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Scc.13.0-t RIGHTS OF SUEJECTS OF D.-1T,� <br /> Subd. l. Ty�pe of data. "IZu righcs of individual oo whom�e dau is s�n:�or co be scorcd shall be�s sc�forth in this sccdoo. <br /> Subd.?. Informatioo reqtrired to be given individual. �ir.c+i�idual ast�to supply private or confidendal da[a concerning himself sb�ll <br /> be informcd of: (a) the purpose and in�ended use of the rcquestcd dam ai�in tbe collecang�tace agency, Polidcal subdivisioo,or scatewida ryscem; <br /> (b)whe�her he mzy rcfuse oY is legally rcquircd to supply[he[equested dan;(c)any l�o•xn coasequeoce arising from his supplying or tefvsing to supply <br /> priva�e or conndendal data;ar.d(d)the tdentiry of other persoat orearid:s z�c.horized by s�ate or fedecal law to rceive the data.,This requiremeot shall <br /> not apply whtn an individual is asked to supply invesdgadve daa, purs�.c[o seccoa 13.82, subdivision 5, to a law cnforcement officer. <br /> The comrrussioner of r��e�ue mav lace the norice rcwircd �r.Cer chis subdivision in tha individual ir:coma tax or oro em mz rcFund <br /> instrvuions ins�esd of on ehose foRns. <br /> Subd. 7. Access to data by tndir-iduat. Upon requcs�to a r_staasible a��oriry,an individual shall be informed whether he is[he subject <br /> oF s�or:d data on individuals, and whe�her it is classificd as pubiic, priva4 or confider.rial. Upon his funhec rzquest, an individual who Is the subjecc <br /> o[scored privace or public daca on individuals shall be shown ehe daraµi.^ou�any eiurgo to him and,'if he desires, shall be informed of�he concenc <br /> ar.d mcaning of that daca. Aftar an individual hu bcen shown the priva��ac�and 'tc:ormed of its mcaning, the data peed not be disclosed to hirn for <br /> si.c mon�hs thereaft�r unless a dispute or acdon pursuant to this secdon is F:nding or additioaal data on the individual has been collected or cr:aced. <br /> Tie responsible authoriry shall provido copies of�he private or public dau�:on reques;by�he individu�l subjecc of�he data. The responsible au�horiry <br /> ray requirt [he «quesring person to pay the ac�ual cosu of makin¢, ce_:;ing, and compiling the copies. <br /> The responsible authoriry shall comply immediacely, if possibla, wi�h any r.quest made pursuant to this subdivision, or wi[hin five days of <br /> the dac�of the request,e.tcluding Saturdays,Sundays and legal holidays,ii is.media[_compliance is not possible. If he cannot comply with�he r:ques� <br /> wi�hin�hac dme,he shall so inform�he individual,and may have an addice�i five da��s wi�hin w6ich to comply wi�h[ho request,exciuding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when d�ta ts not accurate or complete. �n individuzl may contest the accuracy or completeness of public or pri�•ate <br /> dac3 conceming himself. To exercise�his rieht,an individual shall noriFj u wridng ce rsponsible authoriry describing�he nature oF the disagre:meoc. <br /> Thc responsible au�horiry shill wi�hin 30 days ciiher: (a)comct the dae[cund to�e inaccuratc or incomplece and attempt to nodfy pas[recipienes of <br /> inaccurste or incomplete da�i, including recipiencs named by the individ�J; or(b) rodfy the individual tha[he btlieves [he data to be correcL Da�a <br /> in dispuce shill be disclosed only if the individual's statement of disagre:�ent is �.cl�ded with the disclosed data. <br /> Tiu decerminadon of the responsible authoriry may be appta:e� pursuar.c to the provisions of tha adminis[rarive procedure act reladng to <br /> conees:ed cases. <br /> DATA PFtI�'�CY AD�ZSORY <br /> In accordance with M.S. 13.04, Subd. 2, "Ri�hts of subjects of da�a", we would like to inforui you thac your reauest <br /> for a permit or license from the Ciry of Orono or any of is depac-;�Leacs rr�ay require you to furnish certain privace or <br /> confidential information. <br /> You are notified that: <br /> 1. "I�e informa�ion you fumish will be used to de:ermine ��our qualiftcation for the permic or license requesred. <br /> 2. You may refuse to supply data, bu[ refusal nay require that the City deny che permic or licease. <br /> 3. The information may be shared with oeher loczl, state or federal a;eacies to the extent necessary to process <br /> the permit or license. <br /> 4. If your requested pemut or license requires Council action to approve, some information ruav become <br /> . public. . " <br /> �. You have certain riehts under Nt.S. 13.04 (a•:ailable upon request) to review private data on yourself. <br /> 6. Your full name is required to-process this zpalicatio❑ or permi�, <br /> Firsc �(iddle <br /> Last <br /> Address <br /> Ciry Stam ZiP Phone <br /> I underscand my ri;hts ed above. <br /> � _ _ <br /> Signacure <br />