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Sec.13.0�3 RIGFi'TS OF SLFBJECTS OF D:�T?, � <br /> Subd. 1. Tvpe of da[a. 'I�e righ�s of icdividual on whom[he data is W:cd or�be swrcd shall be as set for�h ia this secrion. <br /> Subd."_'. Information reqtrired to be�ven individual. ?�ti individua!u=d to surP1Y Private or confidendal dara coacerning himself shall <br /> be informed of: (a)[he purpose and inr_nded use of che requessed data wichin t�=wilzt�3�L agency,polidcal subdivisioa,or satewide rystem; <br /> (b)whecher he may refuse or is legally required co supply[he requested dara:(c)any cown cors--:�uence arising from his supply Wg or refusing to supply <br /> priva[e oc conndenaal dara;and(d)the idenrirr of oeher persoas or enrides au�horizw�y sca`er federal law to receive[he dan. This requiremen�s6a11 <br /> no[apply when an individua!is as3:ed to supply incesri¢adve daa,pursuanc to sec=c.a 13.82, subdivision 5, co a(aw enfore�eac officec. <br /> 'Ihe commissioner of re�enu nav pla� the nodr r-�uired under ch��s.:bdivise.^. in che individual income cix o:orooem taz refur.d <br /> instrucaans ins�z�d of on �hose forms. <br /> Subd.3. �ecess to data bp individuaI. lipon requesc w a cesponsible�.�oriry.�a individual shall be informed w�echer he is the subjecc <br /> of stored data on individuals,and whe:her ic is classified as public, private or con:�=�aa1. L:ron his further request,an indiv:�ual who is the subjecs <br /> of stor:d privace or public daa on individuals shall be stiown rhe data wiehout any�r3e !o `�and,�if he desires, shall be ir.iormed of the con[enc <br /> and meaning of rhat dan. After an individual has been shown[he privare dara ar.d r:orcaed ei iu meaning, the dara need not be disclosed co him for <br /> siz monchs rherea[cer unless a d'upute or acrion pucsuanc co chis secdon is pendi:.3::addicoVl daca on the individual has beea collected or creared. <br /> The responsiblz au[horiry shall provida copies of cht privace or public data upon r.Y__s:by�e i:dividual subjecc of che dara. 'I::=responsibie au�horiry <br /> may require[he requesting penon to pay[he acalal coscs of making,cerrifying,a�:comPil:=-3 the copies. <br /> 'Ihe responsibia auchoriry shall comply irnmediacely, if possible,wirh a:.+�quest�de pursuant co ehis subdivision,or within five days oi <br /> the dare of[he request,ezcluding Saturdays.Sundays and legal holidays,if immed��_ompli=-ce is not possible. If he cannoc comply with[he reques� <br /> wichin[hac dme,he shall so inform rhe individual,and may have an addidoaal five::_ys wi[hia wtiich to comply wi[h the«quest,excluding Saturdays, <br /> Sundays and legsl holidays. <br /> Subd.4. Procedure whea data is not accurate or compiete. An indi�:'_�sl may c�ncest�he accuracy or complete�ess of public or pri�•ate ' <br /> dara conceming himseif. To exercise�his righc,an individual shall noafy in wriar.__=respors:�le aurhoriry dzscribing che na-__e of the disagteemenc. .. <br /> The responsiblz aurhoriry shall within�0 days eict:ec: (a)correct rhe dara found x=�inaca:.�W-or incomplete and aaemp�to r.oufy past recipients of <br /> inaccurar or incomplete dara, inciuding recipiencs named by [he individual; or(b;�:.afY �`•= L-dividual thac he believes the da�ro be corcecc. Da[a <br /> in dispuce shall be disc:osed only if[he individual's sta�ement of disagreemenc is�=::::ded R�:'^.th=disclosed dara. <br /> The decerminadon of the responsibte auchoriry may be appealed purn:�.o the p-o�isions of che ad¢unisaarive g;oceduro act reladng to <br /> concesced c�ses. <br /> DATA PRIVACY ?.D�ZSOR�' <br /> In accordance wi�h M.S. 13.04, Subd.2, "Ri�hcs of subjecu e:data', ��e would like to inform you tha[your requesc <br /> for a permit or license from the Ciry of Orono or any of its dep�.y ents .:..ay require you to fumisa certain private or <br /> confidea�ial information. <br /> You are notified that: <br /> 1, The information you furnish will be used to determi�=your qLalification for the permit or license requested. <br /> ?. You may refuse to supply daca, buc refusal may re��ire th�� the Ciry deny the perm.it or lieense. <br /> ;. The information may be shared wich ocher local, sc�=or fede:al agencies co the excent necessary to process <br /> the permit or license. <br /> 4. If your requested permit or license requires Cow:.r:i action to approve, some infor�cion may become <br /> public. <br /> �, You have cenain riQhts under i�1.S. 13.04 (avail��:= upon .�quest) to review private data on yourself. <br /> 6, Your full name is required to process this applica::=� or ge:mit. <br /> First �tiddle Lasc <br /> �ddress <br /> Ciry Sar Zip PF.oca <br /> I understand my ri�hu as stared above. , <br /> � <br /> . � ' ,� <br /> � ,��� <br /> Signacure � <br />