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Sec.13.04 RIGHTS OF SLBJECTS OF D?.T� <br /> Subd. 1. T��pe of data. The nehcs of individual on whom che data is scored or to be stored shall be as sec for[h in this secdon. <br /> Subd.'_. Information required to be�ven indi�-idual. An individual asked to supply priva[e or confidenaal dara concerning hunself shall <br /> be informed of: (a) the purpose and in[ended use ot�he reauested data within the collecting"state agency, political subdivision, or stacewide system; <br /> (b)whe[her he may reiuse or is legally required to suoply che;eques�d dara:(c)any Imown consequence arising from his supplying or refusing[o supply <br /> privaez or confidennal data:and(d)the idenncy of other persons or er,anes au[horized by state or federal law ro receive the data. This reauirement shall <br /> not apply when an ir.dividual is asked to supply invesnsadve data. pursuant to secdon 13.82, subdivision 5, to a law eniorcement otficer. <br /> The com.*nissioner of revenue mav �lace :ne notice reauired under chis subdivision in the individual income caz or orooem caz rerur.d <br /> instrucdons ins[ead of on chose forms. <br /> Subd. 3. .�ccess to daca by individual. lipon requesc to a responsibfe au�horiry,an individual shall be informed wherher he is the subject <br /> of stored data on individuals, and whecher it is classitied as puolic, pnvace or coniidennal. lipon his further request, an individual who is the subject <br /> of stored priva[e or public data on individuals shall be shown [ne data wichout any charge to hun and, ii he desires, shall be informed oi the con[ent <br /> and meaning ot tha[data. .�her an individual has been shown che priva[e data and informed of ics meaning, che dara need not be disclosed ro him for <br /> six mon[hs thereatier unless a dispuce or action pursuant to [his secdon is pending or addido�al data on the individual has been coilected or created. <br /> The responsible au[horiry shall provide copies of[he priva�or public data upon requesc by the individual subject of the data. T'he responsible authoriry <br /> may require the requesnng person to pay the actual costs of making, cemfying, and compiling the copies. <br /> The responsible authori[y shall comply immediateiy, if possible, with any request made pursuant ro[his subdivision, or wichin five days of <br /> [he date of the requese, excluding Sacurdays,Sundays and le2al holidays. if immediate compliance is no�possible. If he canno[comply with[he reques[ <br /> wichin tha[time,he shall so inrorm the individual, and may have an additional t7ve days within which to comply with the requesc,excluding Saturdays, <br /> Sundays and legai holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individual may con[est the accuracy or completeness of public or private <br /> data conceming himself. To exercise rhis right,an individual shall notify in wricing the responsible authoriN describing the nature of the disagreement. <br /> The responsible au�honry shall within 30 days eicher: �a) correct the data found to be inaccurate or incomple[e and aaemot to nodfy past recipients of <br /> inaccurate or incomptece data, includine recipiencs named by che individual; or(b) nodfy the individual tha[he betieves [he data to be correct. Data <br /> in dispu[e shall be disclosed only if the individual's sra[emen[ot disaereement is included with the disclosed data. <br /> The decermina[ion of the responsible authoriry may be appealed pursuan[[o the provisions of the admuustradve procedure act relating [o <br /> contesred cases. <br /> D�T:� PRIVACY �DVISORY <br /> In accordance with M.S. 13.04, Subd. 2, "Rights oT subjects of data", we would like to inform you�hat your request <br /> for a permit or license from the Ciry of Orono or any of its depanments may require you to furnish certain pri��ate or <br /> confidential inTorma[ion. <br /> 'i ou are r.o�i:;ed that: <br /> i. The information you furnish will be used[o decemune your qualification for the permit or license requested. <br /> ''. You may refuse to supply da[a, buc refusal may require chat the City deny the permit or license. <br /> 3. The information may be shared wirh ocher local, state or federal a�encies to the extent necessary to process <br /> the permi[ or license. <br /> 4. If your requeste� permit or license requires Council action to approve, some information may become <br /> public. <br /> 5. You have certain rigbts under :vf.S. 13.04 (available upon request) to review private data on yourself. <br /> 6, Your full name is required to process this application or permit. <br /> �i ,� <br /> ��C'/ � Li /�r �� <br /> First �tiddle Last <br /> ��G G�cr l<a��� �L'� <br /> .-�ddress <br /> Ll��y �-�� �� ��-, � �s� ,;�, �;;� - ,-�., � <br /> Ciry Sta[e Zip Phone <br /> I underst my rights as stated above. <br /> � e�. � '�- <br /> Si¢na[ure <br />