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� <br /> Sec.13.04 RIGHTS OF SLJBJECTS OF DATA <br /> Subd. 1. Type of data. The rights of individual on whom[he dara is stored or to be stoced shall be as set for[h in this secdon. <br /> Subd.2. Information required to be given individual. An individual asked w supply privau or confidendal data concerning himself shall <br /> be informed of: (a)che purpose and in[ended use of the requested data within the collecdng itate agency,poGdcal subdivision,or statewide system; <br /> (b)whether he may refuse or is legally required to supply the requested data;(c)any Imown coasequence arising from his supplying or refitsing to supply <br /> privace or confidendal data;and(d)the idendry of other persons or enddes authorized by srate or federai law to ceceive the data. This requirement shall <br /> not apply when an individuai is asked[o supply invesrigadve data,pursuant to secdon 13.82,subdivision 5, to a law enforcement officer. <br /> The commissioner of revenue mav place the nodce required under this subdivision in the individual income tax or aropertv tax_refund <br /> instrucdons instead 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 stored dara on individuals,and wh@rher it is classified as public,private or confidendal. Upon his further reques�an iadividuai who is the subject <br /> of stored private or public data on individuals shall be shown rhe data wiehout any charge to him and,'if he desires, shall be informed of the concenc <br /> and meaning of[hat data. After an individual has been shown the privace data and iaformed of ics meaning,the data need not be disclosed to him for <br /> six months thereafter uniess a dispute or action pursuant to this secdon is pending or addidonal data on[he individual has been collected or creaced. <br /> The responsible authoriry shall provide copies of the private or public data upon roquest by the individual subject of the data. The responsible aurhoriry <br /> may require the requesdng person to pay the actual cosu of making,cerafying,and compiling the copies. <br /> The responsible authoriry shall comply immedia[ely,if possible,with any request made pursuant to this subdivision,or within five days of <br /> the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request <br /> within that time,he shall so inform rhe individual,and may have an addidonal five days within which to comply wich the request,excluding Saturdays. <br /> 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 private <br /> data conceming himself. To exercise this right,an individual shall noafy in writing the responsibla authoriry describing the nature of the disagreement. <br /> The rosponsible authority shail within 30 days either: (a)correct the data found to be inaccunte or incomplete and attempt to nodfy past recipients of <br /> inaccurate or incomplete data,including recipiencs named by the individual;or(b)notify the individual[hac he believes[he data to be correct. Data <br /> in dispuu shall be disclosed only if the individual's sta[ement of disagreement is included with the disclosed data. <br /> The determinarion of the responsible authoriry may be appealed pursuant to the provisions of the administrauve procedure act relating to <br /> 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 request <br /> for a pernut or license from the City of Orono or any of its departments may require you to fumish certain private or <br /> confidential information. <br /> You are notified that: <br /> 1. The information you fumish 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 pemut 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 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 /> Your full name is required to process this application or permit. <br /> � / , <br /> rst ddk 1.ast <br /> ��jl,�� "�'a� s� L.W.a. � <br /> Address �s-�-�. yas- �s,� <br /> lcl7 C�,� � <br /> C��, State Ztp Phone <br /> derstand my �hts as stated above. <br /> � <br /> Signaarc <br />