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Sec.13.04 RIGHTS OF SL'BJECTS OF D,�.T.-� <br /> Subd. 1. Type of data. "I�e riehts of individual on whom�he data is s[ored or to be stomd shall be as set for[h in this secrion. <br /> Subd.2. Information required to be�ven indicidual. An individual asked to supply private or coni�denrial data conceming himself shall <br /> be informed of: (a) [he purpose and incended use ot[he reques�ed data wi[hin[he collecdng'state agency, polidcal subdivision, or statewide system; <br /> (b)whether he may rePuse or is Izgally required co suoply che rquesced dara:(c)any known consequence arising from his supplying or refusing to supply <br /> priva[e or conYidential data;and(d)d:e idendty of ocher eersons or endnes authorized by sta[e or federal law ro receive the da[a. This requirement shall <br /> no[apply when an individual is asked to suppty invesdgadve daca, pursuant to section 13.32, subdivision�, to a law eniorement oiT�cer. <br /> Thz com�nissioner of re�eru ^ia� �lac �e nocic� •Aauired under chis �ubdivision in the individual income caz or orooem rax refur.d <br /> ins[ruc�ions insczad of on�hose torms. <br /> Subd. 3. .�ccess to data by individual. L'oon request to a responsiblz au[honty,an individual shall be iniormed whecher he is the suoject <br /> of s[ored da[a on individuals, and whecher it is classiried 3s puolic, pnvace ur confidznnal. lipon his further requesc, an individual who is the subject <br /> of stored pnvate or public data on individuals shall be shown�he da[a wichout any charge to him and, if he desires, shall be informed of the conten[ <br /> and meaning of thac data. .-�fter an individual has be�n shown the priva�e data and informed of iu meaning, the data need not be disclosed to hun for <br /> six months thereafter unless a dispuce or acdon pursuan�to this secdon is pending or additional data on the individual has been collected or crea�ed. <br /> The responsible au[honry shall provide copies of che pri�a�e or public data upon requesc by rhe individual subject of the data. The responsible au[hori[y <br /> may require the reauesting person to pay the actual cosu of making, cerdfying, and compiling [he copies. <br /> The responsible authon[y shall comply immedia[ely, if possible, wich any request made pursuan[to this subdivision, or wi[hin five days of <br /> the date of the reques[,excluding Sa[urdays,Sundays and legal holidays, if immediate compliance is no[possible. If he cannot comply wi[h the requesL <br /> within tha[time,he shall so inform che individual,and may have an addidonal five days within which co comply wi[h the request, excluding Sa[urdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individual may con[est[he accuracy or comple[eness of public or pnvare <br /> data concernin¢himself. To exercise this rieht,an individual shall nocify in writing che responsible au[horiry descrioing the na[ure of the disagreement. <br /> The responsible auchoriry shall wi[hin�0 days either. (a)correct the data found to be inaccunte or incomplece and a[tempt to notify past recipienrs of <br /> inaccurate or incomplere data, includine recipienu named by the individual: or(b)nodfy the individual tha[he believes the data to be correct. Data <br /> in dispute shall be disclosed only if the individual's sta[emen[of disaereement is included with the disclosed data. <br /> The decermination o[[he responsible au�horiry may be appealed pursuan[co the provuions of the adaunistradve procedure act rela[ing to <br /> con[es�ed cases. <br /> • DAT� PRIVACY :�DVISORY <br /> In accordance with M.S. 13.04, Subd. 2, "Ri�nts of subjects of data", we would like to inTorm you that your request <br /> for a permit or license from �he City of Orono or any oT i�s departments may require you to furnish cenain pri��ate or <br /> confidential informa[ion. <br /> `Iou are .o[iited that: <br /> 1. The information you furnish wili be used to determine your qualification for the permi[or license requested. <br /> 2. You may refuse to supply data, but refusal may require that the City deny the permit or license. <br /> ;. The information may be shared with o[her local, state or federal aaencies to �he extent necessary to process <br /> the permi[ or license. <br /> 4. If your requested permit or license requires Council action to approve, some inTormation may become <br /> public. <br /> �. You have certain ri�hts under �1.5. 13.04 (available upon request) to review pnva[e data on yourself. <br /> 6. Your full name is required to process this applicacion or permit. <br /> ��Sa �► ����i� �f �,e �a�Q��� <br /> �'—" � bfiddle„ Last <br /> First <br /> ��L�S�'rr �7� �r>�a UL <br /> .�ddress i „/ �� 7� ��� /_�-��/ <br /> -�r� /(/ J <br /> Gl✓���_ <br /> �iN Sta�e Zip Phone <br /> I unders and my nghts as sta�ed above. <br /> W� � <br /> Siena[ure <br />