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. � <br /> Sec.13.04 RIGHTS OF SUB.TECTS OF DaT?. <br /> Subd. 1. Type of da[a. 'Ihe righcs of individual on whom che data is storcd or to be stor:d shall be as sec forth in this secdon. <br /> Subd.2. Information reqirired to be given individual. An individual asked to supp(y priva�e or confideadal daca concerning himself shall <br /> be informed of: (a)the purpose and in[ended use of the rtquaied data wichin the collecaag'state ageacy, poliacal subdivision,or sracewide rystem; <br /> (b)whecher he may refuse oi is legally required[o supply che requesced data;(c)any Imown consequence arising from his supplying or refusing to supply <br /> privace or conndendal data;and(d)[he idendry of o�her persoas or enades au[horized by scate or federdl law to receive the data. This requ'uemenc shall <br /> r.o�apply when an individual is asked to supply invcsdgadve dara, pursuanc to secuon 13.82, subdivuion 5, co a law enfoczement o�cer. <br /> The commissioner of revenu mav plac� the nodce teauired under[his subdi�ision in the individual income rax or propem taz refund <br /> instrucdons instead of on chose forms. <br /> Subd. 3. Access to data by individual. Upon requesc to a cesponsible auchoriry,an individual shall be informed whether he is the subjecc <br /> of stor.d data on individuals,and whe[her ic is classified as public, priva�e or confidendal. Upon his further requesc,aa individual who is the subjec� <br /> of stored private or public data on individuals shall bo shown che dara wichout any charge to him and, if he dzsires, shall be informed of the contznc <br /> and meaning of[f:at dam. Afrer an individual h�s becn shown che private data and informed of ics meaning,the data need no�be disclosed to him for <br /> six monrhs chereafter unless a dispute or acdon pursuanc to [his secaon is pending or addiaoaal data on the individual has been collacced or created. <br /> The responsible au[horiry shall provide copies of�he privam or public data upon request by che individual subject of the dara. The responsible authoriry <br /> may require che requesdng person to pay the actuai coscs of making, cerrifying,and compiling[he copies. <br /> The responsible auchoriry shall comply immediately, if possible, wi[h any request made punuant�o this subdivision,or wichin five days of <br /> the dace of the request,exctuding Sacurdays,Sundays and legal holidays,if immedia�e compliance is noc possible. If he cannot comply with the requesc <br /> wichin d�at dme,he shall so inform[he individual,and may have an addidonal five days within wtuch to comply with the request,excluding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individua!may contest[hc accuracy or completeness of public or private <br /> data concerning himself. To exercise this right,an individual shall nodfy in wriang the responsible auchoriry describing the nature of the disagreement. <br /> The responsible authoriry shall within 30 days ei[her: (a)corr�ct the data found to be inaccurate or incomplece and aaemp�eo noafy past recipiencs of <br /> inaccura�e or incomplete data, inciuding recipien�s named by �he individual; or(b)notify che individual thac ha believes che data to be correct. Data <br /> in dispuc�shalt be disclosed orily if the individual's statemznc of disagreemenc is includad wi[h the disclosed data. <br /> The decerminanon of[he responsible au�horiry may be appealed pursuanc to the provisions of the adminis�arivz procedure act reladng to <br /> contesred cases. <br /> DATA PRiVACY ADVISORY <br /> In accordance with M.S. 13.04, Subd.2, "Ri�hts of subjects of data", we would like to inform you that your request <br /> for a pernut or license from the City of Orono or any of its departments may require you to furnish certain private or <br /> confidential 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 to supply data, but refusal may require that the Ciry deny the permit or license. <br /> 3. The information may be shared wich ocher local, state or federal a;encies co the ettent necessary to process <br /> the permit or license. <br /> 4. If your requested permi[ or license requires Council action to approve, some information may become <br /> public. <br /> j. You have certain tights under M.S. 13.04 (available upon request) to review private data on yourself. <br /> 6. Your fuil name is required to process this application or perm.it. <br /> ��� �v L���.; fi ��v�., � � <br /> Firsc �Siddl Last <br /> j�i � S-- � ,� d.�_ �-�u � 1. `- �. � <br /> Address <br /> ����� L� �� �� <br /> Ciry Srate Zip Phone <br /> I understand my ri�hts as stated,�bove. <br /> �:�1`�� <br /> signa�uco <br />