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. Sec.13.04 RIGHTS OF S[JB,TECTS OF DAT.+, ' <br /> Subd. 1. Tppe o[data. The righrs Of individuai on whom rhe data is stoced or to be srured shall be u sec fo�sh in this secdon. <br /> Subd.2. Informallon nquired to be givw Individual. An individuaI uked to supply privatt or confidearial dan conceraing himselt shall <br /> be inforused of: (a)the pucpose and iatended use of the tequested dan wichin the coUecaag State ageery.po6dcal subdivisioc.or sracewide rystem; <br /> (b)whe�er he may ret�se ot is,legally tequired to supply the ctquesud daa:(e)aaY iaiown wauqueace uising fmm his supptyiag or re[using to suPP�Y <br /> privace or confidendal dara;and(d)[he idendry of ocher pe�soas or earides auchorized by state ot fedenl law to cnceive the data. Thit cequitemenc s6a11 <br /> no�apply when an individual is uked w supply invesdgadve dan,pursuaac ro secdon 13.$2,subdivisioa S,ro a law enforcement officer. <br /> The eorimissioner of rcvenue mav olac- che nodc- re�uired und-r dtis subdivision in the individual income rax o�orooem ax refund <br /> jnscniedons inscead of on rhose Eorms. <br /> Subd.3. Accas to data by iadivtdual. Uport request to a cespoasible authoriry,an individual shall be informed whether he is the subject <br /> of stored daa on individuals.and whaher ic is etassified u public,private or confidendal. Upon his further requesc,an iadividuai who is che subjecc <br /> of swred private or public dara on individuals shall be shown the dan wi[houc any charge to him and;if he desira,shall be informed of the contenc <br /> and meaning of thu daa. Af�er an individual has been shown rhe private dara and iaforaud of ics meaaia8.the dara aeed noc be disclosed oo hua for <br /> siz mondu checeatur unless a dispute or acdon pursuanc w dsis secdon is pending or addiaooal dan on the iadividual has beea collected or cma�ed. <br /> 'Ihe«sponsible authaciry shall pcovide copies of the private or public dara upon cequest by the individual subject of ehe data. 'Ihe responsible authoriry <br /> may tequire dte cequesdng person W pay the actual coscs of makin$,cettifying,and compiling the copia. <br /> The responsible auehoriry shall comply immediacely,iP possible,wich any requesc made pursuant w�his subdivision,or wichin five days of <br /> the dam of che requesc,ezctuding Sacurdays.Sundays and legal holidays,if immediace compliance is not possible. If he cannoc compty with the requesc <br /> wirhirt that dme,he shall so infotm the individual,and may have an addidonal five days withia wluch ro comply wi[h the requesc,ezcluding Satuidays, <br /> Sundays a�kgal holidays. <br /> Subd.4. Ptoeedure when data ts not accurate or complete. Aa individual may contesc the accuracy or eompleteaeu of public or private <br /> daca eonceming himsNf. To exercise chis righG zn individual shall nadfy in wridng the responsible aurhoriry describing the eacure of the disagreement <br /> The responsible authoriry shall wiehin 30 days either. (a)correct rhe da[a faund to be inaccurate or incomplete and atcempc W nodfy past recipiencs of <br /> inaccunte or incomptete dara,inetuding recipieats named by ehe individuai;or(b)noafy the individual thac he believes the data to be correcc. Dara <br /> in dispuce shall be diutosed only if the individual's statemenc o[disagreement is included wi[h the disclosed data. <br /> The decerminadon of the responsible au[horiry may be appealed pursuant to the provisions of the adminisaadve procedure act reladng to <br /> contesad cases. • <br /> DATA PRIVACY ADYISORY <br /> In accordance with M.S. 13.04, Subd.2, "RiQhts of subjects of data",we would like to inform you that your request <br /> for a permit or license from the Ciry of Orono or any of its departments may require you to furnish certain private or <br /> confidential information. <br /> You aze notified thar. <br /> 1. The infocmation you furnish will be used to determine your qualification for the permit or license requested. <br /> 2. You may refuse to supply daca, but refusal may require that the City deny the permit or license. <br /> 3. The inforcnation may be shazed with ocher local, 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 informatioa may become <br /> public. <br /> 5. You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself. <br /> 6. Your full name is required to process this applicatioa or permic. <br /> �— �— <br /> F'u �fiddle �I <br /> v - <br /> Address <br /> �.E�o�r� ��1 s-S 35-� y��� s..�:s� <br /> Ciry Stace Zip Ptione <br /> I understand my righcs as stated above. ' <br /> �_ _.__ <br /> ��� <br /> Sigttamro � <br />