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.. <br /> Sec.13,04 RIGHTS OF SUB,TECfS OF DATA <br /> Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this sec[ion. <br /> 5ubd.2. Information required to be given individual.An individual asked to supply private or confidential data concerning himself shall be <br /> informed af: (a)the pu�pose and intended use of the requested data within the collecting 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 consaquence arising from his supplying or refusing to supply <br /> private or confidential data;and(d)the identiry of other persons ot entities authorized by state or federal law co receive the data.This requiremcnt shall <br /> not apply when an individual is asked to supply investigative data,pursuanc to section]3.32,subdivision 5,to a law enforcement officer. <br /> The commissioner of revenue mav pllce the notice ree�ujred under this subdivision in the individual income taY or nronertv tax_refund <br /> instructions instead of on those forms. <br /> Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed tivhetherhe 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 desires,shall be informed of ihe content and <br /> meaning of that data. After an individua]has bcen shown the private data and informed of its meaning,tite data need not be disciosed to him for si� <br /> months thereafter unless a dispute or action pursuant to this secdon is pending or additional data on the individual has been collected or created.The <br /> responsible authoriry shail provide copies of the private or pu6(ic data upon request by the individual subject of the data. The responsible authority <br /> may require the requesting person to pay the actval cosCt of making,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 of <br /> the date of the request,e�cluding Saturdays,Sundays and legal holidays,if immediate cort�pliance is not possible.If he cannot comply with the request <br /> within that time,he shall so inform the individual,and may have an additional five days widtin which to complywith the request,excluding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4.Procedure when da[a is not accutate or complete.An individual may contest the accuracy or completeness of public or private data <br /> conceming himself. To exercise this right,an individual shall notify in writing the tesponsible authority describing the nature of the disagreement.The <br /> responsible authoriry shall within 30 days either: (a)con•ect the data found to be inaccurate or incomplete and attemp[to notify past recipients of <br /> inaccurate or incomplete data,including recipients rtamed by the individual;or(b)notify the individual!hat he believes the data to be correct.Data in <br /> dispute shall be disclosed only if the individ�al's statement of disagreemenc is included with the disclosed daca. <br /> The determination of the responsible authority may be appealed pursuxnt to the provisions of the administrative procedure act rela!ing to <br /> contested cases. <br /> DATA PRIVACY ADVISORY <br /> In accordance�vith M.S. 13.04,Subd.2,"Rights of subjects of data",we would like to inform you that your request <br /> for a permit 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 fumish will be used to determine your qualification for the pemZit or licens� <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 pernlit or license. <br /> 4. If,your requested pennit or license requires Council action to approve, some infomzation 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 /> ���� <br /> First Middle Last <br /> Address <br /> C�h, State Zip Phone <br /> I u derstand my rights as stated above. <br /> Signature <br /> 3? <br />