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Sec.13.04 RIGHTS OF SUBJECTS OF DATA <br /> Subd.I. Type of data. The rights of individuai on whom the d�a is stored or to be storad shell be as set forth in this sxtion. <br /> Subd.2.Infamation roquirad to be given individual.An individual aalced to supply private or confidential dam oonoaning hiaBelfshell be <br /> informed of: (a)the p�rtpose and irnended�se of the roquavted data witliin the oolloctin6 state a�ency,Poli6cal subdivisioq a statewi�system;(b) <br /> wlxther t�may refiise or is legallY re9u►���PP�Y��4�deta;(e)a�'Irnown consequence arising&wn ltis supplying or refusinB��PP1Y <br /> private�co�'idential dala;and(d)tl�e identity of otha pe�sons or a�d�aut}a�imed by smte orfecle�al law to ieoeive t6e da1a.'Ibis requir�shail <br /> rat apply vvh�an individual is asked w sup�y investigative data,pu�suat►t to section 13.82,subdivision 5,to a law enforcement officer. <br /> The commisaioner of revenue mav nlaoe the mtice reauired under this subdivision in the individual income m�c or p�tarc refimd <br /> jgatrucgons inateed of on tlbse forms. <br /> Subd.3.Acoess w data by individual.Upon request W a responsible auttarity,an i�dividual shall be informed vvhe�he is the subjoct of <br /> stoted data on individuels,a�whed�er it is c�a�ified as Pubiic,Priv�e or oa�fidential. Upon his fiatl�er roq�st,an individual who is the subject of <br /> sbored private or public data on individuals shall be shown the daffi without any chsrge to ltim and,if he dosires,sl�all be infomied ofd►e�aod <br /> �aning of thet dats. ARer an'vidividoal hes been s6own Uie}xivate deta and'v�fomted of its meaning the data neod eot be diactasad W him fot six <br /> a�onths thereafter unless a dispute or adion pursuant to this secti�is paiding or additional data on tlu individual ha4 beai collxted or creatod. The <br /> raponsible aultwrity simll piovide capies of the private or Ewblic data�On roQu�t bY the icdividual subjxt ofti�e darta. The nsponaible authority <br /> �'�9���9u��6 P�to psy the at.•tual oosls of making,c�tifY�B.��Piling the c�ies. <br /> The responeibla euthority s6e(1 oomplY��Y,�P�bk,with any nquest mede p�usu�t to this s�division,a�wtlhin Sve days of <br /> the date of the roquest,excluding Sedudays,Sundays�d legal holidays,if immediate aompliance is iwt possible.If he caznat o�ply with U�e roquest <br /> within t}�t tinse,he shall eo inform the individml,aod may t�e an additionsl five days within whidtto comply with the roquest,exclading Sshcdays, <br /> Sundays and legal Iwlidays. <br /> Subd.4.Procedure when data is�acGuate or oo�mplete.M mdivid�ml may contest the accuracy or complebdieas ofpublic orprivete data <br /> conceming himself.To exacise this rigM,�udividual shall notify in vvriting the re�aponsible autlwrity descn'bing the nedue ofthe disageemart.ltie <br /> responsible autlwrity slmll within 30 days eiNia: (s)oomact tl�e data fwud to be inacctivaxte�i�ompl�e and attanpt bo notify pest racipieats of <br /> ina�uate�i�complete data,including recip�s named by tbe individual;ar N)notifY the individwl that ha bdievas the de4s to be cocrect.D�ta in <br /> dispute shall be discloaod only if the individ�l's statemart of disagreanent is included with tlu disclosed data. <br /> The debertnit�etion of the responaible authority msy be appealed pwgua�U to the provisions of Hie adminis�tive proadure ad ielating to <br /> oontested cases. <br /> / <br /> DATA PRIVACY ADVISORY <br /> In ac;cordance with M.5.13.04,Subd.2,"Rights of subjects of data",we would like to inform you that your request <br /> for a peimit or license from the City of Orono or suy of its de�rtments may require you to fiunish cextain private or <br /> confidential information. <br /> You are notifiod that: <br /> 1. The information you fiunish will be used to determine your qualification f�the peimit or lictnse <br /> reqnested. <br /> 2. You may refuse to supply data,but refusal may require that the City deny d►e permit or license. <br /> 3. The infom�tion may be shared with other local, state a federal agencies to the extent necessary to <br /> process the permit or license. <br /> 4. If your requested permit or lioense requires Couacil action to approve,s�infnrmati�may beco� <br /> public. <br /> 5. You�ve certain rights under M.S. 13.04(available upon request)W review private data on yourself. <br /> 6. Your fiill name is required to process this applic�tion or permit <br /> �i-r�,i�.o^►/ �`-,.�—� /l P� ���� <br /> � �aak r� <br /> �// �-",4����-s � <br /> Addreae <br /> ��/� �}-�- ��/' ���� �'� -�s�-�sy� <br /> City St�te Tjp P`oK <br /> I nnde d my rights as steted a ve. <br /> � <br /> sig�atare <br /> �d 32 <br /> � <br />