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� <br /> � <br /> Sec.13.04 RIGHTS OF S[JB.TECTS OF DATA • ' ` <br /> Subd. 1. Type of data. The righu of individual on whom the data is stored or to be stored shall be as set forth in this section. <br /> Subd.2. Information required to be given individual. An individual asked to supply privau or confidential data conceming himself <br /> shall be informed of: (a)the purpose and inteaded 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 t6e requested data;(c)any Irnown consequence arising from his supplying or <br /> refusiug oo supply private or confidential dara;and(d)the idendty of other persons or entities authorized by state or federal law to receive the data. <br /> 1'his requirement shall not apply when an individual is asked to supply invesdgative data, pursuant to section 13.82, subdivision 5, to a law <br /> enforcement o�cer. <br /> The commissioner of revernie mav nlace the rrotice rewired under this subdivision in the individual income tax or nropertv tax refund <br /> insavctions instead of on those forms. <br /> Subd.3. Access to data by indiridual. Upon request to a responsible authority,an individual shall be informed whether he is the <br /> subject of swred data on individuals,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 daa on individuals shall be shown the data without a�ry charge to him and,if he desires,shall be informed <br /> of the content and meaning of that data. After an individual has been shown the private daCa and informed of its meaning,the data need not be <br /> disclosed to him for six months thereafter unless a dispute or action pursuant to this section is pending or addirional data on the individual has been <br /> collected or created. The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. <br /> The responsible authority may require the requesting person to pay the actual costs of maldng,certifying,and compiling the copies. <br /> The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days <br /> of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with <br /> the request within that time,he shall so inform the individual,and may have an additional five days within which to comply with the request, <br /> excluding Saturdays,Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or <br /> private data co�erning himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the <br /> disagreement. The responsible authority shall within 30 days either: (a)correct the data faud ro be inaccurate or incomplete and attempt to nodfy <br /> past recipients of inaccurate or incomplete data,including recipienu named by the i�ividual;or(b)nodfy the individual that he believes the data <br /> to be correct. Data in dispute shall be disclosed only if the individual's sCatement of disagreement is included with the disclosed data. <br /> The determina6on of the responsible authoriry may be appealed pursuant to 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 aze notified that: <br /> 1. The information you furnish will be used to determine your qualification 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 shazed 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 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 /> A I <br /> i 1 <br /> First ✓ iddle I.ast <br /> � v <br /> A dre f1 � v� <br /> �/ <br /> Ciry State Zip Phone <br /> I understand m ri ts as stated above. <br /> �..� w�"�� <br /> s��a�� <br /> � - <br /> 6 <br />