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. .� <br /> . � <br /> Sec.13.04 RIGFITS OF SUBJECTS OF D�TA ' <br /> Subd. 1. Type of data. The righct of individual on whom[he dara is srorcd or ro be scored shall be as set forch ia chis secaon. <br /> Subd.2. Information reqwired to be given indlvidual. An individual asked to supply private or confideadal daca concerning himself shall <br /> be informed a,`: (a) the purpost and incended use of the rcquuud dara wichin the eollecdng Satc ageary,poliacal subdivision,or scacewide rysum; <br /> (b)whecher he taay refuse or is.legally requir_d to supply che requesc:d data;(c}any fasown coasequeece arising from his supplying or refusing to supply <br /> privace or conndeaaa.!dara;and(d)�he idenary of other peaoas or enodes au�horized by st�ce ar federal law to receive cfie data. This requiremeat shall <br /> not apply when an ir:dividual is asked to supply invesagadve daa,pursuanc ro secaon 13.82,subdivision 5, w a law enfocccment officer. <br /> 'fhe ee:-�miszioner of revenue mav via:� che nodc- r_�uir_d under this subdivision in the individual income eiz or orovectv taz refund <br /> inscrucdons inscead of on chos�forms. <br /> Subd. 3. ?ucess to data by individual. Upon requuc to a rzsponsible authoriry,an individual shall be informed whether he is che subject <br /> of stor_d dan on individuals,and whecher it is classified as public,Qrivat:or conFdtndal. Upon his further cequest,an iadividual who is the subje:c <br /> of stored privace or public dam on individuals shall be shovm ehe dara wichout any charge to him and;if ht desues,shall be infocmed of che contenc <br /> and meaning of chat dara. Afrec an individual has been shown che privare dars and informed of ie�meaaing,the data need not be d'uclosed ro him for <br /> siz mon[hs thereafter unless a dispute oc acdon punvanc to this secdon is pending or addirioaal dara on the individual has been coilecc:d or erea�ed. <br /> The responsibie au�harity shall providt copies of the privat.;or public daca upon request by the individual subject of the dam. The responsible authoriry <br /> may requir_ rhe r_quesang peaon to pay the accual eoscs oi making,eerrifying,and compiling�he copies. <br /> The responsible auchoriry shall comply immediateiy,if possible,with any request made pursuant to this subdivision,or within five days of <br /> the dace of�he request,excluding Saturdays,Sundays and legal holidays,if immediace compliance is noc possible. If he cannot compty with the requesc <br /> within�hat dme,he shall so inform the individual,and may have an addirioaal Five days wichin which to comply wich the request,ezcluding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or eomplete. An individual may contost tht accuracy or eompteteness of public or private <br /> data cotsceming himself. To ezercise[his righe,an individual shall norify in wriring ehe responsible au�horiry describing the nature of the disagreemeac <br /> The responsible au[horiry 5hall within 30 days either: (a)correct cha data found to be inaccurac�or incomple[e and aaempc to nodfy pasc recipiencs of <br /> inaccurate or incomple�e data, induding cecipienes named by che individual:or(b)aodfy the individual that he believes the data to be correce. Data <br /> in dispuce shalt be disclosed only if the individual's scatemenc of disagreem:nt is includcd with the disclosed data. <br /> 'Ihe determinaaon of the rtsponsibla au�horiry may be appealed pursuant to the provisions of tht adminisaarive procedure act relating to <br /> contesud cases. • <br /> DATA PRIVACY ADVISORY <br /> In accordance wich M.S. 13.04, Subd.2, "Ri�hcs of subjects of data", we would like to inform you that your request <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 /> confidential information. <br /> You are notified that: <br /> 1. Zhe information you furnish wi11 be used to determine your qualificatioa for the perm.it or license requested. <br /> 2. You may refuse to supply data, but refusal may require that the City deny the permit or licease. <br /> 3. The information may be shared with other local, state or federal a�encies to the e�tent necessary to process <br /> the permit or license. <br /> 4. If your requested perm.it or licease requires Council action to approve, some information may become <br /> public. <br /> 5. You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself. <br /> 6. Your full name is required to process this applicatioa or permit. <br /> ��-{J��t f' >Q� ��Z S� �� <br /> Firsc �tiddle Lasc <br /> �ZS l-f���t�t��l2 t/ f-�1 �� <br /> Address <br /> �/�'� �-�$K� �ri� :�.2;�� �l� �'��53 . <br /> Ciry Sa�e Zip Phone <br /> I understand my ri;hts as stated above. <br /> - ,.�� � . .. ,���'� <br /> s����, <br />