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...� ..�a,— ....... ..w <br /> Sec.13.0-t RIGHTS OF SUBJECTS OF D,-1T.� <br /> Subd. 1. Type of data. 'I�e rig6ts of individual on whom t�e data is scD:� or to be scnrcd shall be as set forth in this scction. <br /> Subd.2. Intormation req�rired to be�ven Indiv9dua], ,�ir�i�idual asc�co supply priva[e or confideooal dara conceming himseLf s6a11 <br /> be informed of: (a) [he purpose and in[ended use of[he rcquesud dara u;�thc collecring Ytaee ageocy, poliacal subdivisioo,or satewidc sys�.m; <br /> (b)whe�her he may refuse or is I�gally cequired[o supply ehe requested dan;(c)any i�o•xn coasequeace arising!rom his supplying or rcfusing to supply <br /> priva�e or conndential data;ar.d(d)�he idendry o(other persons or eaodes ae�horized by s�ate or[ederal law ro rceive the data..This requ'vement shall <br /> not apply whtn an individual is ask�d to supply invesdgadve datt,pursu�:�co seccoa 13.82, subdivision 5, to a law enforcement officer. � <br /> Tht commissioncr of r_veaue mav lace the norice rwircd �r.�er this sutdivision in the individual 'u:coma �az or ro em ax reFund <br /> instruc�ions ins�esd o(on �hose forms. <br /> Subd. 3. Access to datn 6p indi.idual. Upon reques�to a r_stansible au�.oriry,an individual shall be informcd whether he is the subject <br /> oF s�ored data on individuals, and whe[her it is classificd'as public, privac�or confideetial. Upon his funher requesc, an individual who is the subject <br /> of scored pRvate or public dara on individuals shall be shown che daraµ�i�ouc any ei�rge to him and,'if he desu-es, shall be informed of the concen� <br /> ar.d meaning of tha�daca. After an individual has been shown che priva��aa and i�:ormed of its meaning, �he dara need not be disclosed to him for <br /> si.c mon�hs �herea[[er unless a dispute or action pursuant to chis secdon is Fending or addidooal data on the individual has b�en collecced or creaced. <br /> The responsiblt auehoriry shall provide copies of the privato or public daca��on reques;by[ha individual subject of th�data. The responsibl�authoriry <br /> ray require the requesring penon to pay the actual costs of makin¢, ca`:ling, and compiling the copios. <br /> The �esponsible auchoriry shall comply immediately, if possible, wi�h any r.quest made pursuant to ehis subdivision, or wi[hin five days of <br /> the dace of the request,e.�cluding Sanirdays,Sundays and legal holidays,ii ir,Jnediate compliance is not possible. Lf he cannot comply with the requ:s[ <br /> wi�hin[hac dme, he shall so inform che individual,and may have an addi�o�!five da}•s wi�hin which to comply wicb tho r�quest,excluding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Ftocedure wheo d�ta[s oot accurate or complete. An indivi�ual may contest the accuracy or completeness oFpublic orpri�•ate <br /> da�concerning himself. To ezercis�ehis ri¢ht,an individual shall notiFj ia wridng d;o rsponsible authoriry d�scribing the n�[uce of the disagre:meoc. <br /> The responsib(t authoriry shaJl within 30 days eitfur: (a)correct the da�ic�nd to�e in�ccuate or incompieee and accemp[to nodfy pas�recipi�n�s of <br /> inaccurate or incomplete daca, including recipienes nam�d by eho individ�J;or(b) rorify the individual that he believes the data to be correct Dan <br /> in dispu�e shsll be disciosed only if ehe individual's statement of disagre:�:nc is ir.cl��ded with the disclosed data. <br /> Tlu decerminadon of the rosponsible authoriry may be appea;ed pursuanc to �he provisions of tha administrarivo procedure act rdadng to <br /> contesxd cases. <br /> DATA PRI4'aCY AD�`ISORY <br /> In accordance wich M.S. 13.0�1, Subd.2, "Righ[s of subjects ot daea", we would like to inform you that your reauest <br /> for a permit or license from the City of Orono or any of i�s depa�-.,�.eats may require you to furnish certain priva[e or <br /> confiden�ial informa�ion. <br /> You are nocified char. <br /> 1. The informacion you fumish will be used to d"zrniine �-our qualification for the permit or license requested. <br /> 2. You may refuse to supply data, bu� refusal nay require tha[ the City deny che permit or license. <br /> 3. The informatio❑ may be shared wieh other loc�l, state or federal ageacies to the exteot necessary to process <br /> the permit or license. <br /> 4. If your requested permit or licease requires Council action to approve, some informa�ion mav become <br /> . public. - <br /> �. You have cer[ain riehts under h1.S. 13.04 (z•:ai(able upon request) to review private data on yourself. <br /> 6. Your full name is required co process this zpplicacio❑ or permi�. <br /> Firsc �fiddle Lasc <br /> Address <br /> Ciry State ZiP Phone <br /> I understand my ri;hts cated above. <br /> � . <br /> � _ <br /> Signa�ure <br /> e F <br />