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,.. <br /> Sec.13.04 RIGHTS OF SUBJECTS OF DATA <br /> Subd. 1. Type of data. The rights of individual on whom the data is sWred or to be sWred shall be as set forth in this section. <br /> Subd.2. Informati�reqidred to be given lndividual. An individual asked ro supply privau or confidential dara concerning himself <br /> shall be informed of: (a)the purpose and ince�use of the requested data within the collecting state agency,political subdivision,or statewide <br /> system;(b)whether he may refuse or is legally required to supply the requested data;(c)any lmown consequence arising from his supplying or <br /> refusing to supply privau or co�'ideadal daffi;and(d)the identity of other persons or entities authorized by slabe or federal law W receive the data. <br /> This requirement shall not apply when an i�ividual u asked W supply investigative data,pursuan.t to section 13.82, subdivision 5,to a law <br /> enforcement officer. � <br /> The c�mm��sioner of revei►ue mav nlace the no6ce reauired nnder this subdivision in the individual income taz or orocertv tax refund <br /> inst�uctions i�tead of on thos�forms. <br /> Subd.3. Access to data by individual. Upon request to a nsponsible authoriry,an individual shall be informed whether he is the <br /> subject of stored data on iadividuals,and whether it is classified as public,private or confidential. Upon his further request,an individual who <br /> is the subject of stored private or public data on indivLduals s1�all be shown the data widiout any charge to him and,if he desires,shall be informed <br /> of the conunt and meaning of that data. After an irdividual has been shown the private data and informed of its meaaing,the daha need not be <br /> disclosad ro him for six months thereafter unless a dispute or acdon pursuant co this secdon is pecding or additional daha on the individual has been <br /> collected or creared. The responsble suthority shall provide copies of d�private or�blic data upon request by the individual subject of the data. <br /> The responsible authoriry may require the requesting person w pay the acwal costs of maldng,certifying,and compiling the copies. <br /> The responsible audiority shall comply immediately,if possible,with airy request made pursuant to this subdivision,or within five days <br /> of the date of the request,eacluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with <br /> t6e request within that time,he shall so iaform the individual,arui may have an additional five days within wluch to comply with the request, <br /> excluding Saturdays,Sundays a�lega(holidays. <br /> Subd.4. Procedure when data is not securate or complete. An individual may contest the accuracy or completeness of public or <br /> private daC�co�eming himself. To exercise this right,an individual shall notify in writing the responsible authority descn'bing the nature of the <br /> disagreemetrt. The responsible suthority shall within 30 days either: (a)correct the data faud ro be inaccuiaoe or incomplete and attempt L�nodfy <br /> past recipients of inaccurate or i�omplete data,including recipients named by the individual;or(b)nodfy the individuai that he believes die data <br /> w be conect. Data in dispute shall be disclosed only if the individnal's statement of disagreement is i�luded with the disclosed data. <br /> The deurminadon of d�e responsble authoriry may be appealed pursuant w the provisions of the administrative procedure act relating <br /> to contested cases. <br /> DATA PRIVACY ADVISORY <br /> In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of data", we would like to inform you that your <br /> request for a permit or license from the�ity of Orono or any of its departments may require you to furnish certain <br /> private or confidential information. <br /> You are notified that: <br /> 1. The information you furnish will be used to determine your qualificarion for the permit or license <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, state or federal agencies to the extent necessary to <br /> process 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 rigb.ts 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 /> First Middle Last <br /> Address <br /> Ci�y State Zip Phone <br /> I understand my rights as stated above. <br /> signature <br /> 6 <br />