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i ! � <br /> Sec.13.0-� RIGHTS OF SZ,'BJECTS OF DAT� <br /> Subd. l. Tr-pe oF data. "Ihe ri¢hcs of individual on whom c`.:data is s:�:�or ro be scored shall be as set forch in this secdon. <br /> Subd.2. Informatioa reqtrired to be given individual. An i:.c'i�idual asd�co suppiy privace or confidendal dara coacerning him.seif 55a11 <br /> �e informed of: (a) [he purpose and incended use of the rtqueszcd dara w:�in the eoLecang"sta�e ageacy,policical subdivision,or scacewide rys;�m; <br /> (b)whe�'�er he may rfuse or is legally requir.d to supply[he requested dan;(c)any lcex�a coasequecce arising from his supplying or rcfusing to supply <br /> privace or conndendal daca;ar.d(d)the idendry of o�her persoas or eaddes aachorized by s3[e or federal law to rceive the data..'Ihis requiremcac shaIl <br /> r.ot apply when an 'u:dividuaI is asked to supp[y invesdgadve dara,purr•..=.-c co szccoa 13.82, sutdivision S, co a law enforcemeac ofricer. <br /> Tha comrrussioner of re�•enue mav vlace the nor.ce r_Quired cr.c'er this s�'_^division in the individual ir.come tax or orooem ax r_fur,d <br /> instruccians ins�esd of on�Y:ose forms. <br /> Subd.3. access to data by indi�idual. Upon requa�to a r_roasible ae-`or.ry,an individual shall be inFormed whecher he is the subject <br /> of scor_d data on individu�ls,and wha�her it is class�ed as public,priva�or con@dor.r.°�. Upon his furcher request, aa individual who is the sti:bjecc <br /> of scored privace or public dac�on individuals shall be shown the data wi�out any c�:.Se to him a:.d,-if he dasires, shall be informed of t�e concenc <br /> ar.d m�aning of�hac daca. Ah:r an individual has been shown[he priva��aa and iL'o-r.ed of ics ceaniag.the daca need not be disdosed to him for <br /> six mor.;hs tt:eraccer unless a dispuce or acaon punuane co [his secdon is teading o:a��i3onal daca on the individual has been collecced or c:eacad. <br /> The responsible aucY:oriry sha1l provide copies of the private or public da3�con req�a:b;+che ir.dividu:l subjec�of L'�=data. The responsible au;:.oriry <br /> ray r:quir� che requesdng person to pay the accual eoscs of m3king,ce=.;:ing, az:d c��pi!ing che copies. <br /> The responsible au�horiry shall comply immedia�e(y, if possible,wich aey r_�nese mad�pursuant to chis subdivision,or wichin five days of <br /> th=date of the request,ezcluding Saturdays,Sundays and legal holidays,i:is.mediate cor.:pliance is not possible. Ii he cannot comply with the r_quest <br /> wichin[hac ame,he shall so inform che individuai,and may have an add;�cr�!Five da:s Wi��in which to compty wi�h tha request,exctuding Sam;days, <br /> Sur.days and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. ?.n individ�`1 nay contest the accuracy or complateness of public or pri�'ate <br /> dara concerning himself. To exercise chis rieh�,an individual shali norirr i.•xriang�e:=spoasible auchoriry d�scribing che na�ure of a`�e disa;r_=meac. <br /> The responsib(�au�horiry s:�all within 30 days eicher: (a)corr_ct[he dae ioand to be�_ccurata or incomptece and aaemp�to nodfy past recipiencs of <br /> inaccur�e or incomplete da�, including recipienes named by �he indivi�=l;or(b) �e�:; �he individual thac he beli�ves[he data to be correcc. Data <br /> in dispu�e shall be disclosed orily if[he individual's staremenc of disagrr_�ent is ir.c'._'__d wi�h the disclosed daca. <br /> T}ie de�ecminarion of ehe responsib[e auehoriry may be appea':'_ punu:�::� �`:o provisions of eha adaunisaarive proced�re act r_l�ang to <br /> contes:ed eases. <br /> DATA PRIV:�CY AD�ZSORY <br /> In accordance with M.S. 13.04, Subd.2, "Rights of sn�jects of ea:a", we would like to inform you tha[your reeuest <br /> for a permic or license from the Ciry of Orono or any of ia dep�r�ea:s may require you to furnish cenain priva�e vr <br /> confidencial informa�ion. <br /> You are no�ified that: <br /> 1, 'I11e info;macion you fumish will be used to�::ermi.ne ��our qualification for the perm.it or license requested. <br /> 2. You may refuse to supply data, but refusal �:ay reqtL;e taat the Ciry deny the perm.it or license. <br /> ;. 'Ihe information may be shared wich other lec��, state o:federal a�encies to the extent necessary to process <br /> the permit or license. <br /> 4. If your requested permic or licease requires Council ac:ion to approve, some information may become <br /> . public. . <br /> �. You have certain rights under M.S. 13.04 (z•:ailable c�on requesc) to review private data on yourselr". <br /> 6, �'ou� full name is required to process this appticatio� e: pecmic. <br /> S C l C �G�3�f- � �1 � <br /> Firs� �fiddle Lasc <br /> �ll� �X� � � ��6�- �3��-�.� <br /> Address <br /> S-t �v�, ��S ��c�r 1'( � r� 5 5�1� 7s��� �� 3-��6 <br /> Ciry Scace Zip Phone <br /> I underst d my '�hts�as s[ated above. <br /> f <br /> i� ` <br /> S ig nacu re <br />