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. <br /> `Sec.13.04 R[GH75 OF SUBJECTS OF DATA <br /> Subd. 1. Type of data. The rights of individual on whom the date is st red or to be stored sheU be as set forth in this section. <br /> Subd,2. Information required to be givan individual. An individual ask W supplyprivatearconfidential data conceming himselfshall be <br /> informed of. (a)the purpase sad intended usc of the tequested data within the coll ting state agency,political subdivision;or statewide system;(b) <br /> whether he mny refuse or ia legally required to supply the requested dete;(c)any kn wn consequence arising from his supply�ing or refusing to supply <br /> private or confidential data;and(d)the identiry of otl�a petsons or entities authorue by state or federal law to roceive the dala This requitec�nt shell <br /> not npply when an indi�idual is a9ked to supply invesdgative deta,pursuant to sec ion 13.82,subdivision 5,ro a law rnfarcement o�cer. <br /> The e ' i er o e ti und i i n in i ' <br /> j�gtructions instead of on those fortns, <br /> Subd.3.Access to data by individual.Upon request to e respo nsible au ority,an individual shall be iafarimed whether he is the subject of <br /> storad data on individuals,and whether it is classified as public;private or conf'id 'al. Upon his further requost,an indlvidual who is Ihe subjectof <br /> stored privat�or pubtic data on individuels shall be shown tha data without ariy ge to him and,if he desires,shall be infomied ofthe content and <br /> meaning ofthat data. After an individusl hes been shnwn tfie private data and info d of its meaning,the data need nnt be disolosed to hlm for six <br /> months thereafter unless a dispute or aetion pursuant tn this section is pending or ad itional data on the individual hns beca co(lxded or created. "Iha <br /> rosponsible authoriry shall provide copies of the privete or public data upon reques by the individual subject of the data. The responsible authority <br /> may require the reques[ing person to pay the actual costs ofmak ing,ceRifying compiling the copies. <br /> The responsible authority shall comply i�nediately,if poasible,with request made pursuantto this aubdivision,orwithin frve dnys of <br /> the date af the ra�uest,exclud�ng Saiurdays,Sundays and legal holidays,if inunedia compliance is uot possible. Ifhe cannot comply witli tfie request <br /> within that time,he shall so inform the individual,and may have an additiona!five d ys within whicH to compty with the request,excluding Setiudays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedune when data is not accurala or complete.An individual mey oontest the accuraCy or oompletcness of public or privaLe datn <br /> conceming himself. To exercise this right,an individual shall notify in writing the re nsible authority dcscribing tlie nanue ofthe disagreement. i'he <br /> responsible authority shel]within 30 days either. (a)coaect the data found to be naccurate or inoomplete end attempt to eotify past rocipients of <br /> inaccurate orincomplete data,including recipienls named by the individual;ar(b) tify tha individusl tf�at he believes the dala t�be correct. Data in <br /> dispute shall bc discloscd only iPthe iodividual's statement of disagroement is incl od with the disclosed data, <br /> The detemvnation of the responsible euthnrity may be appealed pursua t to tfie provisions ofthe adminiatrative procedure ect reladng to <br /> contested cases. <br /> PRIV Y D SORY <br /> In accordance with M,S. 13.04,Subd.2,"Rights of subjecis dara",we would like to inform you tfiat your request <br /> for a permit or license from the City of Orono or any of its de ents may require you to furnish certain private or <br /> confdential information. <br /> You ue notified that: <br /> 1. The information you fumish will be used to det ' e your qualification for the permit or license <br /> requested. <br /> 2. You may refuse to supply data,but refusal may re ire that the City deny the permit or license, <br /> 3. The informatian may be shared with other local, tate or federal agencies to the extent necessary to <br /> process the permit or license. <br /> 4. If your requested permit or license reyuires Counc 1 action to approve, some information may became <br /> public. <br /> 5. You have certain rights under M.S. 13.04(availabl upon request)to review private data on yourself. <br /> 6. Your full name is required rocess this applicati n or 't. <br /> � <br /> Fir Mlddle List <br /> �-- � � � 1 �5�--��-� � <br /> Addrpa � <br /> C<<y S te Zip Phoue <br /> I understand my right bove. <br /> Signafurc <br /> . � s ;i��n r`"�lt}�� � i��!i nuii�i ��; <br /> .. �� �1� ���4� �1�� ��� ' �1�'�{�4� 32 <br /> � s i , F �; I ,�� <br /> E 'd 06 T 9�L9 T S9 1 W213d Q '8 S �1 WFiZZ =B LOOz LZ �dd <br />