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.� ' ., Sec.13.04 RIGHTS OF SUBJECTS OF DaTa ' Subd. 1. Type of data. Th�riehcs oF individual on whom[he data is srored or co be scored shall be as set forth in this secdon. Subd.2. Information reqirired to be given indi�idual. An individual asked to suppty privace or confidandal daca concecniag himseif shall be informed of: (a) the purpose and inrended use of the requesicd dara wichin�he collecang�tar�ageacy, polidcal subdivision,or sracewide rystem; (b)whe�her he may refuse or is legatiy requir.d co supply[he rquesced dara;(c)aay Imown consequeace arising from his supplying or refusing to supply private or eonEdendal dara;and(d)th�idenary of other persoas or enddes au�horized by state or federal law to receive the data. This requirement shall noc apply when an individual is asked to suopty invesdgadve dam, pursuan�to secdon 13.82,subdivision 5, to a law enforcement officer. - "ttte comrrussionPr of revenue mav place dte nodce r�uir.d und�r this subdivision in the individual income tax or orooem taz refur.d instrucaons ins�ead of on those forms. Subd. 3. Access to data by indi�zdual. lipon requesc co a responsible au�horiry,an individual shall be informed whe[her he is the subjecc of scor_d dara on individuais,and whecher ic is class�ed as public, privace or confidential. Upon his further requesc, an individual who is the subjec� of stored priva[e or public dara on individuals shall be Shown�he dara wi�houc any charge to him and;if he dzsires, shall be informed of che con[enc and meaning of�hat data. Afrer an individual has been shown che privat�data and informed of iu meaning,the data need not be disclosed to him for six mon�hs chereaiter uriless a dispuce or acaon pursuan�co [his secaon is pending or addidoaal daca on the individual has been collecced or creared. 'Ihe rsponsible authoriry shall provide copies of the privace or public data upon requesc by the individual subjecc of[he data. The responsible auc�oriry may require[he tequesdng person to pay[he acnlal costs of m3king,cerrifying,and compiling the copies. The responsible au[hority shall comply immediaccly,if possible, wich any requesc made pursuant to chis subdivision,or wi�hin five days of the date of che request,excluding Sacurdays,Sundays and legal holidays,if immediate compliance is noc possible. If he cannoc comply with the r.quest wichin thac time,he shall so inform the individuai,and may have an addiaonal five days within which[o comply with�he request,excluding Sacurdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may concest tha accuracy or completeness of public orpri�•ate dara concerning himself. To ezercise chis ri¢hc,an individual shall noa"ry in wridng che responsible au�horiry describing the nacure of the disagre:menc. The responsible authoriry shall wichin 30 days either: (a)correcc the data found to be inaccurate or incomplete and aaempt to nodfy past recipiencs of inaccurzte or incomplete data, including recipiencs named by the individual; or(b)noafy[he individual that he believes the data to be cocrecc. Data in dispute shalt be disclosed only if che individual's sc3temenc of disagreement is includzd with che disclosed data. The de�erminarion of the responsible auchoriry may be appealed pursuanc to the provisions of che adminiscrarive procedure act refadag to contesced cases. DATA PRIVACY ADVISORY In accordance wich M.S. 13.04, Subd.2, "Rights of subjects of data", we would like to inform you thac your request for a permit or license from the Ciry of Orono or any of its departments may require you to fumish certain private or confidential information. You are notified that: � 1. The information you furnish will be used to determine your qualification for the permit or license requested. 2. You may refuse to supply data, but refusal may require tha[ [he Ciry deny the permit or license. 3. The information may be shared with ocher local, state or federal a�encies to the excent necessary to proeess the permit or license. 4. If your requested permit or license requires Council action to approve, some information may become public. 5. You have certain ri�hts under M.S. 13.04 (available upon requesc) to review private data on yourself. 6. Your full name is required to process this application or permic. �'��'i�''��f ��%��.-, �.-��r�M Firsc �tiddla Last �y�cJ �-%�r�i�-1 �l�i>rt— a r� �� ��°;�y�i� �-i��..-z-�,v� �>�� I � �f�l— `�� Ciry Smte Zip Phone I uader"s"t d my ri�hts as s ted a ove. C� • � �J � � �� c' , ,l��`-�-- S� �, � , . ,