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, � � <br /> Scc.13.04 RIG117�S OI�SlII3JECTS O1�D;�T:� <br /> tiuhd- I. �I�c��e of data. Thc rights of individual on���hom the dltn is storcd or to be s[ored shall be as set Ibrth in this section. <br /> Suhd-2. Infonnt�tion reyuired to b�given individual.An individual asked to supply private or confidentitd data conceming himsclfshall bc <br /> in�brmed of. (a)the purposc and intended use of Uie requestcd data�vithin the collecting stnte agency,political subdivision.or state�vide system:(h) <br /> �chether he may rel use or is Iegully required to suppl��the requested data;(c)�ny known consequence arisine(�om his supplyine or refLsing to suppl�� <br /> nri��ate or cont identi,il dcita;and(d)the identity ofother persons or cntities authoriud by state or fcderal Inw to receive the data. 'fhis reyuiremcntshall <br /> not apply�vhen an indi��idu��l is askcd to supply investigative data.pursuant to section 13.82,suhdivisiun�,to n I�iw enforcement oll�iccr. <br /> fhc commissioner of rcvenue ma�°qlace the notice reyuired under this subdivision in the individu�l income t�»or oro»ertv ri�rcfund <br /> instructions instead of on those forms. <br /> Subd.�. Access to data by individual. Upon requestto a responsible authority,nn individual shal I be intbnned whether he is dic subject ol <br /> stored data on individuals,and whether it is clttssit icd us public_privute orconfidential. Upon his furUier request,an individunl�vho is the subject ol <br /> stored private or public data on indi��iduals shall be slwwn the datti without cinv charee to him and.if he desires_shnll be intbrmed of the content and <br /> mcanini of that data. niter,in individual h.�s bcen sho�an the privatc data and inlormed ol'its menning_the data need not be disdosed to him�or six <br /> nwnths there.dter unless a dispute or action pursuant to this section is peiiding or��d�itional data on tlic individual hns been collected or cre�ted. l�he <br /> responsible�wthorit}�sh�l I pruvide copies ol thc private or public data upon reyuest by ihe individual subject of the dlta_ 'I'he responsible,wthorih� <br /> may require the requesting person to pay the�clual costs of makine_certif}�ing_,md compiling the copies. <br /> l'hc responsible authoriry shall camply immcdiately,ifpossible,with an}�request m�de pursuant to this subdivisiun,or within five d����s ol <br /> the dute ofthe reyuest.c�cludine Saturdn��s,tiundays and Icg�l holid�ys.if immediate compliance is not possible. If he cannot comply with the requcst <br /> witl�in th�t[ime,he shnll so infomi the individual,and may have an additional Ilve d�ys within which to comply n�ith the request,e�cluding St�turdays, <br /> Sundays and legul holiduys. <br /> Subd-�. Procedurewhendataisnot.iccurateorcompletcAnindividualmaycontesttheaccuracyorcompictenessofpublicorpriv�tedat.� <br /> concernine himsdC To esercitiethis right,�n individual shall notif���in�vritine the responsible�wthoriq�describingthe natureol�thedisaercement �I�he <br /> responsible nudiorih�shall���ithin 30 da��s either (u)currect the��ita found tu be inaccurate or incomplete and�utempt to notilj�past recipicnts u( <br /> inaccurnte or incomplete d,ua,includin�recipien[s named by the mdividtt�l:or(b)notify the individull that'he believes the data to be correct. lluta in <br /> dispute shall be disclosed onlv iftl�e individuaPs statement of disaereement is included with the disclosed datn. <br /> fhc dcrermination ofthc responsihle�wthorirv mn��he.ippe;iled punuant to the provisions ol the�dministrtitivc procedurc act r��l.itin��to <br /> contested cais�s. <br /> DATA PRIVACti' ADVISORY <br /> In<<ccurdance���ith M.S. I�.O1.Subd.2."Rights ofsubjects ot�data".���e���ould liketu inform��ou that vour request <br /> I��r a��ermit c>r license (i-om the Cily��f Oruno or any��f its de�artmei�ts may reyuire you to fw�nish cerC�tin private or <br /> confidential inlbrm�ition. <br /> You arc notificd that: <br /> I. fhc inibrm�ition you furnish �vill be uscd to determine your qualilicution �or the permit or license <br /> requested. <br /> 2. You may� rel�usc tu sup�ly datn. but refusal ma�� rcquirc that U�e City deny the permit or license. <br /> 3. �I'hc inlormation may be sharcd �vith uther IocaL slute or lcderal agencies to the cztent necessar�° �o <br /> �rocess the permit or license. <br /> 4. I I����iur rcqucsted ��ermit or license reyuires Council action to a��pruve. some intbrm��tion ma�� hecome <br /> ��ublic. <br /> �. You have certain righls�mder M.S. 13.04(av�ilable upun request)to review private data em yow�scli�. <br /> 6. Your l�ull namc is rcyuircd to process this application or permit. <br /> �, <br /> • �. <br /> First ���ljc�dlc ` 7 L:�st <br /> ., ��rC� �i'�c� r�=�;:��r�N <br /> �da�•�,O`�/ �/ � .5- " <br /> C <br /> ` .... <br /> �/ �9�/y�� ( . C.� <br /> (�ity �J���ISL� ' � titatc � 'l.ip / � /� Phone���,�'—��2���e�`� <br /> 1 understand �ny rights as stated above. <br /> Signahu•e / <br /> �� <br /> �'i.C�et ht)il'i�l i� <br />