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, � <br /> Sza13.0-1 RIGHTS OF S�JB.TECTS OF DaT?. <br /> Subd. 1. Type of data. 'Ihe ri¢h�s of individual o¢whom ch�data is s�:='r or co be scored shall be as set for[h in this secdon. <br /> Subd.2. Informatioa reqirired to be given individual. An iLdividual ask�to supply privace or confidzorial dara concetning himself shall <br /> be informed of: (a)the purpose and in[ended use of the requesud dara w:�in the cc�'ecdng's�ce agency,polidcal subdivision,or sratewide ryscem; <br /> (b)whe��er he may refuse oY is legally required to supply the requested dari;(c)any I�e��a coasec,�:ence arising from his supplying or refusing to supply <br /> privam or conndenrial data;ar.d(d)the idendry of orher peaoas orenrid:s ac fuorized by s3te or federal law to rceive the data..'Ihis requiremenc shaIl <br /> no�apply when an individual is asked to supply invesrieadve daa,purn:�c to seccoa 13.82, s.:tdivision 5, to a law enforcemenc ofFicer. <br /> The commissioner of rvenue nav place the norice rauired �rd-r this s•^division in the individual u:come tax or oropercv tax reFund <br /> instructions instead of on those forms. <br /> Subd.3. ?.ccess to data by indi�-idual. Upon requesc to a r_s�onsible a��-�ority,an individual shall be informed whe[her he is the subjecc <br /> of scored data on individuals, and whecher it is classified as public,privac�or conFid=�. Upon his furcher requesc,an individual who is the subjecc <br /> of scored privace or public data on individuals shall be shown the da�a wi�ouc any c��-3e to hi�and;if he desires, shall be informed of[he contenc <br /> ar.d meaning of chac dara. After an individual has been shown the priva��z�and ir:��ed of is meaning,che data need not be disclosed ro him for <br /> six mon�hs �:ereafter uriless a dispute or acdon pursuant to [his secrion is�e^ding e;a�didonal data on the individual has been collected or creaced. <br /> The responsible au�horiry shall provide copies of the privace or public dac�n�on req��s:by che ir.dividual subject of che data. The responsible authoriry <br /> may requir� rhe requesring pecson to pay the accual costs of makine, ce^:;ing, ar:d c��piling [he copies. <br /> 'Ihe responsible auchoriry shall comply immedia�aly, if possio?e,wirh an}•:=�uest made punuant to this subdivision, or wichin five days of <br /> the dat�of ch�reques�,e�cluding Saturdays,Sundays and legal holidays,ii is.media:e compliance is not possible. If he cannot comply wich the requesc <br /> within chat ame,he shall so inform�he individual,and may have an addi�e:.31 five da;s wi�hin which to comply wi[h the request,exctuding Saturdays, <br /> Sur.days and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. �n indivi��l may cor.test thz accuracy or complereness of public or pri�•ate <br /> daca eoncerning himself. To exercise chis rieht,an individual shall nodfy ia writing c=:esponsible authoriry describing�he nacure of the disagreemenc. <br /> The responsibt�authoriry shsll within 30 days either. (a)correct the da�tcund to t=�accurac_or incomplete and atcempe to nodfy past recipien�s of <br /> inaccurate or incomplete data, inctuding recipients named by che individ��l;or(b)�==.`y[he ir.dividual thac he bzlieves the data to be coaecc. Da�a <br /> in dispuc�sh311 be disclosed only if the individual's stacemenc of disagre:�=nc is L.c:=�=d witih tht disclosed data. <br /> Tiie dececminarion of the rosponsible authoriry may be appza�e�'punu�4.::a nhe provisions of che adminiscrarive procedure act relaang to <br /> contesced cases. <br /> DATA PRi'�'�,CY AD�ZSORY <br /> In accordance with M.S. 13.04, Subd.2, "RiQhts of subjects o��aca", we would like to inform you that your reauest <br /> for a permic or license from the Ciry of Orono or any of i� dep�-�.ents may require you to furnish certain privace or <br /> confidencial information. <br /> You are notified that: <br /> 1. "I1-le information you furnish will be used to de:zrmine��our qualification for the permit or license requested. <br /> ?, You may refuse to supply da�a, bu� refusal nay req�e that che Ciry deny the permit or license. <br /> 3, The information may be shared wi�h ocher locz, stace e:federal agencies to the ex[ent necessary to process <br /> the permit or license. <br /> 4, If your requested permic or licease requires Councl zction to approve, some information may become <br /> . , public.. <br /> �, You ha��e certain ri�hts under M.S. 13.04 (a•.ailabl� L?on reques[) to review private data on yourself. <br /> 6, Your full name is required to process this zpplicacio� or perm.it. <br /> Firsc Middle Last <br /> Address <br /> Ciry State Zip Phone <br /> I understand my ri�hts as stat,ed above. <br /> � 9 " � <br /> L �� — <br /> Signa�ur <br />