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. ' <br /> . <br /> Sec.13.04 RIGHTS OF SLJBJECTS OF D?►TA <br /> Subd. 1. Type o[data. The righrs of individua!on whom the data is stored or to be stoced shall be as set forth in this section. <br /> Subd.2. Information reqirired to be given individual. An individual asked to supply private or con£dendal data concerning himself shall <br /> be iaformed of: (a)�he purpose and inreaded use of rhe requested data wirhin the collecting Ytate agency,political subdivision,or sratewide rystem; <br /> (b)whether he may iefuse ot is legally required to supply the requesud data;(c)any lmown coasequence arising from his supplying or refusing W supply <br /> private or confidential data;and(d)the idenary of other persoas or entiaes authorized by state or federal law to receive the dara. This requirement shall <br /> not apply when an individual is asked to supply investigadve dara,pursuant to secdon 13.82,subdivisioa 5,w a law enforcement o�cer. <br /> The commissioner of revenue mav Dlace che nodce rewired under this subdivision in the individual income tax or proaertv tax refund <br /> instmcdons inscead of on those forms. <br /> Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject <br /> of swred data on individuals,and whether it is classified as public,private or confidential. Upon his fur[her request,an individual who is the subject <br /> of sWred private or public data on individuals shall be shown rhe dara without any charge to him and,-if he desires,shall be informed of rhe content <br /> and meaning of ehat data. Aher an individual has been shown che private dara and informed of irs meaning,the data need not be disclosed to him for <br /> s'vc months�ereafter unless a dispute or acaon pursuanc to this secrion is pending or addidonal data on the individual has been collecud or created. <br /> The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of rhe data. The responsible authoriry <br /> may nquire the requesting person to pay the acaial coscc of making,certifying,and compiling the copies. <br /> The responsible authoriry shaU compiy immediately,if possible,wi[h any request made pursuant w this subdivision,or within five days of <br /> the date of the nquest,excluding Saturdays,Sundays and legal holidays,if irnmediate compliance is not possible. If he cannot comply with the request <br /> within that_time,he shall so inform the individual,and may have an addiaonal five days within wluch to comply with the request,excludiag Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is aot accurate or complete. M amdividual may conust the accuracy or completeness of public or pri��ate <br /> data concerning himself. To exercise this right,an individual shall nodfy in wriring the respoasible authoriry describing�he nature of the disagceement. <br /> The nsponsibie authoriry shall within 30 days either: (a)correct et►e data found to be inaccurate or incomplete and attempt to noafy past recipienu of <br /> inaccurate or incomplete data, iacluding recipientc named by the individual;or(b)nodfy the individual that he believes the data to be correct Data <br /> in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. <br /> The determinaaon of the responsible au�horiry may be appealed pursuant to the provisions of the administrative procedure act relating W <br /> conusted cases. <br /> DATA PRIVACY ADVISORY <br /> � <br /> In accordance with M.S. 13.04, Subd.2, "Rights of subjects of data", we would like to inform you that your request <br /> for a permit or license from the City 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 detemune 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 shared 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 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 application or permit. <br /> � ���� ���� � <br /> ` Middle Lasi <br /> . F����J �� �� �� �1� <br /> �dn� � �� �-S��/.�� �6�--,���-.3�.���_ <br /> Ciry Stare Zip Phone <br /> I understand my rights as stated above. <br /> Signamre <br />