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_ . . <br /> Sec.13.0-1 RIGHTS OF SUBJECTS OF DaTA <br /> Subd. 1. Type oF data. "Ihe riehts of individual on whom the data is sto:-�or to be scored shall be as set forch in this secdoa. <br /> Subd.2. Information reqirired to be given individual. �.n izdividual ask�to supply privac.or confidznaal data concecning himself shail <br /> be informed of: (a) the purpose and in�ended use of the requesud dara w:�in the eolIecring'scace a�ency,potiacal subdivisioo,or sratewide rysum; <br /> (b)whec.�er he may refuse oY is legally requird to supply che requested dact:(c)any Ico:�a eoasequence arising from his supplying or refusing to supply <br /> privace or conndendal data;and(d)the idendry of o[her persoas or enades a�+uorized by state or federal law ro roceive the data..'Ihis requiremeac shall <br /> no�appiy when an individual is asked to supply invesdeaave daa,pursi:�^.:co secaoa 13.82,subdivis:on 5, to a law enforcemenc o�cer. <br /> Thz comrrussioner of r��enu� r-iav place the norce rauircd erd-r this subdivision in the individual ir.come tax or oropercv t�x reFund <br /> instructions ins�ead of on those forms. <br /> Subd.3. Access to data by inditiidual. Upon requesc to a r_s�oasible a��.oriry,an individual shall be informed whether he is the subject <br /> of scored data on individuals,and whecher ic is classified as public,priva�.or confid=nrial. Upon his fur�her request, an individual who is the subjecc <br /> of scortd privare or public data on individuals shali be stiown the data wi�out any c:.arge to him and;if he des'ues, shall be informed of the content <br /> and meaning of chat da�a. After an individual has been shown che priva��a3 and iL."ormed of i�s meaaing, che dan need not be disclosed to him for <br /> six mon;hs �hereatter unless a dispute or acaon pursuant to [his secdon is t��ding o;addiaoaal data on the individual has been collecced or crea�d. <br /> The responsible au�horiry shall provide copies of the privace or public da3 L�on req�:s:by[hz ir.dividu:l subject of the data. T'he responsible authoriry <br /> may require �he requesang person to pay the ac�ual coscs of making,ce=:;ing, ar:d compiling the copies. <br /> The responsible au�horiry shall comply immediately, if possib!:.•��ich any request made pursuant[o this subdivision,or wichin five days of <br /> the dac�of rhe request,ezcluding Sanirdays,Sundays and legal holidays,i;is.mediace compliar.ce 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�e:31 five days wichin which to comply wich che request,ezctuding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. �i individuzl may concest the accuracy or completeness of public or private <br /> da�a concerning himself. To exercise[his rieht,an individual shall nodi;r i.wridn�c�respoasible authoriry dzscribing the nature of the disagreemeat. <br /> The responsible auchoriry shall wi�hin 30 days ei[her: (a)correct[he dae ic�nd to be inaccurate or incomplete and attempt to nodfy past recipienu of <br /> ir.accurte or incomplete data, including recipien�s named by the individ���;or(b) r_odfy th�individusl 4`�at he bzlieves the data to be correct. Data <br /> in dispu��shall be disclosed only if rhe individual's statement of disa;r:��:nt i5 i.c:_ded wich the disclosed data. <br /> Ttie dz�erminarion of the rosponsiblz authoriry may be appeale� pursuaLc to the provisior,s of[he adminisaarive procedure acc relarin; to <br /> contested cases. <br /> DATA PRI�'�,CY AD�ZSORY <br /> In aecordance with M.S. 13.04, Subd.2, "Rights of subjects oi daca", we would like to inform you that your reauest <br /> for a permit or license from the City of Orono or any of ia depar.�.ents may require you to furnish certain private or <br /> confidential information. <br /> You are notified that: <br /> 1. "Ihe informacion you fumish will be used to de;ermine�'our qualification for the pemut or license requested. <br /> ?. You may refuse to supply data, but refusal nay require that che Ciry deny the permit or license. <br /> 3, The informacion may be shared wich other locz, state or federal a�encies to the extent necessary to process <br /> the pernut or license. <br /> 4. If your requested permit or license requires Council zccion to approve, some information may become <br /> . public. <br /> �, You have certain rishts under NS.S. 13.04 (a•:ailable upon request) to review private data on yourself. <br /> 6. Your full name is required to process this applicacion or permi�. <br /> •-1 t'�a✓��/ S� �2 �.��� �'W�� �—Z <br /> ��f�k r� - <br /> First �11ddlz L�� <br /> / �7� ( C�l� {��dso 1 �� <br /> Address <br /> 1 '7 r�r1,0 �S /U l.� (�S /— 7 1 CQ _. `I S/ <br /> Ciry � I Sta�e Z!p Phone <br /> I understand my ri�hts �s stated above. <br /> �-. <br /> �—� ���� � - <br /> --. <br /> Signature <br />