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� <br /> Sec.13.0� RIGHTS OF SLBJECTS OF D�TA <br /> Subd. 1. Type of data. The rights oi individual on whom thz data is scored or to be stored shall be as sec forth in chis secaon. <br /> Subd. '_. Information required to be�ven indicidual. ?.n individual asked co suppiy priva[e or conndenaa!dac�concerning himself shall <br /> be informed of: (a) [he purpose and in�nded use of the requesced data wichin ehe cotlecang'state agency, polidcal subdivisioo, or sracewide rystem; <br /> (b)whe[her he may refuse or is legally cequired co suopiy[t�e requesud dat�;(c)any Irnown consequence arising from his supplying or refusing to supply <br /> privace or confidendal dara;and(d)[he idznacy of ocher persoos or enodes authorized by stace or federal law to receive the data. This requirement shall <br /> noc apply when an individual is asked to supply invesagadve data, pursuan�to section 13.32, subdivisioa�, co a law enforcement o�cer. <br /> The com.�nissioner of reve ue mav olac� �Z� rotic� r�auired under �his subdivision in the individual income tas or vropem taz reiund <br /> instructions inscead of on those forms. <br /> Subd. 3. �ccess to data by individual. I:pon request to a responsible authoriry,an individua!shal]be in2ormed whecher he is the subject <br /> oi stored data on individuals, and whecher ic is ciassitied�s public, pnvace or contidzndal. Upon his fur�er request, an individual who is che subjec� <br /> of scored privace or pubtic data on individuals shall be shown ch�data wichouc any charge co him aad, if he desires, shall be informed of the conten[ <br /> and meaning of rhat data. .�her an individual has been shown che pnvate daca and informed of i�s meaning, the data need not be disclosed to hun for <br /> six monchs ehereaiter unless a dispuce or acaon pursuan�co chis secnon is pending or addinooa!da�a on che individual has been co(lecced or creaced. <br /> The responsible aurhoriry shall provide copies or�he pri�•a�e or public da�a upon reques�by che individual subject ot che dara. The responsible au�horiry <br /> may require che requesdng person to pay the accual cosu of making. cerdfyin¢, and compiling rhe copies. <br /> The responsible authoriry shatl comply immedia[ely, if possib(e, wi[h any request made pursuant to this subdivision, or within five days of <br /> the date of the request,excluding Saturdays.Sundays and leeal holidays, if immediate compliance is no[possible. If he canno[comply wittt the request <br /> within chat time,he shall so iniorm the individual,and may have an addiaonal tive days within which to comply wi[h�he reques[,excluding Sacurdays, <br /> Sundays and Iega! holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individual may co�[est the accuracy or completeness of public or private <br /> data conceming himself. To exeFcise�his right,an individual shall noti"ry in wri�ing the responsibfe authoriry describing[he oature of the disagreement. <br /> The responsible authoriry shall within 30 days eicher: (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipients of <br /> inaccurate or incomptete data, includine recipienes named by che individual: or lb) noary the individual cha[he believes the data to be correct. Dara <br /> in dispute shall be disclosed only i[the individual's statemenc of disaereement is included wi[h the disclosed data. <br /> The determination of the responsible au[horicy may be appealed pursuan�ro rhe provuions oi[he adminisa-adve procedure ac[ relating [o <br /> contesced cases. <br /> DAT� PRNACY aDVISORY <br /> In accordance with;V1.S. li.04, Subd. 2, "Rights of subjects of data", we wouid like to iniorm you that your request <br /> for a permi[ or license from che City oi Orono or any of ics depanments may require you to furnish certain private or <br /> confidencial information. <br /> "Iou �ue :,ocitied that: <br /> 1. The information you furnish will be used to decermine your qualification for the perm.it or license requested. <br /> 2. You may refuse to supply daca, but refusal may require that the City deny the permit or license. <br /> 3. The information may be shared wi�h o[her local, s[ate or federal aQencies to the extent necessary to process <br /> the permi[ or license. <br /> 4. If your requested permit or license requires Council action to approve, some information may become <br /> public. <br /> 5. You have certain ri�hts under �f.S. 13.04 (available upon request) [o review private data on yourseif. <br /> 6. Your full name is required [o process this application or permit. <br /> . `L�..�r�'Tt'��'�'►'�.> �',�L �..L�S��`�-----(r-1 <br /> First l-tiddlt �� <br /> � l T V ��v�7`'�E.:SL"�� ..y/�.l liC� - <br /> .4ddress <br /> 5(-�,(���; Ezv iZ9�� 5S/ �-�, ���5'b�v/�� <br /> C�ry Sta[e Zip Phone <br /> I under d rights as stated a�bove. <br /> ��� <br /> ��' �'� �J � <br />