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. � <br /> Sec.13.04 RIGi3TS OF SL'B.TECTS OF DaTa <br /> Subd. 1. Type of data. The righ�s of individual on whom the data is stored or to be stored shall be a� set forrh in this secaon. <br /> Subd.2. Information reqirired to be�ven individual- An individual asked to supply private or confidenrial data conceming himself shall <br /> be informed of: (a)the purpose and in�ended use of the requested daca wichia the collecdng'state agency,poliacai subdivision,or sratewide rystem; <br /> (b)whecher he may refuse oY is legally required to sunply[he requested data;(c)any Fmown consequeace arising from his supp..ir.;or refusing to supply <br /> priva�e or conndenoal data;and(d)the ider.::cy o�ocher persoas or endaes auchoriz:d by sta�e or federal law to receive cne data. Ihis requiremen[shall <br /> not apply when an individual is asked:o sspply in�esagadve data, putsuanc to secrion 13.82, subdivision 5, to a law enforcement o�cer. <br /> The commissioner of revenue mav ofa.� che nodce reauired under this subdivision in the individual income tax or ro em raz refur.d <br /> insttucaons instzad of on those forms. <br /> Subd. 3. Access to data by indi�ldual. lipon request to a responsible authority,an individual shall be informed whether he is ch:subjzct <br /> of stored data on individuals,and whecher it is class�ed as public, priva�e or conndendal. lipon his further request,an individual who is the subject <br /> of scored priva�e or public daca on individuals shall be shown the dac3 wi�hout any charge to him and, if he desires, shall be informed o:the cor.:��_ <br /> and meaning of�hat data. After an individual hu been shown the privac�data and�.iormed of iu meaning,the data need not be disclosed ro hirr: - <br /> six months thereafrer unless a dispute or acdon pucsuanc to ehis secrion is pending or addidooal dara on the individual has been collected or creat� <br /> The responsi`ie aurhoriry shall provida copies of�he priva�e or public data upon request by the iadividual subject of[he dara. The responsibie au[hori. <br /> requir^ : requesrirt�person to pay the acnial cosu of makine. cerdfying, and compiling the copies. <br /> i n� ;es�e^r.::.= �^'horiry shall comply immediac�ty, if possible,wich aay reGuest madz punuant to this subdivision, or within five days o; <br /> _a�of�.- .;ses.,excluding Sacurdays,Sundays ana iegai hul:.:avs,ii ir,.^�~�°'-=���=�P�:�.�=:s rot possible. '.:;e :Zanot comply W'"'.'he requ:st <br /> w,cnin[hat dr..a,he shall so inform rhe individual,and may have an addirional fi�e days wi�hin which to comYi; ve:.��he request,excluding�aturdays, <br /> Sur.days and le3al holidays. <br /> Su'-:j.4. Procedure when data is not accurate or complete. An individual may contest che accuracy or compte[eness of public or private <br /> ds�concemu:�himself. To exercise 4his rieht,an individual shall nodfy in wricing rhe responsible authoriry describin;the nacure of the disagreemenc. <br /> ,.:� responsible authoriry shall within 30 days eid:er: (a)correct the data found to be inaccurace or incompiete and attempc to noafy past recipienu of <br /> T ._curace or incomplete data, including recipiena named by che individual; or(b)nodfy the individual that he believes the data to be correcc Data <br /> _: dispuce shall be disclosed only if the individual's sta[emen[of disagreemenc is included winc�he disclosed da�a. <br /> The de�erminarion of the responsible au�horiry may be appealed punuant to che provisions of che administradve procedure act relacing to <br /> centested cases. <br /> DAT� PRIVACI' :�.DVISORY <br /> i_:accordance with M.S. 13.04, Subd.2, "Rights of subjects of data", we would like to ir.'��rm you that your request <br /> for a permic or license from the City of Orono or any of its departments may require you to furnish certain private or <br /> c�nfidential information. <br /> You are notified that: <br /> 1, The information you furnish will be used to detemune your qualification for the permit or license :equested. <br /> ?. You may refuse to supply data, but refusal may require that the City deny the pemut or license. <br /> 3, The information may be shared with other local, stace or federal a�encies to the extent necessary to process <br /> �he pemut or license. r �^�• <br /> 4. Ir your requested permit or license requires Co�cii action to appro��e, some i�_�..____ton may beco�e <br /> public. <br /> �, You have certain ri�hts under M.S. 13.04 (available upon request) to review private data on yourself. <br /> (, Your full name is required to process this application or perm.it. <br /> ��d�z Last <br /> First <br /> Ac'.d ress <br /> State Zip Phone <br /> City <br /> I under tand my ri� stated above. � <br /> , ' �i�V <br /> Si a re <br />