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. <br /> > <br /> Sec.13.0-�RIGHTS OF Si1B.TECTS OF DaTa <br /> Subd. 1. Type of data. The ri¢h�s of individua!on whom[�e data is sto:�or[o be stored shall be as set focth in this secaen. <br /> Subd.?. Information reqirired to be given individual. rin izdividual ask�3 co supPly priva[e or confidenaal data concerning hiiaself shall <br /> be informed of: (a) [he purpose and in�ended use of the requesud data w:�in ehe collecang'statE agency, poliacal subciivision,or statewide sysum; <br /> (b)whechzr he may refuse oi is legally required to supply the requested dan;(c)any fcown consequeace arising from his supplying or rcfusing to suppl,v <br /> privace or conndendal data;and(d)the idendry of o�her persoas or enriaes aa�horized by state or federal taw to receive the data..This requir.menc stiall <br /> no[apply when an individual is asked to supply invesdeadve dara, pursu�^.c[o seccoa 13.82, subdivision 5, co a law enforcemen�office:. <br /> The commissioner of re�enu� mav place the norce reauired erd�r this subdivision in the individual income tax or oroperv ax refund <br /> instcuctions insczzd of on those forms. <br /> Subd.3. access to data bc indi�idual. Upon request to a rescoasible a��oriry,an individual shall be informed whether he is the subject <br /> of scored data on individuals, and whether it is classiFied as public,privac�or confid�r.ria.l. Upon his further request, an individual who is 4he subjecc <br /> of scored private or public data on individuals shall be shown the dara wiu out any ci�rge to him and;if he dzsires, shall be informed o��e concenc <br /> and meaning of chac data. Aftzr an individual has been shown[he priva;�Za�a and i�:ormed of its meaniag,che dara need not be disclos:d to him for <br /> six monchs thereafcer unless a dispuce or acrion pursuanc to this secdon is cending o:addiaonal data on the individual has been collect�d or creaced. <br /> The responsible au�horiry shall provide copies of the private or pubtic da�a c;on reques:by[he individual subjecc of�he data. The responsible au[horiry <br /> may require che requesring person to pay the actual cos[s of making,cerying, and compiling che copies. <br /> The responsible authoriry shall comply immediacety, if possib!=,wich any r=quesc made pursuant to this subdivision,or wichin five days of <br /> the dace of the requesc,excluding Saturdays,Sundays and leeal holidays,ii ir:.mediate compliance is not possible. If he cannot comply wich the requesc <br /> within thac time,he shall so inform the individual,and may have an addi�enal five days wiehin which to comply wich the request,excluding Saturdays, <br /> Sundays and legat holidays. <br /> Subd.4. Procedure when data is not accurate or complete. ?.n indivizuzl may concest the accuracy or completeness of public or pri�•a[e <br /> data concerning himseif. To exercise ehis rieht,an individual shall nodiy ia wrian�c:responsible authoriry dzscribing�he nacure of the disa;reemeac. <br /> The responsib(e auchoriry shall wichin 30 days eieher. (a)correct the da�tcund co be inaccurate or incomplete and attempt to nodfy pas::�cipien�s of <br /> inaccura�e or incomplete data, including recipien�s named by[be individ::1; or(b) eodfy the individual thac he believes the data to be correcc. Data <br /> in dispuce shall be disclosed only if[he individual's statemen[of disagre��_nt is i^_c:nded with the disclosed data. <br /> Ttie de�erminarion of the rasponsible au[horiry may be appza�.�pursuan�to the provisions of the administrarive procedure zct rzladng to <br /> conrested cases. <br /> DAT� PRIV�CY AD�ZSORY <br /> In accordance with M.S. 13.04, Subd.2, "RiQhts of subjects oi data", we would like to inform you that your reauest <br /> for a pernut or license from the City of Orono or any ot its dep�men[s may require you to furnish certain private or <br /> confidential information. <br /> You are notified that: <br /> 1, The informa[ion you furnish will be used to de:ermine�'our qualification for the permi[or license requested. <br /> ?_ You may refuse to supply data, but refusal nay require that the Ciry deny the pemut or license. <br /> 3, The information may be shared with o[her loczl, state or federal agencies to the excent necessary co process <br /> the permit or license. <br /> 4, If your requested permi[ or license requires Council action to approve, some information may become <br /> . public. <br /> �, You have cenain rights under M.S. 13.04 (available upon request) to review priva[e data on yourself. <br /> 6, Your full name is required to process this aoplica[ion or perm.i�. <br /> �y �rV JG j'D�l�, S i�� T�� <br /> Firsc_ �tiddle Las� <br /> �yyo C'ouht�� C/u6 �o��C <br /> ?.ddress <br /> �oh ���� /yl�t/ 5535 � 95z-y7 -D � <br /> Ciry Stace Zip Phone <br /> I understand my ri�hts as stated above. . <br /> <-_����'Y L, <br /> Signa e <br />