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r <br /> �L <br /> Sec.13.0.t RIGHTS OF StTBJECTS OF D�Ta <br /> Subd. i. Type of data. 'Ihe righrs of individual on whom t�e data is stor_3 or to be atored shall be as set forth ia this secaon. <br /> Subd.2. Information reqirired to be given individual. r1n ir.di�idual asYed w supply privace or confidendal dara concerning himself shall <br /> be informed of: (a)the purpose and iatended use of the requesud data wi�ia the eollocdng§tate agency.paliacai subdivision,or sratewide rysum; <br /> (b)whecher he may refuse oY is legally required to supply[he requested dat+:(c)any 1^aowa eonsequeace arising from his supplying or refusing to supply <br /> priva�e or conndendal data;and(d)the idendry.of ocher persons or enddes aechorized by srate or federnl law to roceive the data..This requiremen�shaIl <br /> noc apply whan an individual is asked to supplv invescigadve dara,pursu+^t co secaoa 13.8?,subdivision 5,co a law enfoccemeat o�cer. <br /> The commissioner of revenue mav alace the norice R011IRd L'CC�-r this subdivision in the individual 'v:come tax or propem tax refund <br /> instructions inscead of on chose forms. <br /> Subd.3. ?.ccess to data by indirzdual. Upon requcsc to a rssroasibk aechoriry,an individual shall be informed whether he is rhe subject <br /> of stored data on individuals,and wheche�it is classificd as public,privac:or confidecrial. Upan his further request,an individual who is the subject <br /> of score�i privace or public dara on individuals shall be shown[he data wi:�.out any c'n�*;e to him and;if he dasires,shall be informed of[he contenc <br /> and meaning of chac data. Aftzr an individual has been shown the priva�Can and ic:ormed of ics meaning.the dara need not be disclosed to him for <br /> six months thereafcer unless a dispute or acdon pursuanc to this secdon is��nding or addidonal data on the individual has beon collecced or creaced. <br /> The responsible authoriry shall provide copies of the private or public dac�a:on requ�:by che individual subject of che dara. The responsible auchoriry <br /> may requir�rhe requesdng person to pay the actual cosc�of makin¢,ce,=:;ing,and eompiling the copies. <br /> The responsible auchoriry shall comply immediacely,if possib!_.wich any r_quest made pursuant to[his subdivision,o�wichin five days of <br /> the date of che requesc,exciuding Saturdays,Sundays and tegal holidays,ii ir..mediace eompliance is not passible. If he cannot comply with the request <br /> wi�hin chac time,he shall so inform the individual,and may have an addice:.al five days wict►in wtuch to comply wich�he request,excluding Saturdays, <br /> Sundays and legat holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An indiviZual may contest the accuracy or completeness oF public or pri�ate <br /> dara concerning tiunself. To exercise chis righ�,an individual shall norify ia wriang d;e responsible authoriry describing�he nature of the disagreemeac. <br /> The responsible auchoriry shall wichin 30 days either: (a)correct�he daa icvnd to ba inaccucate or incomplece and aaempt to noafy pasc recipien�t of <br /> inaccurate or incomplete data,including recipients named by the individi:al;or(b)eodfy the individual thac he believes the data to be cacrecc. Da[a <br /> in dispuce shall be disclosed only if the individual's sta�emen�of disagree�enc is ir.clndad wi[h the d'uclosed dara. <br /> The decerminarion of the rtsponsible authoriry may ba appea:cd pursuact to che provisions of tht adminisaarive procedure act nlaang to <br /> contes�ed cases. . � . � <br /> DATA PRIV:�CY AD�'ISORY <br /> In accordance wich M.S. 13.04,Subd.2, "Rights of subjects oi c�ata", we would like to inform.you that your reauesc <br /> for a permic or license from the Ciry of Orono or any of ia deparWents may require you to furnish certain private or <br /> confidencial information. <br /> You are notified that: <br /> 1, The information you fumish will be used to de:emune�'our qualification for the permit or license requested. <br /> Z, You may refuse to supply data, but refusal nay require that the City deny the permit or license. <br /> 3, The information may be shared wich ocher loczl, state or federal a�encies to the excent necessary to process <br /> the permit or license. <br /> 4. If your requested permit or license requires Council accion to approve, some information may become <br /> . . public. <br /> j, You have certain ri;hts under M.S. 13.04 (a�ailable upon reques[) to review private data on yourself. <br /> (, Your full name is required to process this aoplicacion or permic. � <br /> Firsc �fiddle �� <br /> Address • <br /> Ciry Scate Zip Phone . <br /> I understand my ri�hts as stated above. <br /> � <br /> Signacure <br />