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Sec.13.0-i RIGFiTS OF SL'BJECTS OF DaT?, <br /> Subd. 1. Tvpe of data. The righcs ai iadividual on whom the dan is s�ored or m be storcd shall be u set forth in this secrion. <br /> Subd.?. Information reqirired to be�vea individual. �n individuai asked to supply privare or conndeadal dara coacerning himself shalI <br /> be informed of: (a)the purpose and inc:nded use of the cequcstcd daci wichin rhe collecdng 3n[L ageacy,polidcal subdivision,or satewide ryst�m: <br /> (b)whecher he may refuse or is legally required to supply the requesced data;(c)any lmown coasequeace arising from his supplyi,^.g or refusing to supply <br /> privare or conndenda!dara:and(d)the idenrity of or�er persoas or enanes au[horized by srace or fedzral law co rec�ive che da[a. This requiremen�sha!: <br /> noc appfy when an individual is asked to supply iavesri¢arive daa, pursuanc�o secdon 13.82, subdivi5ion 5, co a law enforzecitnc officer. <br /> The commissioner of r- ezu riav pls--the nodr rauired under this subdivision in the individua! ir.come cix or prooem_taz refur.d <br /> inscrucdons inscead of on chose forms. <br /> Subd. 3. ?,ccess to data by iadividuaI. lipon requesc to a responsibk au�horiry,an individual shall be informed whether he is che subjec: <br /> of scor_d dan on individuals,and whe:her it is classified�s public, private or confidenaal. liFon his further request,an individual who is[he subjecc <br /> of stord privace or public dan on individuals shall be stiown che dam wichout any charge co him and,�if he desires, shall be iniorcned of the conce�: <br /> ar:d meaniag of chac dara. Aher an individual hu be�n shown[he privace dara and informed o[iu meaaing, che data need not be disclosed m him for <br /> six mon�hs chereafur uriless a dispuce or acrion pursuanc to chis secrion is pending or addiaoaal daca on che individuai has been coilec�ed or creaced. <br /> Tne responsiblz au�horiry shall provide copies o[diz pcivaee or public daea upon requesc by[he individual subjecc of che dam. The responsible authorir� <br /> may require[he requcsring person to pay [he acaial cosc�of making,cerrifying,and compiling[he copies. <br /> 'Ihe responsible au[horiry shail comply immediately, if possible, wich any request made pursuant co this subdivision,or within five days ot <br /> the date of che r:quest,e�ciuding Saturdays,Sundays and legsl holidays,if immediace compliance is noc possible. If he canaoc comply wi[h the reques: <br /> w{�hin�ha[tirae,he shall so inform che individual,and may have an addidoaal five days wichin which to comply wi[h the request,excluding Saturdays. <br /> Sundays and legsl holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or pri�•a[e ' <br /> data concerning himself. To exercise�his righc,an individual shall noafy in wriang che respoasible auchoriry dascribing rhe nacu:e of the disagreemecc. . <br /> 'Ihe responsibla auchoriry shall within 30 days ei[.`.ee (a)correcc che dara found co be inac.ur3ce or incomplete and attempt to nodfy past recipiencs ei <br /> inaccurac�or incomplete dac�, ineiuding recipiena named by [he individual; or(b)¢orify [l:e individual thac he believes [he daca to be correct. Dac� <br /> in dispuce shali be di5c:osed only if ehe individual's stacemene of disagreemenc is ir.cluded wieh the disclosed daca. <br /> The decerminaaon of thz rzsponsible au�horiry may be appealed pursuanc to the provisions of the adminisnarive pro:edure act reladng to <br /> contested cases. <br /> DAT� PRIVACY ADVISORY <br /> In accordance with�I.S. 13.04, Subd.2, "Ri�lits of subjecu of data", we would like to inform you tha[your requesc <br /> for a permit or license from the Ciry of Orono or any of its 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 for che permit or license requested. <br /> ? You may refuse to supply daca, buc refusal may require that the Ciry deny the perm.it or license. <br /> 3, The informacion may be shared with o[her local, state or federal a�encies co the extent necessary to process <br /> the permit or license. <br /> :�. If your requested permit or license requires Council action co approve, some informacion may beco�e <br /> public. <br /> �, You have certain riQhts under M.S. I3.04 (available upon request) to review private data on yourself. <br /> 6. Your full name is required to process this application or permit. <br /> Finc ytiddla Lasc <br /> Address <br /> Ciry Snce Zip Phone <br /> I underscand my ri�hcs as stated above. <br /> Signantre <br />