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Sec.13.04 RIGHTS OF SUBJEC'C5 OF DATA <br /> Subd. t. Type of data. The rights of individua(on w•hom the data is stored or to be stored shall be as set forth in this section. <br /> Su6d.2. InformationcequiredWbegiveni�dividual. AnindividualaskedtosupP�YPrivattorconfidenGaldataconceminghimseifshalibe <br /> infonned of: (a)che purpose and i�tended use of the requestecl data�vithin the colltcting state agency,political subttivision,or statewide system;(b) <br /> whether he may refuse or is legal ly requrred to supply the requested data;(c)any known consequence arising fram his supptying or refusing to supply <br /> private or confidential data;and(d)the identiry of other persons or encities aukhorized by state or federal law to receive d�e data. This roqui rement shal I <br /> t�ot apply when ait individual'is asked to sup¢ly invescigaiive data,putsttant W section 13.82,subdivision i,to a law cnfotcement o�cer. <br /> The commLssioner of revenue p�v ntace the imtice reauired under tYtis subdivision in tht individual income tax or oropg�(y��fund <br /> instructions instead of on those forms. <br /> 5ubd.3. Access to data by individuaL Upon requestto a responsiblc authority,an individual shall be infocmed whether he is the subject of <br /> stored data on individuals,and whetfierit is classified as p�tbl ic,private or confidmtial.Upon his furdaer aquest,en individual who is the subject of <br /> stored private or puWic data on individuals shall be shown the data witfiout any charge to him and,if he desires,sha11 be informed of thc content and <br /> meaning of that data. After an individual has bee�shown the privau dats and informed of its meaning,the data need not be disclosed to him for six <br /> mon[hs thereafter uniess a dispute or ackian pursuant ta this section is pertding or additionat data on the iodividual has been coltecud or created. The ' <br /> responsible authoriry shall provide copies of the private or public data upon request by the individuat subject of the data. The responsibte authority <br /> may require thc roquestsng person w pay the actual wsts of making,certifying,and compiling the copies. <br /> 7'he reSponsibte authority shatl comply immediately,if possib(e.with erty rcquest made pursuant to this subdivision,or within five days of <br /> thc date of the re4uest,excluding S�urdays,Sundays and legal ha{idays,if immediaaEs compl iazKe is n�possible.!f he cannot compfy with the req�st <br /> within that time,h�shall so inform the individual,and may have an additional five days within which to comply with the rcqucs�excfuding Saturdays, <br /> Sundays and tagal holidays. <br /> 3ubd.4. Procedure when data is nat accurate or compltte. An individual may eontat tht accuracy or completeness of public or private data <br /> conceming himsetjE To exercise this right,an individual shal I notify in writing tht responsible authority describing the nadue of the disagroement.'the <br /> reaponsibk autl�ity shall within 30'days eitlur: (a)cocreet the data found to be inaccurate or incompfete and atumpt Ea r�ify�t cexipients of <br /> inaccurate or incorttpleu data,including recipients named by Ehe individual;or(b}natify the individual that he believes the data ta be correet. Data rn <br /> dispute shalCbe dikclosed only if the individual`s statement af disagreement is included with the disclosed data. <br /> The determic+ation of the sespo�ssb{e aud�arity may be appealed pucsuant to the provisicros of dte administcative proceduro ecrrelating to <br /> contested cases. <br /> DATA PRIVACY ADVISORY <br /> In accordence with M.S.13.04,Subd.2,"Rights of subj�cts of data",we wou(d like to inform you tt�at your roquest <br /> for a permit or(icense from the City of Orono or any af its departments may require you to furnish certain private or <br /> confidential information. <br /> You are notified that: <br /> 1. The information you furnish will be used to dotermine your qualification for the permlc or ticense <br /> 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 shared with other local, statc or federat agencics to thc cxtent neccssary to <br /> process the permit or license. <br /> 4. If your requested permit or license requiros Cauncii action ta approve,same information may become <br /> public. <br /> 5. You have certain rights under M.S. 13.Q4(available upon request)to review private data on yourself. <br /> 6. � our full name is eq�o process this ap,plicatian or permit. <br /> (J <br /> First Ntiddle Last <br /> ,4ddras <br /> City Statc Zip Phone <br /> I understa m�rights as stated above. � � <br /> I/ ' l��i <br /> Signatu . <br />