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� * <br /> Sec.13.0-i RIGHTS OF SL'BJECTS OF DaT� <br /> Subd. 1. Type of data. Zhe ri¢hc�of individual on whom tie data is s�:_3 or to be scored shall be�s se�forth in c:is secdoo. <br /> Subd.2. Information reqirired to be given individual. An ir.c'i�-idual asY�to supply privat�or confide��al dara co�cerning himseif sball <br /> be informed of: (a) [he purose aad inccnded use of�he requestcd dara wi�in[he eolI�cring'state a;ency,poliacal s.s�division,or statewide rysum; <br /> (b)whechcr he may rfuse oT is legalIy requir.d co supply ehe r.quested dza;(c)any Ico•xa eoasequence arising froa h:s supptyiag or refusing to supply <br /> pmam or conndendaI da�.;ar.d(d)the idendry of ocher persoas orendees zechoriz-d by sra�e or federal law ro r_ceive[�o data..'Ihis requuemeac s6ail <br /> r.o[apply whan an ir.dividual is asked to supply invesdeadve daa,purs�.:to seccoa 13.82, subdivision 5, to a law e:iforemeac o�cer. <br /> 'Ihe commissioner of rvenue mav olace the norce r-ouired �^�-r this subdivision in the individual i^.come tax or orovem �x rcfur.d <br /> inscruc�ions inscead of on ct:ose forms. <br /> Subd. 3. ?,ccess to data by indi�-idual. Upon requa�to a r_s:orsibit ae�.oriry,an iadividual shall be i�oraed whe;!:er he is th�s�bjecc <br /> of scor-d data on individu:ls, and wheche�ic is classified as public,priva�or confidor.aal. Upon his furcher reques:, aa individnal who is the scbjeu <br /> of srored priva�e or public dara on individuals shall be shown�he da�a wi�ou�any c:.arge to him and,'if he desires,shall be i:.:o�ed of che concen� <br /> ar.d meaning of�ha�daca. Af:=r an individua!has been shown�he priva��=�and iL:oc�ied of ics m:aniag,che dzc�ceed not be disclosed to tiim for <br /> sis mor.;hs Q:a:ea[cer uriless a dispu[e or acdon purauanc to chis secdon is�er.ding o;addidoaal da�a on the individ�,:�'6as been collece..d or crea�d. <br /> The responsible aud:oriry shal!provide copies of the privace or public da�Lcon req�!es:by che individual subjec�of t.e daca. Tr.e responsible au;horiry <br /> may requir_ che requesring person to pay the accual cos�s of making,cer;:ing, ar:d eompiling the copies. <br /> The responsibl�au4'�oriry shall comply immedia[aly,if possiole.wich any r_quesc mada pursuant to this s�`_division, or wichin five days oi <br /> th�daco of che request,ezcluding Sacurdays,Sundays and Iegal holidays,i;ir..mediz�e compliance is not possible. Ii�=cannot comply with the r_qu:st <br /> wichin that C:ae,he shall so inform che individual,and may have an adCi�er31 five da:s wi�hin which to compiy wicy�,i:request,ezcluding Saturdays, <br /> Sur.days and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. �n individu:l may contest che accuracy or cemplerer.zss of public or pri�•a�e <br /> daa conceming himself. To execcise chis righc,an individual shaft no6Fj ia wrian;ce rsponsible authoriry describi:g 4`�e na:ure of the disagr_emen�. <br /> The responsibla au�hor.cy s;��l(within 30 days eirher. (a)corrct the dae icand to ba inaccurate or incomplete and a�ampe to nod,'y past rcipiencs oE <br /> inaccu�re or incomplece dzW, including recipiencs named by�he indivi�.:ai;or(b) �odFj the individual thac he belia•:es the daca to be coaec� Dara <br /> in dispum shsll be disctosed only if che individual's starement of disagree�ent is inc:_ded with�he disclosed da�. <br /> Ttie dzcerminarion of che rosponsible authoriry may bz appea:a�pursu:.z;.o the provisior.s of the ad�.:.�•s�dve pro:edure acc rladn; to <br /> contes�ed eases. <br /> DAT� PRIV�CY AD�ZSORY <br /> In accordance wi�h M.S. 13.04, Subd.2, "RiQhts of sub;ects o�daca", we would like ro in:orm you tnac your reeuesc <br /> foc a permic or license from the Ciry of Orono or any or i� d�pu..L.ents may require you to fi:rnisl� certain privace or <br /> confiden[ial informacion. <br /> You are notified that: <br /> 1. "I11e informacion you furnish will be used to de;ermine ��our qualif cation for th�oecmi[or license requested. <br /> 2. You may refuse to supply data, bu� refusai aay require that the Ciry deny tee perm.it or license. <br /> 3, 'Ihe informatioa may be shared wi�h o�her loc�, state or federal a�encies to th� excent necessary to process <br /> the pecmit or license. <br /> 4. If your requested permit or license requires Council action to approve, so�� information may become <br /> . public. <br /> j. You ha�•e cenain ri�hts under N1.S. 13.0� (z•:zilable upon request) to review p-ivate daca on yourself. <br /> 6, Your full name is required to process this applicacion or perm.i�. <br /> Firsc �fiddla Lasc <br /> a.ddress . <br /> Ci.y S;a[e Zip Phona <br /> I understand my '�hts as stated above. <br /> �� . <br /> S ig na�u re <br />