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� r <br /> Sec.13.04 RIGHTS OF S[1BJECTS OF DaTA <br /> Subd. 1. Type of data. The righec of individual on whom[he data is stn:�or co be scored shall be as set forth in this secaon. <br /> Subd.2. Information reqirired to be given individual. An ir.dividual asY�w sapply private or confidendal dara conceming himself shall <br /> be informed of: (a)the purpose and in�tnded use of the requesied data v.i�in the collecring State agency,polidcal subdivision,or statewide rystem; <br /> (b)whecher he may refuse oY is legatiy required to supply[he requested daa:(c)any]mown coasequence arising from his supplying or refusing to supply <br /> priva�e or conndenaal data;and(d)the idenary of ocherpersoas orenrides xethoriz:d by state or federal taw to receive the data..This tequiremenc shall <br /> no[apply when an individual is asked to supply invesdgadve daa,puntiac to secdoa 13.82,subdivision S,to a.law enforcemenc o�cer. <br /> 'Iht commissioner of revenue mav place the noace tewimd erd-r this subdivision in the individual income_tax or arooem tax refund <br /> inst�uc�ions ins�ead of on chose forms. <br /> Subd.3. ?iccess to data b�indirzdual. Upon requesc to a r_s;onsible aec*:oriry,an iadividual shall be informed whether he is the subject <br /> of stored data on individuals,and wherher it is class'if'ied as public,privac:or confid�r.rial. Upon his fur[her reques�an individual who is the subjecc <br /> of score�i private or public dara on individuais shall be shown the data wiu ouc any c':3rge to him and;if he desires,shall be informed of the content <br /> and meaning of chac data. After an indiiiduai has been shown the priva��an and i�:oaned of ics meaning,the dara need not be disclosed m him fo� <br /> six months cherea[cer unless a dispute or acdon pursuant to chis secdon is�:nding or addiaoaal data on the individual has been collecced or creaced. <br /> 'Ihe responsibla auchoriry shali provide copies of the privace or public dac�L:on req��es:by che individual subjecc of the data. The responsible authoriry <br /> may requir_rhe requadng person to pay the accuai coscs of makin¢,cer;•ing,ar.d compiling the copies. <br /> 'Ihe responsible auehoriry shall comply immediacely,if possib!_,wich any requesc made pursuant to this subdivision,or wi�hin five days of <br /> the dace of che request,ezcluding Saturdays,Sundays and legal holidays,if ir,.mediac:compliance is not Qossible. If he cannot comply with the request <br /> wichin that ame,he shall so inform the individual,and may have an addi�er.al five da;s wiet►in wtuch to comply wich che request,excluding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. ?.n individuzl may contest the accuracy or completeness of public or private <br /> daca concerning himself. To exercise[his right,an individual shall norify ia wriang ce respoasible authoricy describing ehe nature of the disagreemenc. <br /> The responsible au[horiry shall within 30 days either: (a)correct rhe dan tcund to be inaccurate or incomplete and attempt to nodfy past recipiencs of <br /> inaccurate or incomplete dara, including recipients named by che individi�al;or(b)�odfy the individual tha�he believes the dara to be correcG Dara <br /> in dispuce shsll be disclosed only if the individual's statemenc of disagree�enc is i:c:_3ed wieh[he disclosed data. <br /> 'Ihe decerminarion of the responsible auehoriry may be appea�e�punuaz:to the provisions of the adminisaarive procedure act reladng to <br /> contesced cases. . � <br /> DATA PRN�CY AD�ZSORY <br /> In accordance with M.S. 13.04,Subd.2, "Rights of subjects o;c�ata",we would like to inform you that your reauest <br /> for a permit or license from the City of Orono or any of ia deparments may require you to furnish certain privace or <br /> confidencial information. <br /> You are notified that: <br /> 1, The informacion you fumish will be used to de:ermine�'our qualification for the permit or license requested. <br /> 2. You may refuse to supply data, buc refusal nay require that the City deny the perm.it or license. <br /> 3, The information may be shazed wich ocher loczl, stace or federal a�encies to the extent necessary to proeess <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 rights under M.S. 13.04 (a�ailable upon request) to review private data on yourself. <br /> 6, Your full name is required to process this aoplicacion or perm.ic. � <br /> � <br /> Fin '�fiddle �� <br /> i- <br /> Ad ss �-r� �/1 n /n `,��"/ � ��57 /�/ 7 I"'�Gv <br /> r �IA-c1�� � �� <br /> Ciry State Zip Pho e <br /> I unders '�hts as abov . <br /> �. <br /> Signacu <br />