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-,. -,,.. <br /> Sec.13.0�i RIGHTS OF SUBJECTS OF DaT?, <br /> Subd. 1. Ty�pe of data. The rieha of individual on whom[ha data is sto:`3 or to be stored s::all be as set forch in this secdoo. <br /> Subd.?. Informadon reqirired to be given individual. �1n iadi�•idual ukc3 to supply priva�or confidenrial data concerning himself shall <br /> be informed of: (a)che purpose and iacended use of the requesud dara a:�ia the coll�cring'state ageecy,poliacal subdivision,or sratewide system; <br /> (b)whe�her he may refuse o1-is legally required to supply�e requested daa;(c)any l�own coasequeace a::sing from tus supplying or refusing to supply <br /> privace or conndenrial data;and(d)the idendry of oeher persons or enrides ze�horiz_d 5y sute or fzderal 1a•::to rceive the data. This requiremeoc stiall <br /> not apply when an individual is asked to supply invesaeadve dara,purs�.:to seccoa 13.82,subdivisioa�, co a law enforcemenc o��er. <br /> 'Ihe commissioner of r�venu� r�av place the nodce RQllIRd L'('��r chis subdivision in the �div:dual ir.come tax or propem_rax refund <br /> instructions instead of on�hose forms. <br /> Subd. 3. ?,ccess to data bp indi�idual. Upon request to a r_s�easible ae�^.oriry,an individual shall be informed whether he is the subject <br /> oF scored data on individuals, and whecher it is classified as public, priva4 or confid�naal. Upon his fur-�.e:requesc, an individual who is the subjecc <br /> of srored private or public dara on individuais shall be s�own the dara wi�out any ci�rge to him and,-ii�desires, shall be informed of the concen� <br /> and meaning of�hac data. Aftzr an individual has been shown che priva��a3 and i:.iormed of ics meani=g,che dara need not be disclosed to him for <br /> six monchs chereaiter unless a dispute or acrion pursuanc co [his secaon is�:ading or addiaonal data oa ce individual has been collected or crea�ed. <br /> The responsible authoriry shall provide copies of[he privace or public daca L�on reqaes:by[he ir.dividu:l s�b;rc of the daca. The responsible authoriry <br /> may requir� rhe requescing per5on to pay the actual cos�s of making, cer�:ing,and compiling the copiu. <br /> The responsible authoriry shall comply immediacaly, if possiola.���irh any r`quesc madz purs��.�._::o chis subdivision, or wi�hin five days of <br /> the dat�of[he reques[,excluding Saturdays,Sundays and leeal holidays,ii is.mediate compliance is not Fossible. If he canno[comply with the request <br /> wichin chac cime,he shall so inform che individual,and may have an addicer.a!Fivc days within which to compiy wich the request,ezcluding Saturdays, <br /> Sundays and legal hotidays. <br /> Subd.4. Procedure whea data is not accurate or complete. an individual may contest the zccnracy or completeness of public or pri�•ate <br /> data concerning himself. To exercise�his rieht,an individual shall norify ia�r�•riang d:�rsponsible author.cy describing che nacure of the disagreement. <br /> The responsible authoriry shall wichin 30 days either: (a)correct the dae icund to be inaccurate or incoaDleu and attempt to nodfy past recipiencs of <br /> inaccura�e or incomplete data, inciuding recipients named by the individ���i;or(b) �oafy the individual -�.:t he believes the data to be coaec[. Data <br /> in dispu�e shall be disclosed only if the individual's statemeat of disagre:�_nc is L.c:nded wi[h the disc'.��d data. <br /> Tt�e de�erminarion of the rzsponsibte authoriry may be appea�=�punuan:to the provisions oi c�e adminiscrarive procedure act relaang to <br /> contested cases. <br /> DATA PRIV:�CY AD�ZSORY <br /> In accordance with M.S. 13.04, Subd.2, "Ri�hts of subjeccs oi data", we would li.ke to inform you that your reauest <br /> for a permit or license from the Ciry of Orono or any oI i*s depar�.�.ents may requ�:� you to furnish cenain priva�e or <br /> confidential information. <br /> You are notified that: <br /> 1. The information you fumish will be used to de�rmine��our qualificatien for the permit or license requested. <br /> 2, You may refuse to supply data, but refusal nay require that che Ciry deny the permit or license. <br /> 3. The information may be shared with o[her locZ, stace or federal a�encies to the extent necessary to process <br /> the pernut or license. <br /> 4. If your requested permit or license requires Council ac[ion to appro�-e, some information may become <br /> . public. <br /> �. You have certain rights under N1.S. 13.04 (a•:ailable epon request) to review private data on yourself. <br /> 6. Your full name is required to process this applica�ion or perm.i�. <br /> First �tiddle Last <br /> Address <br /> Ciry Stace Zip Phone <br /> I understand my rights as stated above. <br /> n � <br /> `/ � <br /> Signacure <br />