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Sec.13.04 RIGFiTS OF SUB.TECTS OF D:�Ta <br /> Subd. l. Type of data. The righcs of individual on whom�e daca is sco:�or to be scnrcd shall be as set for[h in this secaon. <br /> Subd.2. Information reqtrired to be givm individual. .1n icdi�idual uk�to supply privac,.or confidendal data concecning himself shall <br /> be informed of: (a)ehe purpose and incended use of[he requesr.ed dara wi�in the collecang Sa�e agenry, potidcal subdivision,o�statewide ryscem; <br /> (b)whecher he may cefuse oY is legaily required to supply ehe requesced dae:(c)any Icawa coasequ:nce arsing from his supplying or refusing to supply <br /> priva�e or conndential data;and(d)the idendry of ocher persoas orenddes xe�horizr.d by scatc ar federal law to receive the daca..This requiremen[shall <br /> noc apply when an individual is asked to supPly invesdgadve data,pursu+:c[o seceoa 13.82,subdivision S,to a taw enforcemeac o�cer. <br /> The commissioner of re�•enue mav place the noricc rcwircd �rd•r this subdivision in thc ir.dividual income tax or propem tax refund <br /> in:truc�ions instead of on those forms. <br /> Subd.3. access to data bp indi�idual. Upon reques�to a r_s;oosible aechoriry,an individual shall be informed whe�her he is the subject <br /> of stored data on individuals,and whethec i[is class'if'ied as public,privac�or confider.dal. Upon his fur�:`.er requesc,an individual who is the subjeu <br /> of scorod privace or public dara on individuals shall be shown che daca w•i�ouc any crt,�e to hi�and:if he desires, shall be informed of[he concent <br /> and meaning of cha[daca. After an individual hu been shown che priva�2art and ic.`armed of ics mean�3,the daca need not be disclosed W him fo� <br /> six monehs ehereaiter unless a dispute or acdon pursuanc to this secdon is F:nding or addiaonal data on t�e individual has been colleceed or created. <br /> The responsible auchoriry shall provide copies of the private or public dac�eron reqios:by ehe.ir.dividual s.:bject of ehe data. The responsible au[horiry <br /> may require ehe requesting person to pay the acmal coscs of makin¢,ce.=:;ing,az:d eompiling the eopia. <br /> 'ilte responsible authoriry shall compiy immediacely,if possible,wich an}•rquesc made pursuant to this subdivision,or wichin five days of <br /> the da�e of che requesc,excluding Sanirdays,Sundays and lega!holidays,if is.mediace compliance is not possible. If he carwot comply with�he request <br /> wichin chat dme,he shall so infocm ehe individual,and may have an addice;31 five da:s wiehin which to co:aply with the request,excluding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4: Procedure when data is not accurate or complete. ?.n indivituxl may concest�he accuracy or completeness of public or pri�•ate <br /> daca conceming himself. To exercise�his ri¢ht,an individual shall nodfy ia wridng ce responsible author.ry describing ehe nature of the disagnemeat. <br /> The responsible auchoriry sh�ll wichin 30 days eithec: (a)correce the da�icund to be inaccurate or incomplete and attempt to nodfy pase reeipienes of <br /> inaccurate or incomplete data, including recipients named by che individil;oc(b)�oafy the individual tsat he believes the data to be cocrect. Data <br /> in dispu�e shall be disclosed only if[he individual's statemeat of disagre��:nc is�.c:�:ded wi[h ehe discloscd data. <br /> Tlie decerminadon of the responsible authority may be appea:e�pucsuac:to the provisions of the administrarive procedure act reladng to <br /> contes[ed cases. . ' � <br /> DATA PRIVaCY AD�ZSORY <br /> In accordance with M.S. 13.04,Subd.2, "Rights of subjects oi c�ata",w•e would like to inform you that your reauest <br /> for a pemut or license from the City of Orono or any of i� dep,r::�.ents may require you to furnish certain privace or <br /> confidential information. <br /> You are notified that: <br /> 1, The informacion you furnish will be used to de:ermine�'our qu�lification for the 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 information may be shared wi[h other loc�l, state or federal agencies to the excent 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 /> . . pubiic. <br /> �, You have certain righcs under M.S. 13.0� (a�ailable upon request) to review�private iiata on yourself. <br /> (. Your full name is required to process this applicacion or permi[. � <br /> Firsc �Siddle Last <br /> Address . <br /> Ciry State Zip Phone <br /> I underst d my ri;hts az scated above. <br /> � �� <br /> Signature <br />