br /> Subd. 3. Access to data by indi�idual. Upon requesc to a responsible au�horiry,an individual shall be informed whe[hec he is the subject <br /> of scored dara on individuals,and whecher i�is ctassified as public, privace or confidenrial. Upon his further request,an individual who is the subjecc <br /> of stored private or public dara on individuals shall be shown�he dam wirhout any charge to him and,�if he desires, shall be informed of the content <br /> and meaning of chat data. Afrer an individual has been shown[he privace data and informed of its meaning,the data need not be disclosed to him for <br /> six monrhs thereafter unless a dispute or acaon pursuant[o this secaon is pznding or addidonal daca on the individual has been coliected or created. <br /> The responsible authoriry shall pcovidz copies ot the private or public data upon request by the individual subjeu of the data. The responsible authoriry <br /> may require the requesting person to pay the accuai coscs of makine,cerafying,and compiling the copies. <br /> The responsible authoriry shall comply immediacely, if possible, wich any request made pursuant to this subdivision, or wirhin five days of <br /> the date of[he reques[,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the rquest <br /> wichin cha�time,he shall so inform che individual,and may have an addidonai fivz days wi�hin which to comply wich the request,excluding Sacurdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or compleceness of public or pri�•ate <br /> data conceming himself. To exercise this rieht,an individual shall noa"ry in wriang the responsible au[horiry describing the nantre of the disagreement. <br /> The responsible authoriry shall within 30 days eicher: (a)correct the data found to be inaccurate or incomplece and aaempt to nodfy past recipients of <br /> inaccunce or incomplete data, including recipien�s named by che individual; or(b)noafy [he individual tha[he believes che data to be coaecc. Data <br /> in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. <br /> The determinarion of the responsibte aurhoriry may be appzaled pursuant to the provisions of the admirustrarive procedure act reladng to <br /> contesced cases. <br /> DATA PRIVACY ADVISORY <br /> In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of data", we would like to infocm you tha[your request <br /> for a pernu[ or license from the Ciry of Orono or any of i�s departments may require you to furnish 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 /> 2. You may refuse [o supply data, but refusal may require that the City deny the permit or license. <br /> 3. The information may be shared with other local, sta[e or federal a�encies to the extent necessary to process <br /> the permit or license. <br /> 4. If your requested permit or license requires Council action to approve, some information may become <br /> public. <br /> 5. You have certain riohts under M.S. 13.04 (available upon request) to review private data on yourself. <br /> 6. Your full name is required [o process this application or permic. <br /> � U�� .5���� <br /> Firsc �Siddle Last <br /> - col <br /> Addre i <br /> � �, � � `�s_.i�i S�Yy= �cX�� <br /> Ciry Snte Zip Phone <br /> I under y ri;hts as stated above. <br /> �!. <br /> Signamre <br />