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1� � <br /> S�c.13.Q-� RIGHTS OF SL'BJECTS OF D:�T� <br /> Subd. 1. T}-p=of data. "Ihe ri¢h�s of individual on whom t�e data is sto:�or[o be scored shall be as set forth in this secaoo. <br /> Subd.2. Information reqirired to be givea indiridual. r1n ir.�i�-idual uY�to suppty priva�,or confideadal data concerning himseif s5a11 <br /> Ee inform-_d of: (a) [he purrose and incended use of the ceques�ed dam w:�in the collecdng'stam agency,polidcal subdivision,or satewide sysr`m; <br /> (b)whe�`�er he may r_fuse oT is legally requir.d to supply the rquested dati:(c)any]co•Nn eoasequeace arising from his supplying or reFusing co suoply <br /> pri-+ace or conndend:1 da�a;ar.d(d)che idendry of o�her persoas or eaaces a��uorizcd by scate or federal law to rceive the data..This rcquiremeac s6at1 <br /> r.o�apply whzn an ir,dividua( is asked to supp[y invesdgadve daa,Qurs�:-c to seccoa 13.82, subdivision 5,to a law enforcemea�o�cer. <br /> The commissioner of rvenu� nav place the norce rauircd erd-r[his subdivision in the individual_ir.come tax_or orooern taz refund <br /> inscructions inscead of on t}:ose forms. <br /> Subd. 3. �ccess to data by indi�idual. Upon reques�to a r_s:oasible ae�:^..oriry,an iadividual shall be informed whe�her he is th�subjcct <br /> of scored daea on ir:dividuals,and whecher ic is classificd as public,priva�or con@d�nrial. Upon his further requesc, aa individual who is the subjeu <br /> of s�orcd private or public data on individcals shall be shown[he data wi�out any c�.3rge to him and,-if he desires, shall be informed of the content <br /> ar.d maan.ing of[hac daca. After an individu�l has been shown che priva��aa and iL:"or�cd of ics meaning,che dac�need not be disclosed ro him for <br /> six mor.;hs �t:ereaRer unless a dispuce or acaon pursuanc to chis secdon is�:ading o;addidooal da�on the individual has been collec�ed or creac�d. <br /> The responsibl�au�horiry sha11 provide copies of the privaee or public da�a i::on reqi:s-by che ir.dividv 1 slbjecc oF the data. Tne;esponsiblz aurhoriry <br /> may requir� [he requesring person to pay ehe acmal eoscs of m�kin2,cer.;:ing,az:d compiling the copies. <br /> The responsible auchoriry shall compty ir.i,�nedia�aty,if possicle,wich any r_quesc mada pursuant to this subdivision, or wichin five days of <br /> th:dac_of the requesc,etcluding Saturdays,Sundays and legal holidays,ii ir..media�e compliance is not possib(e. If he canno[comp(y wi�h the r_qu:sc <br /> wichin cha�dme,he shail so inform che individual,and may have an addi�c�1 five da,s wi�`�in which to comply wich the request,exciuding San:rdays, <br /> Sur.days and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or complereness of public or pri�•ate <br /> dara conccrning himself. To exer:ise chis right,an individuai shall nodFr ia wrian��-rsponsible authoriry d=scribing the na[ure of the disagr_=meac. <br /> The responsib(e auchoriry sh�ll wichin 30 days ei�hec: (a)comce t'r.e da�icund to ba inaccurate or incomple�e and ar.�mp�to nodfy pasc rcipiertcs of <br /> ;aaccurzce or incomple�e da;a, inciuding recipie��s named by che ir.divi��I;or(b) �odfy the individual tha�he bzli�ves the data to be coaec� Da�a <br /> i1 dispue shsil be disclosed only if che individual's statemen�of disa;r:a�enc is L.c:��ded with the disclosed data. <br /> T1te decerminarion of the rosponsible authoriry may bt appe�='_pursuac:to [he provisions of the admitusaarive procedure act rela�n� to <br /> con�es::d eases. <br /> DATA PRIV�CY AD�ZSORY <br /> In accordance wit:z M.S. 13.04, Subd.Z, "Riahts of subjects o�daca", we would like to inform you thac your reauesc <br /> for a per�it or license from che Ciry oE Orono or any oi is deps.i.encs may require you to furnish cenain priva�e or <br /> confidential information. <br /> You are notified that: <br /> 1, The informacion you furnish wili be used to de;ermine �'our qualification for the permit or license requested. <br /> ?. You may refuse to supply da�a, buc refusal riay require that the Ciry deay the permit or license. <br /> 3. 'Ihe informatioa may be shared wich ocher Iec�, state or federal a�encies to the ex�ent necessary to process <br /> the permic or iicense. <br /> 4. If your requested pecmit or license requires Council ac�ion to approve, some informa�ion may become <br /> . public. <br /> j. You have certain rishts under N1.S. 13.0� (a•:ailable upon request) to review private iiata on yourself. <br /> 6, �'our full name is required to process this applicacion or permic. <br /> 1 / t x ✓1 /�-f c�J/i/1'✓"���l j� �� P � �/ e'� �'7 <br /> Firsc �fiddle Last � <br /> Z��i �J �� i-� c -� (s �G r I� � �..-� <br /> �+,ddress � .�— - <br /> 1� � � � ��r ;'�'./'�/ `7 5 3"�� � �E r Z � 1 y 1�_ G'`7�t�l <br /> Ciry S�ace Zip Phone <br /> I underscand my ri�hts as stated above. <br /> ��_ � �� �, � . <br /> s[g nacu re <br />