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Sec.13.Od R[CH"T'S OF SUI3JCCTS OF DATA <br /> Subd. I. Type of data. The rights of individual on whom the data is slored or to be s(ua:d shali be.as s�t foi th in this scction. <br /> Subd.2. Infonnation required to be given individual. An individual asked to stipply��rivate or contidential data coucerning hin��self shall be <br /> infoi7ncd of: (a)the pu�pose and intended use of the requested data within lhe collectin�slatc agency,political subdivision,or statewide syslem;(b) <br /> whc(hen c�may refuse or is legally reyuircd to su�iply thc requested datn;(c)any known consequence arisin�from his supplying or refusing to supply <br /> private or confidential data;and(d)the identity of othec persons or cntities authorired by slate or fe�leral law to receivc the data. This requircment shall <br /> not apply when an individual is asked to supply investigative data,pursuant to section 13.32,subdivision 5,Lo a la4v eni<xeement offtcer. <br /> Ttie commissioner of rcvenue may�lace the notice requiiecl uncier this_Subcliyision in_thc_inditi_i�iuil incoine ta.r or�xc1�e� iiv tax refund <br /> instructions instead of on those fonns. <br /> Subd.3. Access to d�ata by individuaL Upon request to a responsibtc�u(horily,a��individual shall ba infurmc�whether he is fhe subject of <br /> stored data on individuals,and whether it is classitied as public,private or conf idcntiaL Upon his further requcst,an individual�vho is the subject oF <br /> stored private or public data on individuals shall be show�n the data���i�hout�ny chnrge to him and,if he desii�.;s,sl�all be infi>��tned of the content and <br /> meaning of lhat data, Aller an individual has been shown the private data and infunned ofits meaning,lhe da[a need not be disclosed fo him f'or six <br /> months thereafler uriless a dispule or ac[ion pursuant to lhis seclion is pencling or additional data on dic individual has been col(ected or crc�ited. TI�e. <br /> responsibie authority shall provide copies of the priv�te or public data upon requesl by the in�ividual suhject ot�the da[a. Thc responsible authoriCy may <br /> require lhe reqtiesling person to pay the actual costs of making,ceitifying,and conipiliug tlie copics. <br /> T6e responsible authority shall comply immediately,ifpossible,wid�any ri�quest m�dc pursuaul to[his subdivision,or within tive days of the <br /> date of Uie requesl,excluding Salurdays,Sundays and legal holidays,if innnedia[e cumpliance is not possible. If he cunnot compfy wilh lhe reyucst <br /> wilhin that time,he shall so infonn lhe individual,and roay have an additional tive days��-ithin which tv comply with the requ�st,excluding SaY.urdays, <br /> Sutidays and legal holidays. <br /> Subd.4. Procedurewhendataisnotaccuratcorcomplete. Anindividualtnaycontesttlielecura�yorcompletenes+ofpublieorprivalcdata <br /> conccrning himsclf. To exercise this right,an individual sh�ll notifv in writing Lhe responsible aulhurity descril7ing tlic nalure oPthc disagreement. The <br /> responsible audiority shall within 30 days ei�her: (a)con�ect the data loimel to be inaccurate or inco�r�plcte and at[empt to notify past recipients of <br /> inaccurate or incomplete data,including reeipienLs named by the individu�tl;or(b)notify the individual thal he believes the data Co be correef. Data in <br /> dispute shall be disclosed only if the individual's statement oF disag�eement is include;d with th�disdose�datn. <br /> The drtennination of the responsible uuthority m�y be appealed pu�suanl to Il�e provisions of the�dminislritive proccdure act relating to <br /> conlested cases. <br /> DATA t'RIVACY 11llVISOIb'�' <br /> In accordance with M.S. 13.04,Subd.2,°Ri�hts of.subjects of dat�",we would like to inPorni you that your request <br /> foi•a pennit or lice�ise from the City of Orono or any of its dep��rtmeuts may require you ro furnish certaiii private or <br /> confidential inforn�ation. <br /> You are notified that: <br /> L Tl�e infonnation you furnish will be used to deleruune yow� c7ualilicatiou for the p�rmit or license <br /> rec�uested. <br /> 2. Yoti may refuse to supply dat�a,but refusal may rec�uire thlt Ilie Ci�y deny die peimit oz�lice�ise. <br /> 3. The infoi-�nation may be shared with other local, st�iCe or iederal ageiicies Co the extent necessary to <br /> process the permil or license. <br /> 4. If your requested pein�it or license requires Council action lo�approve, some infonuation may become <br /> public. <br /> .5. You have certain rights under M.S. 13.04 (a��ailable upoii rcc�ue�st) to ieview private data oii yourself. <br /> li. Your ull name is required to pro ess tllis applicati � enliit. <br /> � �=�.r-�-_!� <br /> ---- �--—----— - <br /> �irst I1�liddle V:o�� <br /> L��3 � �� �-� - � ----- <br /> Address --��----------- <br /> / <br /> � �� �. <br /> • ��J---- _��v�--- - <br /> Cily / Stat:t Za�� �hoE�e <br /> fl underst�nd my rights as stated ove. i <br /> / <br /> -- - � <br /> Signahue <br /> --- ----------_---- <br /> �,� <br />