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. ` <br /> Sec.13.0-1 RIGHTS OF SUBJECTS OF D:�T?, <br /> Subd. 1. T}�pe of data. The righ�s of individual on whom�e data is stD:�or[o be s�ored shall be as sec for[h in this secdon. <br /> Subd.2. Information reqirired to be given indiridual. P.n iLdi�'idual asY�co supply privace or confideorial dara conceming himself sha]I <br /> be informed of: (a) the purpose and in[ended use of the requesud daca v.:�in the eollecdng"stace agency,poliacal subdivisioa,or statewide rysum; <br /> (b)whecher he may refuse oT is legally required to supply the requested data:(c)any l�own eoasequeace arising from his supplying or refusing to supply <br /> pcivace or connd:ne:1 da:a;and(d)the idenriry of other persoas or eadees an�horizr_d by s�ate or federal law ro receive the data..This requ'uement shall <br /> not apply when an individual is asked to supply invesdearive dara,purn:�^�to secaoa 13.82, subdivision 5, to a law enforcemenc officer. <br /> The comrniss�oner of re�•enue riav place the norice rauired Lrd-r this subdivision in the individual u:come tax or pro�e_m tax refund <br /> ins�ruuions irsce=d of on�hose forms. <br /> Subd.3. �,ccess to data by indi�idual. Upon requesc to a r_s�oasiblz ae�.^..oriry,an individual shall be informed whether he is the subject <br /> of scored data or.ir.dividuals,and whecher it is classified as public,priva�,or conFid=r.ria1. Upon his further request,an individual who is the subjec� <br /> of srorzd privace or public data on individuals shali be shown the data w•i�ouc any c�a*roe to him and;if he desues, shall 6e informed of the concenc <br /> ar.d meaning of L':ac da�. Aher an individual has been shown the priva��ac�and iL;ormed of i�s meaniag,the dara need not be disclosed to him for <br /> six mon�hs �1:ereaner u:less a dispute or acdon pursuanc co this secdon is�elding or zddiaonal data on the individual has been collected or crea�d. <br /> The responsibl�auchori:�shall provide copies of the private or public data i:�on reqs:s:by the individual subject of[he data. The responsibie authoricy <br /> may requir� rhe reques�ng penon to pay the actual coscs of makine,cer.;:ing, and compiling che copies. <br /> 'Ihe respons:ole authoriry shall comply immedia[zty, if possib!=,wi�h any r_quesc made pursuant to this subdivision, or wichin five days of <br /> th�da�e of the reGuesc,ezctuding Sacurdays,Sundays and legal holidays,ir ir..mediace compliance is no�possible. If he cannot comply with the requesc <br /> wirhin�ha�ame,he shail so inform che individual,and may have an addi�e-.al Five da�s wichin which to comply with the reques�,excluding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. �n individuzl may concest the accuracy or completeness of public or pri�•ate <br /> daca concerning himseif. To exercise this right,an individual shall norify ia wriang ce responsible authoriry describing�he nacure of the disa;reemeac. <br /> The responsiblz au�hor..y shall wi�hin 30 days either: (a)correct che dae icund to be inaccurate or incompiece and attempc to nodfy past recipiencs of <br /> inaccunce or ir.compte�data, including recipients named by�he individL�l;or(b) �odfy the individual tha�he balizves the data to be correct. Daca <br /> in dispu�e shall be disclosed only if[he individual's stacemenc of disagret�=nc is irc!nded with the disclosed da�a. <br /> 'I'ile��;e:mi^arion of the rosponsible au�horiry may be appea�aa pursuac:to the provisions of[he admuuscrarive procedure acc relaring to <br /> concesced eases. <br /> DATA PRIV�,CY AD�ZSORY <br /> In acco:dance with M.S. 13.04, Subd.2, "RiQhts of subjects oi data", we would like to inform you that your reauest <br /> for a permit or license from the City of Orono or any o[i� depar.L.ents may require you to furnish certain private or <br /> confidenci2l infornation. <br /> You a.*e noti;ied that: <br /> 1, The informacion you fumish will be used to de:ermine�'our qualification for the permit or license requested. <br /> ?, You may refuse to supply data, but refusal nay require that the Ciry deny the permit or license. <br /> 3, The information may be shared wich o[her locz, 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 /> j. You have certain riQhts under N1.S. 13.04 (available upon request) to review private data on yourself. <br /> 6, Your full name is required to process this applicacion or perm.ic. <br /> � <br /> �� ' . �� v �����-r��.� <br /> Firsc �fiddle Last <br /> 1 ���` �.\Ur� ��V''�- �T <br /> Address � ���� <br /> �l�,.r.. '� �i�'\1--� �5-��� �� � � `� ! � <br /> Ciry State Zip Phone <br /> understand my ri;hts as st d above. <br /> � _ �� w��.��---� _ <br /> Signacure <br />