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. . <br /> Sec.13.Q-i RIGHTS OF SUBJECTS OF DATa <br /> Subd. l. Type of data. The righcs of individual o¢whom�e daca is sto:�or co be scored s*..all be as set fonh in this secaoa. <br /> Subd.2. Information reqirired to be givm individual. An icdi�idual ukad tn suppiy priva�:or confidendal daca concecning himsdf shall <br /> be informed of: (a)che purpose and incended use of the requesud dam wi�in the collecang Snre agenry, poliacal subdivision,or satewide rysum; <br /> (b)whecher he may refuse oY is legally required to supply che requesced dats:(c)any I�own eonsequence arsing from his supplyiag or tefusing to supply <br /> private or conndentiai data;and(d)the idendry of other petsoos or endries xecharized by s�ate or(ederal law to rcceive the da[a..This requiremcnt shall <br /> noc apply whan an individual is asked co suppty invesagadve dan,pursu=^c to seccoa 13.82,subdivision 5, to a law enforcement o�cer. <br /> 'Iha commissioner of rs�•enue mav place the nodce rewired erd•r this subdivision in �he ir.dividual income tax or pro�em tax refund <br /> in:cructions instead of on chose forms. <br /> Subd.3. Access to data br•indi�idual. Upon requesc to a r_s:oasible a��oriry,an individual s5all be informed whether he is the subject <br /> of stored daca on individuals,and wheeher it is classif'ied as public,privae:or con6decrial. Upon ivs fur�er requesc,an individual who is the subjecc <br /> of scoce3 private or publie da�a on individuals shall be shown�he dara wi�.out any c'rurge to hici and;if he desires,shall be informed of ehe concenc <br /> and meaning af chac daca. After an individual hu been shown�he priva�taca and iL.'armed of i�s meaai:.3.the data need not be disclosed to him for <br /> six mon�hs ehereaicer unless a dispuce ar acrion pursuanc to chis secdon is}cnding or addidonal data on�e individual has been collecced or crea¢d. <br /> 'Ihe responsible auchoriry shall provide copies of the privace or public dac�c;on reques:by[hq ir.dividual s.:bject of�he daca. The responsible authoriry <br /> may require �he requesring person to pay the acaal coscs of makin¢,ce.=:�ing,ar.d eompiling che eopia. <br /> The responsible au�horiry shall comply immediately,if possible,wieh any r_quesc made pursuant to this subdivision,or wichin five days of <br /> the da�e of ehe reques�,eactuding Saturdays,Sundays and legal holidays,if ir,.medizce complianc:is not possible. If he cannot comply wich the request <br /> wtchin�hac ame,he shall so inform ct►e individual,and may have an addi2e;.a1 five da;s wirhin wtuch to compty wi�h the request,exctuding Saturdays, <br /> Sundays and lcga[holidays. <br /> Subd.4: Procedure when data is not accurate or camplete. :3n indivi�ual may cor.tesc cha accuracy or completeness of public or pri�ate <br /> daca conceming tiunself. To exercise chis ri¢ht,an individual shall noafy ia wriang ce responsible author.ry describing che nature of the disagreement. <br /> The responsible au�horiry shall within 30 days ei[her: (a)correct the da�fcund to�e in�ccurate or incoa:plete and attempt to nodfy past cecipients of <br /> inaccurate or incomplece data, including recipient�named by the individ�i:or(b)�odfy the individuxl tac he believes che daca to be cocrect. Data <br /> in dispu�e shall be disclosed only if ehe individual's sca�ement of disagree�:nc is�.c'�:dcd with�he disc;oscd dara. <br /> Tfie decerminarion of the respo�sible authoriry may be appea::�pursuac:to the provisions of[he administrarive procedure act relaang to <br /> contesced cases. . ' � <br /> DATA PRIV�CY AD�ZSORY <br /> In accordance with M.S. 13.04, Subd.2, "Rights of subjects oi�ata",w•e would like to inform you that your reouest <br /> for a permic or license from the Ciry of Orono or any of ia deparLL.ents may require you co furnish certain privace or <br /> confidencial information. <br /> You are notified thar. <br /> 1, The informa[ion you furnish will be used to de:zrmine�•our quzlification for che permit or license requested. <br /> 2. You may refuse to supply data, buc refusal nay require that the Ciry deny the permit or license. <br /> 3, The informatioa may be shared with other loc�l, state 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 certain rishts under M.S. 13.0� (a�ailable upon request) [o review�private data on yourself. <br /> 6, Your full name is required to process chis ao�licacion or permi�. � <br /> Firsc Middle Lasc <br /> Address • <br /> �iry, S�a�e Zip Phone <br /> I un rs and my ri;hts as stated above. <br /> � <br /> Signature <br />