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� . <br /> . , . <br /> Sec.13.04 RIGIi7'S OF SUB,IE;("1'S ON'DA7'A <br /> Subd.l. "Pype of data. 'I'he righlx of individual on whcxn the data ia stored or to be stored shall be as sel forth in this section. <br /> Subd.2. [ntirrmation roc{uired to l�e givcn inJiviJual. :1n individual aaked to supply private or confidential data conceming him.gelfshall be <br /> informed ot`. (a)the purpose anJ intenJed uae��f tlie reyuesteJ Jata widiin the collecting atate agency,political subdivision,or statewide system:(b) <br /> whether he may refuse or is legally reyuire-d to supply thc rcyucsted data;(c)am I:nown conseyuence arising tTom his su�lying or refiuing to suppl} <br /> private or conf idential data:and(d)the identily of other per!ronx or entities authorized by state or federal law to receive the data.This reyuirement shall <br /> not apply when an individual ie asked to wuppl,y inveatigative data,purxuant to section 13.82,subdivision 5.to a law enfbrcement ofticer. <br /> The commixsioner of revenue may_place tlte notice required under this subdiviYion in the individual income fas or propertv L�x refund <br /> instructicros instead of on those tbrtns. <br /> Subd.?. Access to daW by individuaL [?pon reyuest to a respon�ible authority.an individual shall be infbrmed whether he'v5 the subject of <br /> stored data on individuaLs,and whether it is classif ied ax public,private or confidentiaL Lfp��n his fuRher reyuest an indi�idual who is the��bject of <br /> stored private or public clata on individual�shall be xhown the clata without an}'charge to him and.if he desires.shall be informed of the content and <br /> meaning of that data. After an indiviJual has been ahown the private clata and infortned of i[s meaning.the data need not be disclosed to him for s is <br /> months thereaRer unless a dispute or action pur�suant to thiw section is prnding or additional data on the individual has been collected or createcl. The <br /> r�ponsible authority shall provide copiea of die private or public Jata upon reyuest by the individual subjed of the data. The responsible authority <br /> may reyuire the reyue!zting person to pap the actual costs of making,certifying,and compiling the copies. <br /> The responYible autharity shall eomply immediat�ly,ifnossible,with any request made pursuant to this subclivision.or within five clays of <br /> the date of the reyu�st,escluding Saturdays,Sundays and legal holidays,if immed iate compliance is not poasible.If he cannot wmply with the reyuest <br /> within[hat time,he shall so inlircm Ihe individual,and mav hav�an additional tive days within which to complV'with the request excluding SaturclaVK. <br /> Sunda,ys and legal holidays. <br /> Subd.4.ProceJure when data is not accurale or complcke. r1n individual may contest the ac:curacy or completeness of public or privatc;da[a <br /> concerning himself'. T'o exercise this right.an individual shall notify in wriling the resperosible audiority Jescribine the nature of the disagreement.The <br /> responsible aulhority shall within?0 drys eilhcr: (•r)co�rcx;l thc data liwnJ to be inaa:urate or incomplete and attempt to notify past rcx:ipients of <br /> inaccurate or incomplete data.including recipicnts namcd by lhe inJiviJual;or(b)notify the indi��idual that he believes the data to be co�rect Data in <br /> diYpute shall be diselosed only if the inJiviJual'x statemcrot o1'disaerecKnent is ineludecl�vith the diselosed data. <br /> 7'he Jetennin•rtion of the renponsible audiority may be appealed pursuant to t6e provisions of the administrative procedure act relatinst to <br /> cont�ted cases. <br /> DATA PRIVACY ADVISORY <br /> In accordance with M.S. l 3.04,Subd.2,"Rights of yubjects of data",a e w�ould like to inforni you that your reyuest <br /> for a perniit or licen�from thc City of Orono or atty of its departments may require you to ti►mish certain private or <br /> co�iti�lential uiforniation. <br /> You are notitied tliat: <br /> l. The inforniation you furnish will be uxd to deterniine vour qualitication for the perniit or license <br /> requested. <br /> 2. You may refus�to sup�ly data,but refusal may require that the Citv deny the perniit or license. <br /> 3. The uifonnation may be share�l with other local, state or federal agencies to the eartent necessarv to <br /> process the pennit or license. <br /> 4. If vour requested pennit or license recluires Coimcil action to approve,some nifonnation mav become <br /> public. <br /> 5. You have certani rights un�ler MS. 13.U4(available upon request)to revie���private ciata on yourself. <br /> 6. Your full name is required to process this application or penuit. <br /> Uaniel Halloran Cox <br /> Fi rst MidJ le Last <br /> 3277 Casc:o Circle <br /> Addre!ss <br /> Orono Mn 55;91 (9521471-0664 <br /> City State Zip Phone <br /> I understand m��ri�hts as stated above. <br /> � <br /> ���t� � <br /> Signature <br /> Reset Form 32 <br />