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Sec.13.0�1 RIGHTS OF SUBJECTS OF DaT� <br /> Subd. 1. Type of data. The rights of individual on whom rhe data is s[ored or co be scored shall be as set forth in this secrion. <br /> Subd.'_. Information reqirired to be�ven individual. An individual asked to supply privace or confideaaal data concerning himself shall <br /> be informed of: (a) the purpose and inrended use of che requesced dara within the collecang'state agency,politicai subdivision,or sntewide rystem; <br /> (b)whether he may refuse oi is legally required to suoply the requested data:(c)any laiown consequence arising from his suppiying or refusing to suppty <br /> priva[e or conr.denaal data;and(d)the idenuty of other persoas or enrities authorized by state or federal law to receive the data. This requirement shali <br /> not apply when an individual is asked to supply in�esaearive dara, pursuant to section 13.82, subdivision 5, [o a law enforcement officer. <br /> The commissioner of re�e�ue mav pla-� the nodce reauired under this subdivision in the individual income tax or propem raz refund <br /> instruccions ins�ead of on rhose forms. <br /> Suod. 3. Access to data bp individuaI. lipon request to a responsible authority,an individual shall be informed whether he is the subject <br /> of scomd dara on individuals,and whether it is classified as public, privace or confidendal. tipon his further request,an individual who is the subject <br /> of scored privace or public daca on individuals shall be shown che dara wichouc any charge to him and, if he desires, shall be informed of the conrenc <br /> and meaning of[hat data. After an individual has be�n shown[he private data and informed of its meaning,che data need no[be disclosed to hun for <br /> six mon[hs thereaiter unless a dispute or acrion pursuan[to [his secrion is pending or addiaonal data on the individual bas been collected or crea[ed. <br /> The responsible authoriry shall provide copies of[he private or public data upon request by[he individual subject of[he data. The responsible aurhoriry <br /> may require che requesring person to pay the actual costs of makine. cermfying,and compiling the copies. <br /> The responsible authoriry shall comply immediately, if possible, wi[h any request made pursuant to this subdivision, or within five days oi <br /> the date of the reques[,excluding Saturdays,Sundays and legal holidays,if immediate compliance is no[possible. If he cannot comply with the request <br /> within;hat time,he shali so inform che individual,�:d may have an addidonal five days within which to comply wi[h the request,excluding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individual may contest[he accuracy or completeness of public or pri�•ate <br /> data conceming himself. To exercise c.his rieht,an individual shall nodfy in wriring the respoasible authoriry dzscribin�[he na[ure of the disagreement. <br /> The responsible authoriry shall within�0 days ei4`:er: (a)correct the data found to be inaccurate or incomplece and aaempt to nodfy past recipients of <br /> inaccurate or incomplete dara, including recipients aamed by the individuai; or(b)notify tl:e individual thac he believes [he data ro be correct. Data <br /> in dispu[e shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. <br /> The decerminarion of che responsible auchoriry may be appealed punuanc to the provisions of the adaunisaarive procedute act relaring to <br /> contested cases. <br /> DAT�, PRIVACY ADVISORY <br /> In accor��ance with M.S. 13.04, Subd.2, "Ri;hts of subjects of data", we would like to inform you that your reauest <br /> for a pemut or license from the Ciry o[Orono or any of its departments may require you to furnish cenain private or <br /> confidential information. <br /> You are notified that: <br /> 1, The information you furnish will be used to determine your qualification for the pemut 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, stace or federal a�encies to the eY�ent 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 M.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 /> First yfiddle Last <br /> Address <br /> City Stace Zip Phone <br /> I understand my ri�hts as stated above. <br /> ,� � <br /> ��� _�_ _ <br /> Signature <br />