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Sec.13.04 RIGHTS OF SLBJECTS OF DaT:� <br /> Subd. i. Type of data. The righcs of ir.dividual on whom the data is stored or co be scored shall be as set forth in this section. <br /> Subd.'_'. Information reqirired to be�ven individual. Att individual asked to supply privace or confideoria!data conceming himself shall <br /> be informed of: (a)the purpose and inrrnded use of the requested dara within the collecting"state agency, polidcal subdivision,or sratewide system; <br /> �b)whether he may refuse oY is legally required to suoply the cEquested data;(c)any Imown consequence arising from his supplying or refusing to supply <br /> private or conndendal data;and(d)the idennry of ocher persons or enddes authorized by sta[e or federal law to receive the daca. This requiremeot shall <br /> not apply when an individual is asked to supply in�'zsaearive data, pursuant to secrion 13.82, subdivision 5, to a law eniorcement officer. <br /> The commissioner of re�e�u r�av pla- che nodce reauired under this subdivision in the individual income tax or propem taz refund <br /> instrucdans instead of on those forms. <br /> Subd. 3. Access to data by indi�idual_ lipon request to a responsible authoriry,an individual shall be informed whethec he is the subject <br /> of scored dac3 on individuals,and whe�her it is etass�ed as public, privace or confidenaal. lipon his further request, an individual who is the subjec� <br /> of scored privace or pubiic dan on indi��iduals shall be stiown che data wichout any charge to him and, if he desires, shall be informed of the contenc <br /> and meaning of[hat data. After an individual has been shown the private data and informed of its meaning,the dara need not be disclosed to him for <br /> six mon[hs thereaiter unless a dispute or acdon Fu;suanc to [his secdon is pending or addidonal da[a on the individual has been collected or crea[ed. <br /> The responsibie authoriry shal(provide copies of d�e privaee or public data upon request by the individual subject of rhe data. The responsible authoriry <br /> may require �he requesting person to pay the acaial cosu of makine. cerrifying, and compiling the copies. <br /> The responsible au[horiry shall comply immediately, if possible, wich any request made pursuant to this subdivision, or within five days of <br /> the dace of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request <br /> within that time,he shall so inform the individual,ar.d may have an addidonal five days wi[hin which[o comply with the request,excluding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individuat may contest the accuncy or comple[eness of public or pm�ate <br /> data concernin;himself. To exercise rhis rieht,an individual shall norify in wrian;[}:e responsible authoriry dzscribin�[he nacure of[he disagreemenc. <br /> The responsibi:authoriry shall within 30 days ei[.':er: (a)correct the data found ro be inaccurace or incomplete and attempe to nodfy past recipients of <br /> inaccurare or incomplete data, including recipieaa named by the individual; or(b)noufy the individua!that he believes[he data to be correct. Data <br /> in dispu[e shall be disclosed only if ehe individual's sntement of disagreement is included with the disclosed data. <br /> The determinadon of the responsibfe auchoriry may be appealed pursuant to the provisions of the administrarive procedure act relating to <br /> contested cases. <br /> D�,T:� PRIVACY ADVISORY <br /> In accordance with M.S. 13.0�, Subd. 2, "RiQhts of subjects of data", we would like to inform you that your reauest <br /> for a permit or license from the City of Orono or any of its departments may require you to furnish certain private or <br /> confiden[ial information. <br /> You are notified that: <br /> 1, The information you furnish will be used to determine your qualification for the permit or license requested. <br /> ?. You may refuse to supply data, but refusal may require that the City deny the permit or license. <br /> 3. The information may be shared with other local, state or federal a�encies to the extent necessary to process <br /> the permit or license. <br /> 4. If your requested permit or license requires Council action to approve, some information may become <br /> public. <br /> �. You have certain ri�hts under �1.S. 13.04 (available upon request) to review private data on yourself. <br /> (, Your full name is required to process this application or permit. <br /> Firsc �fiddle Last <br /> Address <br /> State Zip Phone <br /> Ciry <br /> I underst d my ri�hts as stated above. <br /> / <br /> � <br /> Sign r.. <br />