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� <br /> - � <br /> Sec.13.04 RIGHTS OF SUBJECTS OF DATA � � � ` <br /> Subd. 1. Type of data. The righct of individual oa whom the data is scoced or to be stored shalI be as set focth in this secdon. - <br /> Subd.2. InformaCoa requnred to be givea iadiridual. An individuat azYed to supply privare or confidendal dara concecning himseif shall <br /> be infocmed of: (a)the parpose and inmaded eue of the requared daca wichia the collecdng State agency,polidcal subdivision,or sratewide rystem; <br /> (b)whethec he may refuse ot is legally tequir•d to supply the requested dan;(c)any Irnown coasequence arising from his supplying or refusing to supply <br /> privar_or confidendal daca;and(d)�he ideadry of other persons or enddes a¢chocized by scate or federal law to receive the dara. Zhis tequiremeat shall <br /> not apply when an individual is uked to supply invesrigarive data;pursuan�to secdoa 13.8?;subdivision S,to a law enforcement o�cer. � - <br /> The commissioner of revenue mav olace che naace r-auired und-r this subdivision in the individual income rax or orooem taz refuad <br /> insc�ucdons inscead ot'on chose fo�ms. <br /> Subd.3. Aecess to data by iaditiidual. Upon request to a«sponsible auchodry,an individual shall be informed whe�hec he is che subject � <br /> of scnred data on individuals,and whuher ic is dass�ed as pubtic,privace or conFdenaal. Upon his fuether requesc,aa individual who is the subjecc <br /> of stored priva�e or public dara on individuals shall be shown che daa wichouc any charge W him and;if he desites,shali be inforsned of the concent <br /> and meaning o[chat daa. Ahec an individual hu been shown the privace data and iaforased of iu meaaing,the data need not be disclosed to him for <br /> siz monchs ehereaher uniess a dispute or acdon pursuanc to rhis secdon is pending or addiaoaal data on the individual hu beea collected or ereaud. <br /> The responsible authoriry shall provide copies of ehe privace or public data upon cequese by che individua!subjecc of che dara. The responsible authoriry <br /> may require[he cequesdng person to Qay che accual coscs of making,cerdfying,and compiling the eopies. <br /> The responsible au[horiry sEtiall comply immediacely,if possible,wich any nquest made pursuant to this subdivision,o�wi[hin five days oF <br /> the dace of the request,excluding Saturdays,Sundays and Iega1 holidays,if irnmediate compliance is not possible. If he caunot comply with the requesc <br /> within that dme,he shall so inform[he individuai,and may have an addidona!five days wichin which to comply wi�h the request,exc[uding Satutdays, <br /> Sundays and legal holidays. <br /> Subd.4. Pcocedure whea data Ls not accurate or eomplete. An individual may contest the accuracy or completeness of public or private <br /> da�canceming himsetF. To exercise chis righc,an individual shall noafy in wridng the respoasibte auehoriry describing the nantre of the disagreemen[. <br /> The responsibte authoriry shall wit}tin 30 days eicher: (a)correcc the data found ro be inaccurate or iacomplete and attempe W norify pasc recipienu of <br /> inaccurate or incomplece data, including recipie�cs named by che individuat;or(b)nodFy the individaal that he betieves the data to be cocrect Data <br /> in dispuce shatl be disclosed only if the indi�•idual's statement of disagreemen[is included with�he d'uclosed daca. <br /> The decerminadon of the responsible authoriry may be appealed pursuanc to the provisions of the administraave proceduce act reladng to <br /> contesced ca.ses. <br /> DATA PRIVACY ADVISORY <br /> In accordance wich M.S. 13.04, Subd.2, "Rights of subjects of data",we would like to inform you that your request <br /> for a pemut 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 that:• <br /> 1. The information you furnish will be used to determine your qualification for the permit or license requested. <br /> 2. You may refuse to supply data, but refusal may require that the City deny the permit or license. <br /> 3. The information may be shazed with other 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 information nnay become <br /> public. <br /> 5. You have cercain 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 application or pe "c. <br /> � 'C.�� . <br /> pi�� �fid e � <br /> � � . � <br /> Address 1�7� � O� <br /> � <br /> Ciry Scace Zip Phone <br /> I un rs my ri�hu t ted abov _ <br /> Signature . <br />