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Sec.13.04 R[CHi'S OF SUBJECTS OF DATA <br /> Subd. l. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section. <br /> Subd.2. Infonnation requu•ed to be given individual. An individual asked to supply private or conFdential data concerning himselfshall be <br /> infonned of: (a)the purpose and intended use of the requested data within the collectin�state agency,political subdivision,or statewide system;(b) <br /> whether he may refuse or is legally required to supply the requested data;(c)any known consequence arisin�from his supplying or refusing to supply <br /> private or confidential data;and(d)the identity of other penons or entities authorized by state or fedei�al]aw to receive the data. "fhis requirement shall <br /> not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. <br /> The commissioner of revenue mav nlace the notice reouired under this subdivision in the individu�l income ta+c or propertv tar refund <br /> insWctions mstead ot on those fonns. <br /> Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be infonned whether he is the subject of <br /> stored data on individuals,and whether it is classified as public,private or confidential. Upon his further request,an individual who is the subject oF <br /> stored private or public data On individuals shall be shown the data without any charge to him and,if he desirc�,shall be infonned of the content and <br /> meaning of that data. After an individual has been sho�ti�n the private data and infonned of its meaning,the data need not be disclosed to him for six <br /> months thereafter unless a dispute or action pursuant to this section is pendino or additional data on the individual has been colfected or created. The <br /> responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. "fhe responsible authority may <br /> require the requestin�person to pay the ac[ual cost�of makin�,certifying,and compiling the copies. <br /> The responsible authoiity shall comply immediately,ifpossible,wich any request made pursuant to this subdivision,or within five days of the <br /> 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 infoim the individual,and may have an additional five days within H�hich to comply with the request,excluding Saturdays, <br /> Sundays and tegal holidays. <br /> Subd.4. Procedure when data is not accurate o�complete. An individual maycontest the accuracy or completeness ofpublic orprivate daG� <br /> concernin�himself. To exercise diis right,an individual shall notify in wTiting the responsible authority describin�the nature of the disa��eement. The <br /> responsible authority shall within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of <br /> inaccurate or incomplete data,including recipients named b}�the individual;or(b)notify the individual that he believes the da[a to be co�Tect. Data in <br /> disputz shall be disclosed only if the individual's statement of disam eemen[is included with the disclosed data. <br /> The dete�mination of the resporuib(e authority may be appealed pursuan[to the provisions oF the administrative pra:edure act relating to <br /> contested cases. <br /> DATA PRIVACY ADVISORI' <br /> In accordance with M.S. 13.04,Stibd.2,"Rights of subjects of data",we�vould like to inforni you that your request <br /> for a permit 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 infonnation you furnish �vill be used to detennine 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 infom7ation may be shared «�ith other local, state or federal a;encies 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 infoi�nation 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 11 name is required to process this a lication or pern�it. <br /> First , ������ <br /> Last <br /> �n� ��-�`��� a, <br /> Address <br /> l � <br /> City St�tc Zip Phone <br /> I understand my r' ts a�e� �f�o e. <br /> � = ' � ' <br /> i � <br /> Signature � <br /> �---_-_.-- <br /> ;� <br />