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! � <br /> Sec.l3.0�1 RiGHTS OF SUBJECTS OF DaT�► <br /> Subd. 1. Type of data. The righct or individua!on wham�he data is scored or co be scoced shall be as sec forrh in this secdon. <br /> Subd.:. Iafocmation req�rired to be�ven indi�idual. An individua!uked w supply privare or confidenaal dan concerning hicnself shall <br /> be informed of: (a)ehe purpase aad intended use of rhe requested daca within ehe wUecdng§cace agency, polidcal subdivisioa,or statewide rystem; <br /> (b)whether he may rotuse or is legally rsquired co suoply che requesud dara;(c)any Imown consequence arising from his supplying or�sfusing to supply <br /> priva�e ar confidendal da[a:and(d)the idendry of ocher persoas or enddes authorized by snte or federal law to receive che da[a. This tequinment shall <br /> noc apply when an individual is asked to supply invesdgadve data, pursuanc to secdon 13.82, subdivision 3, to a law enfor�ement o�cec. <br /> 'Il�e comrnissioner of reve.^,ue mav olace he nooce reauircd under this subdivision in the individaal income tax or oropem 4u retund <br /> inscruc�ions inscesd oi on chose forms. <br /> Subd. 3. :�ccess to data by individual. (:pon requesc to a resporuible au�horiry,an individual shall be iaformed whaher he is the subject <br /> oi stored data on individuals,and wheeher i[is ciassuied u public, privaee or contidtnual. lipon his fur[her cequest, an individual who is rhe subjecc <br /> oi scored priva�e or public data on individuais shall be shown che data wiehouc any charge co him and, if he desires, shall be informed of rhe contenc <br /> and meaning of that dara. �her an individual has been shown�:e priva�e daca and informed of i�s meaning, rhe data need not be disclosed to him for <br /> siz monchs�heceatter unless a dispuce or acdon pursuanc�o chis secdon is pending or addicioaal dara ou rhe individual has been collected or crea�ed. <br /> The responsible au�horiry shall provide copias or che pnva�e or public da�a upon requesc by ehe individual subjecc oi�he dara. "Ihe responsible au�horiry <br /> may require che requesting peaon to pay the actua!cosu of making,cecdfying,and compding ehe copies. <br /> The responsible auehoriry shall comply immediately, if possible,wi�h any request made punuanc co this subdivision,or within five days of <br /> �he date of the requesc,axcluding Saturdays.Sundays and legal holidays,if immediace comptiance is no�possible. If he cannoc comply with che requesc <br /> wi[hin rhac rime,he shall so iniorm ehe individual,and may have an addidonal five days wirhin which to comply wirh the requesc,ezcluding Sacurdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure w6en data is not accunte or eomplete. An individual may con�est the accuracy or compleceness of public or private <br /> data conceming himself. To exercise ehis right,an individual shall notify in wricing che responsible auchoricy describing rhe naeure of che disagreemenc. <br /> The responsible auchoriry shatl within 30 days eicher: (a)correcc che data found�o be inaccucare or incomplete and aaempt to nocif}�past recipiena of <br /> inaccurace or incomplece data. includin¢ recipiencs named by che individual:or(b)nod"ry rhe individual �ha�he believes the dara to be correcc. Data <br /> in dispute shall be disclosed only if rhe individual's sca�emenc of disaereement is included wirh rhe disetosed data. <br /> The decertnination of the responsibte auchoriry may be appealzd pursuant to che provisions oi the adminisaadve procedure acc relacing �o <br /> contesced cases. <br /> DAT?► PRIVACY ADVISORY <br /> In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of data", we would like to inform you that your request <br /> for a permic or license from che Cicy oi Orono or any of ics depanmencs may require you to furnish certain private or <br /> confidential informacion. <br /> You are :,o�ified that: <br /> 1. Ihe informacion you furnish will be used to decermine your qualification for che permit or license requested. <br /> 2. You may refuse to supply daca, buc refusal may require that the City deny the permit or license. <br /> 3. The information may be shared wich ocher local, scace or federal agencies to che 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 rights under �I.S. 13.04 (available upon request) to review private daca on yourself. <br /> 6. Your full name is required co process this application or permit. <br /> First 1�tiddle Lbsc <br /> Address <br /> Ciry State Zip Phone <br /> I undencand my rights as staced above. - <br /> Signamrc <br />