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� � <br /> Sec.13.0:RIGHTS OF SUBJECTS OF DATa <br /> Subd. 1. Type of daca. The righcs of individual on whom the data is stored or to be scor.d shaLl be as set forch in this secaon. <br /> Subd.2. Informadoa reqirired to be given individval. hn iadividual asked to supply privam or confidznaal dara concerning himself shall <br /> be informed of: (a)the purpose and inr:nded use of the reques•.�data wirhin the colleccing Sta[a agency, poli�cal subdivision,or s�tewide rystcm; <br /> (b)whe�her he may refuse or is legally requir:d co suppiy the r:ques�cd da�;(c}aay lmowv coascquence arisin3 from his supplying or refusing to supply <br /> privace orconndenaal dam;ar.d(d)the idendry of ocher parsoas or enddes au�horizad by scate or federal law to receive[h�data. This requiremeat shall <br /> no[apply whan an individual is asked to supply invadoadve da�, pursuanc to secaon 13.82,subdivision 5, to a law enforcement ofrccer. - <br /> The comrussioner of revenue mav place tha noace r_ouired undar this subdivision in the individual ir.come tax or�roozm tax refund <br /> inscrucaons insuad of on chose forms. <br /> Subd. 3. Access to data by indiridual. tipon requesc to a responsible au�horiry,an individual s;��11 be inforraed whe[her he is the subjecc <br /> of scord dan on individuals,and whecher it is ciassified as public,private or confidenoal. Upon his further rquest,an individual who is the subjecc <br /> of stored private ar public daca on individuals shall be shown ch�da�a wi�hout any charge to him aad;if he d�sires, shall be informed of the eoncenc <br /> and meaning of chat data. Aher an individu�I has been shown the privaca data and informed of ics meaning,ch�d2n need not be disclosed to him for <br /> six monchs chereaPter uriless a dispuce or acaon pursuanc to chis secaon is pznding or addidonal da�a on the ic:dividual has been collecced or creaced. <br /> The responsible authoriry shall provide copies of the priva[-.or public data upon rcquest by the individual subje�c of che da[a. The resQonsible authoriry <br /> may tequire the requesring person to pay the accual coscs of making,cerrifying,and compiling the copies. <br /> 'l11e responsible au[horiry shall comply immediately,if possibl�,wich any request made pursuant to[his subdivision,or wi�hin five days of <br /> the da�e of che request,exciuding Saeurdays,Sundays and legal holidays,if immediate compliance is noc possible. If he cannot comply wich the requesc <br /> within[hat[ime,he shall so inform the individual,and may have an addiaonal five days wicfiin which to comply wich the request,excluding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individua(may contest tha acc�racy or completenass of public orpri�•ate <br /> dan conceming himself. To exercise chis ri¢ht,an individual shaIl noa"ry in wriang�he responsible auchoriry d�scribing the nacure of the disagreemeat. <br /> The responsible authoriry shall within 30 days eicher: (a)corrcc the da�a found to be inaccurate or incomplete and aa�mpe to nodfy pasc recipients of <br /> inaccurata or incomplece data, including recipiencs named by che individual; or(b)nodfy the individual tha�he believes rhe data to be correct. Data <br /> in dispute shall be disclosed oniy if the individual's sc3temenc of disagreement is included with che disclosed dzta. <br /> Th�de�erminarion of the responsible authoriry may be appzalzd pursuant to the provisions of the adminisQarive procedure act reladn� to <br /> contested eases. <br /> DATA PRIVACY ADVISORY <br /> In accordance wi�h M.S. 13.04, Subd.2, "Rig.hts of subjects of data", we would like to inform you that your request <br /> for a permit or license from the Ciry of Orono or any of ics departments may require you to fumish certain private or <br /> confidencial information. <br /> You are notified that:� <br /> 1. The information you furnish will be used to determine your qualification fo:the permit or license requested. <br /> 2. You may refuse to suppIy data, but refusal may require that the City deny the permit or license. <br /> 3. The information may be shared wi�h ocher local, scate or federal agencies to the ex�ent necessary to process <br /> ' the permit or license. <br /> 4. If your reques[ed pernut or license requires Council action to approve, some informa[ion may become <br /> public. <br /> �. You have certain riehts under M.S. 13.04 (available upon request) to review private data onyouurself. <br /> 6. Your full name is required to process this application or permit. <br /> �� �/FC�!�� <br /> Firsc• - �tiddle Last <br /> G � <br /> dr s <br /> -�S �/ �S�z 7 ���-O/ <br /> Ciry Sat� Zip Phoae <br /> I underst d my ri;hts ted above. <br /> Signatur <br />