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K <br /> ♦ <br /> Sec.13.0-3 RIGHTS OF SUBJECTS OF DaTA <br /> Subd. 1. Type of data. The rieh�s of individual on whom t�e daca is s�:_3 or[o te scored shall be u set forth in this secaon. <br /> Subd.2. Information reqirired to be given indiridual. P.n icdi�•idual asY�co supFi:�Privace or confidenaal dara concerning himself shall <br /> be informed of: (a) the purpose and in�ended use of the requesud dam wi�in the collccang��-ageacy, poliacal subdivision,or statewide syscem; <br /> (b)whe��er he may refuse ot is legally required to supply che requesced dati;(c)any�own co�c:_=aco ar.sing from his supplying or refusing to supply <br /> pri�+ace or conndeneal data;and(d)the idenrity of other persodt orenaa:s a�chorized by seate o::=deral law to r_ceive the data..This requiremeac s6a11 <br /> noc apply whan an individual is asked to supply invesdeadve daea,purs�:_.��o seccoa 13.82,s.:�division 5, to a law enforcemeac o�cer. <br /> "Ihz comrrussioner of r�venu� r-iav place the noricc rnauired ard-r this subdivis�o� in che ir,dividual ir.come tax or propem ax refund <br /> instrvaions insread of on chose forms. <br /> Subd.3. Access to data b�•indi�idual. Upon request to a r_s;oasible ae�:^.ority,a:i:dividual shall be informed whether he is the subject <br /> of s�ored data on individuals,and whe[her it is classified as public,privac�or conFid�r.rial. U;���his fur�`er request, an individual who is the subjecc <br /> of srorcd privace or public daca on individuals shall be shovm the data wi�out any c;.arge ro t�and;if he desires, shall be informed of the concenc <br /> and meaning of cha�data. Afc:r an individuai has been shown[he priva:��an and iL:or,ned o:i�mea.ai.^.g, the dara need not be disclosed to him for <br /> six mon�hs chereafrer unless a dispute or acrion pursuanc co chis secdon is�eading o;addide�:�ata on 4`�e individual has been collect�d or crea�ed. <br /> 'Ihe responsible aurhoriry shall provide copies of the privare or public dac�L:on req_=s:by eh�;:'ividual sti:5ject of che data. The responsible authoriry <br /> may require che requesdng person to pay the accual coscs of making,ce_.::ing,and eompilu:a`e copies. <br /> The responsible auchoriry shall comply immediacely,if possio!:,wich any z=quesc r-'=punuant to this subdivision,or wichin five days of <br /> th�date of the requesc,excluding Sacurdays,Sundays and legal holidays,i;ir..media�e compli��:=is no�possible. If he cannot comply wich the requesc <br /> wichin tha�ame,he shall so inform�he individual,and may have an addi�er.�l Five da:s wich�:��`-`-ch to comply with the request,excluding Saturdays, <br /> Sundays and legat holidays. <br /> Subd.4. Procedure when data is not accurate or complete. ?.n individuzl may cc'�st the acceracy or complereness of public or pri�•ate <br /> dara conceming himself. To exercise this righ�,an individual shali nodfy ia wridng c_rspo�=:.author,ry describing�he nanire of the disa;reemeac. <br /> The responsible auchoriry shall wichin 30 days eirher: (a)correc[the dae icand to�e inaccu=_or incomplece and attempc to noufy past recipiencs of <br /> inaccurate or incomplete data, including recipients named by[he individL�;or(b) �odfy tt:=�Jividu�.l �`�ac he believes the data to be correcc. Data <br /> in dispuce shall be disclosed only if[he individual's statemenc of disagre��.nc is ir.c:nded wi_.�e disclosed data. <br /> "Ilie dzcerminarion of the rzsponsible auchoriry may be appea:a�pursu�:to the p�•�isions of the admirustrarive procedure act reladng to <br /> contes�ed cases. <br /> DATA PRIV�,CY AD�ZSOR�' <br /> In accordance with M.S. 13.04, Subd.2, "Ri�hts of subjects oi da�a", �•=would like to inform you tha[your reauest <br /> for a permit or license from the Ciry of Orono or any oi ia deparu.ents L..� require you to furnish certain priva�e or <br /> confidencial informacion. <br /> You are notified that: <br /> 1, The informacion you furnish wili be used to de:ermine�'our q�.:�i�ication for the pemut or license requested. <br /> ?. You may refuse to suppty data, but refusal �ay require thzt c;e City deny the permit or license. <br /> 3, The information may be shared wich other locz, scace or fede�� agencies to the ex[ent necessary to process <br /> the permit or license. <br /> 4, If your requested perm.i[ or license requires Council action :o approve, some information may become <br /> . public. <br /> �, You have certain ri�hts under M.S. 13.04 (available upon r�c�.:est) to review private data on yourself. <br /> 6. Your full name is required [o process this applica�ion or pe.�.ic. <br /> First �fiddle Lasc <br /> Address � <br /> Ciry State Zip Phone <br /> I understand my ri�hts as s[a�ed above. <br /> ,,-� .� / ; <br /> ( ly�--J <br /> signacure <br />