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Sec.13.04 RIGHTS OF SUBdECTS OF DATA <br /> Subd.1. Type of data. The rights of individual on whom the daffi is stored or W be stored shall be as set forth in this section. <br /> Subd.2.Infornoation requirad to be giva�individusl.Aa individual asked to suppty privabe or rnnfid�tial data concxming himself shsll be <br /> info�med of: (a)the purpoae and iotended use of the teque.vted data within tlte collectirg slste agency,Wlitical subdivision,or stabewide sYstetn:(b) <br /> w►�emer he may�o�is legallr rem►iredw suppir tbe requ�ed aeta;(o)anr�Own consequence arisins from his�pplrins or rcfusingm su�r <br /> private or confidential data;and(d)the identity ofott►er persons or entities audwrized by state or federnt laww receive U�e data.This requirement shsll <br /> not apply when an individual is asked to supply investigative data,pursuant w section 13.82,subdivision S,w a law enfacement officer. <br /> '�'he commissio�of revenue mav nlace the notice reauired undet this subdivision in the individual income ta�c ory�y�refund <br /> i�tioffi inaoead of�those f�ms. <br /> Subd.3.Access to data by individual. Upon request to a responsible authority,an individual shall be informad whether he is the subject of <br /> stored data ott individuals,and whether it is classified es public,private or�dentisl. Upon Uis further reque�st,an individnal who is the subject of <br /> stored private or public data oo individuals shall be shown the data without arry charge to him and,if he desires,shall be infom�ed of the cm►tent and <br /> meaning ofthat data. After an i�edividual tms been shown the�ivate data and'u►famed of its meaning,the data nced not be disclosed to him for soc <br /> months there,aRer�mless a dispute a�tion puisuant to this sxtion is pending or additional data on Nu individual hes boeo collectad or creatad.The <br /> respoagible authority shall pmvide copies of the private or public data upa►re9uest bY the individuel subject of the dam. T6e responsiWe authority <br /> �9�tuire the re9uestu►S Person to pay the actual costs of malcing,certifying,and compiling the copies. <br /> The responsible suthority shall comply immediately,if possible,with any request rt�de pursuant to this subdivision,or within five�ys of <br /> the date of the reques�excluding Saturdays,Sundays az�d legal holidays,if imir►ediate compliance is nM possible.If he cennot comply wiffi the request <br /> withm that time,he shall so inform the individuel,and may have an additiona(five dsys widiin which to cwmpty with Uie raquest,exclud'm8�Yg, <br /> Sundays ard legal holidays. <br /> Subd.4. Procedure when data is not accurateorcomplete.An individusl may contestthe accuracy or compteteness ofpublic orprivate c�ta <br /> conc�►ing himsel£To e�cercise this right,an individual shall mtify in writing the responsiWe autharity describing the nature of the disagreement.'ll�e <br /> responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomptete and attempt w notify pest recipieMs of <br /> inaccurata�incwmplete data,includ'etg recipiems namod by the individuat;or(b)notify the individual that he believes the data w be com�,K.I7�in <br /> disp�e shall be disclosed only if the individim!'s staoement of disag�eement B includad with the disdosed dala. <br /> T6e ddermination oftt►e respoffiible aufhoritY�Y�ePP��P��t to the pioviviom of the admu►igtratirve p�ocedure 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 pe�mit 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 are notified that: <br /> 1. The information you famish will be used to detedmine your qualification for the pamit 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 ihe e�ent necessary to <br /> process the pe�nit 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 r�uest)to review private data on yourself. <br /> 6. Yow full name is required to process this application or permit. <br /> John p� Motzko <br /> First Middle Last <br /> 1855 Shadywood Road <br /> Address <br /> �ao � 55391 (952)471-0096 <br /> �Y Stabe Z�p Phoae <br /> I understand my ri s s a <br /> S�wture <br /> Raet Fam 32 <br />