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� � <br /> Sec.13.04 RIGHTS OF SLIB.TECTS OF D�Ta <br /> Subd. 1. Type of data. The rightt of individual on whom�e dara is stnr�3 or co be stored shall be as set forth in this secaon. <br /> Subd.2. Information req�rired to be givw individual. �,n individual askcd to supply priva[e or confidendal data concecning himself shall <br /> be informed of: (a)the purpose and incended use of the reqnested dam wi�in the collecang State agency,poliacal subdivision,or statewide sysum; <br /> (b)whecher he may cefuse oY is legally required to supply che requested daa:(c)any lmown consequence arising from his supplying or refusing to supply <br /> privace ar confidendal data;and(d)the idendry of ocher persoas or enrides a�chorized by sute or federal law to receive the data..This tequ'uemenc shall <br /> not apply whan an indir•idual is asked to supply invesdgadve data,purru�t[o secaaa 13.82,subdivision 5,co a law enforcement o�cer. <br /> 'Ihe commissioner of re�•enue mav place che noace rewired erder chis subdivision in the individual income tax or orooern tax refund <br /> inscruccions inscezd of on those forms. <br /> Subd.3. Access to data by indi�zdual. Upon tequest to a responsible auchoriry,an iadividual shail be informed whecher he is the subject <br /> of stored data on individuals,and wherher it is classified as public,privac-.or confider.rial. Upon lus fur[her reques�an individuai who is the subject <br /> of scored private or public data on individuals shall be shown che dara wiaouc any c'narge to him and,-if he desires,shall be informed of the content <br /> and meaning of�hac dara. Aftor an individual has been shown the priva:r dac�and ic:ormed of ics mcaning,the dara need not be disclosed to him for <br /> siz monchs rhereaiter unless a dispute or acrion pursuane to[his secdon is canding or addiaooat data on the individual has been collecred or created. <br /> The responsible authoriry sha!!provide copies of the private or public da�a ccon reques:by the individual subject of che dara. The responsible auchoriry <br /> r..ay requir�che requesring person to pay the actual coscs of makin¢,cerying,and compiling the copies. <br /> The responsible au[horiry shall comply immediacely,if possible,wieh any r_quest made pursuant to this subdivision,or wichin five days of <br /> the dac:of the requesc,ezcluding Samrdays,Sundays and legal holidays,if im.mediau-,compliance is not possible. If he cannot comply with the requesc <br /> wiehin that time,he shail so inform[he individual,and may have an addirional Five days within which to compiy wi�h the request,eacluding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data Ls not accurate or eomplete. ?.n individua!may contest the accuracy or completeness of public or pri�•ate <br /> daca concerning himself. To exercise chis ri¢ht,an individual shall nodfy ia wridng�e respocuible au[horiry describiag�he nature of the disagreemeat. <br /> The responsibte auchority shall wichin 30 days eicher: (a)correct the dara fcund to be inaccucate or incomplece and aaempt to nodfy past recipients of <br /> inaccurate or incomplete data, inctuding mcipiencc named by[he individc�l;or(b)codfy the individual thac he believes the data to be correcG Data <br /> ia dispu�e shall be disclosed only if[he individual's stacemenc of disagre:�enc is ir.cl•ided with che disclosed daca. <br /> The de�erminaaon of the rasponsible authoriry may be appeal:d punuanc to[he provisions of ehe admuusaarive procedure act reladng to <br /> concested cases. . <br /> DATA PRIV:�CY ADVISORY <br /> In accordance with M.S. 13.04,Subd.2, "Ri;hts of subjects oi data", we would like to inform you that your reQuest <br /> for a permit or license from the City of Orono or any of i� deparments may require you to furnish certain private or <br /> confidential information. <br /> You are notified that: <br /> 1. The information you furnish will be used to de;ermine rour 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 shazed with other loc�l, stace or federal agencies to the extent 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 cenain ri,Phts under M.S. 13.04 (available upon request) to review private data on yourself. <br /> 6, Your full name is required to process this aoplica[ion or permi[. <br /> Fitst Middle Lasc <br /> Address <br /> Ciry Srate Zip Phone <br /> I und s d my ri hts stated ab e. <br /> ___------ . <br /> - �gnature <br />