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� <br /> y _ � - <br /> Sec.13.04 RIGIiTS OF SUBJECTS OF D:�TA <br /> Subd. 1. Type of data. The righcs of individual on whom the dara is stor:3 or[o be stored shall be as set forth in this secdon. <br /> Subd.2. Information reqirired to be given individual. An icdividual asYcd w supply privam or confidenrial data conceming himsdf shall <br /> be informed of: (a)the purpose and incended use of[he cequesud dam wi3un the colleccing Stam agency,polidcal subdivision,or stacewide rysxem; <br /> (b)wheeher he may refuse oY is legally required to supply che requested dan:(c)any]mown eonsequence arising from his supplying or refusing to supply <br /> privace or conndendal data;and(d)the idendry of other persoas or enades aechorized by state or fede�al[aw to receive the data.:This requirement shail <br /> no[appty when an individual is asked to supply invesdgadve dara,pursvsac co seccon 13.82,subdivision 5, to a law enforcement officer. <br /> 'Ihe commissioner of re�enue mav alace che noace reauirod crd-r this subdivision in che individual income tax or prooem tax refund <br /> instructions inscezd of on those forms. <br /> Subd.3. Aecess to data by individuai. Upon request to a responsible a�choriry,an individual shall be informed whether he is the subject <br /> of scored data on individuals,and whe[her ic is classified as pubtic,privam or confidenrial. Upon his further request,an individual who is the subjecc <br /> of scorni private or public daea on individuals shall be shown the dara wiaouc any c'nar3e to him and;if he desires, shall be informed of the coacent <br /> and meaning of[hac daca. After an individual has been shown�he priva�,dan and in;ormed of ict meaning,the dara need not be disclosed to him for <br /> six mon[hs ehereafcer unless a dispute or acaon pursuanc to[his secdon is pending or addidonal dara on the individual has been collected or creaced. <br /> The responsible auchoriry shall provide copies of the private or public data nYon reques:by the individuai subject of che data. The msponsible authoriry <br /> may require che requesting person to pay the actual cosu of makin¢,cerying,and compiling the copies. <br /> The responsible authoriry shall comply immediacely,if possib(=,wich any rcquest made pursuant to this subdivision,or wi[hin five days of <br /> the date of che requesc,exciuding Saturdays,Sundays and legal holidays,if icamediate compliance is no[possible. If he cannot comply with the request <br /> wirhin chac rime,he shall so inform the individual,and may have an addirional five dar s wichin which to compty wich the request,excluding Satucdays, <br /> Sundays and legat holidays. <br /> Subd.4. Procedure when data ic not accurate or complete. an individual may contest the accuracy or complereness of public or pri�ate <br /> dara concerning himself. To exercise this righ[,an individual shal!nodfy ia wridng cie responsible authoriry describing che namre of the disagreemenc. <br /> The responsible auchoriry shall within 30 days either: (a)correct the dara fcund to be inaccurate or incomplete and attempc to nodfy past recipienrs of <br /> inaccurate or incomplete data, including recipiena named by che individi:J:or(b)codfy the individual that he believes the data to be correcG Data <br /> in dispuc�shall be disclosed only if[he individual's stacemene of disagres�:nc is i�clsded with the d'uclosed dara. <br /> The de�ecminarion of the rasponsible auehoriry may be appealad pursuacc w the provisions of the adminisaarive procedure act reladng to <br /> contested cases. . <br /> DATA PRIVaCY AD�'ISORY <br /> In accordance with M.S. 13.04,Subd.2, "Rights of subjects of da[a", we would like to inform you that your reauest <br /> for a permit or license from the Ciry of Orono or any of iU depar�ents may require you to furnish cenain privace or <br /> confidencial information. <br /> You are notified that: <br /> 1, The information you furnish will be used to de:emune your qualification for the permit or license requested. <br /> 2. You may refuse to supply data, but refusal may require that the,City deny the permit or license. <br /> 3, The information may be shared with ocher loc�l, state or federal agencies to the excent necessary to process <br /> the permit or license. <br /> 4. If your requested permit or license requires Council action to approve, some information may become <br /> . . public. <br /> �. You have certain ri,ghts under M.S. 13.04�(availabie upon requesc) to review private data on yourself. <br /> 6, Your full name is required to process this applica[ion or perm.ic. <br /> J� <br /> Finc Middle �t <br /> �ddress • <br /> Ciry Stace Zip Phone <br /> I understand my riohts as stated above. <br /> �� — <br /> Signacure <br />