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Sec.13.04 RIGHTS OF SLTB.JECTS OF DATA <br /> Subd. 1. Type of data. 'fhe rights of individual on whom the dara is stoced or ro be s[ored shall be u sec forth in this secdoa. <br /> Subd.2. Information reqirired to be givea indIvidual. An individual uked w supply privare or confidential data conceming himself s6a11 <br /> be informed of: (a)the purpose and inteaded use of the requaud data wi[hia the coUecdag itace agency,polidcal subdivision,or statewide rysum: <br /> (b)whaher he may refuse or is legalty required to supply ehe requesud dara:(c)any 1rnown consequence arising from his supplying or refusing w supply <br /> private or confidendal data;and(d)[he idendry of ocher persoas or enddes auchocized by stace or federal(aw to nceive the data. 'lhis requiremeat shall <br /> not apply when an individual is asked to supply invesdgadve dara,pursuant ro secdon 13.82,subdivision 5, w a law enforcement officer. <br /> The commissioner of rcvenue mav olace che nodce rewired under this subdivision in the individual income rax or orooem taa refund <br /> instructions inscead of on ehose forms. <br /> Subd.3. Accas to data by iadividual. Upon rcquesc to a responsible authority,an individual shall be informed whether he is the subject <br /> of scored data on individuals,and whe�her it is classified as public,private or confidenaal. Upon his further requesc, an individual who is the subjecc <br /> of scoced private oc public dara on individuals shall be shown ehe dara wichout any charge to him and;if he desires, shall be informed of the content <br /> , and meaning of that dara. After an individual hu been shown che privare daca and informed of ic�meaning,the data need not be d'uclosed to him for <br /> suc monrhs theceafter unless a dispute or acdon punuanc to this secaon is pending or addidonal dara on the individual has been collecud or creared. <br /> The responsible auehoriry shalt provide copies of�he privace or public daca upon request by the individual subjecc of rhe dan. The responsible authoriry <br /> may require che requesring person to pay the actual coscs of making,cerdfying,and compiling the copies. <br /> The responsible authoriry shall comply immediately,if possible,wi[h any requesc made pursuant co this subdivision,or wichin five days of <br /> the date of che requesG excluding Saturdays,Sundays and legal holidays,if immediace compliance is not possible. If he canaot comply with the request <br /> wirhin that ame,he shall so inform che individual,and may have an addidooal five days within which to comply with che request,exciuding Saturdays, <br /> Sundays and legal holidays., <br /> Subd.4. Procedure whea data is not accurate or complete. M iadividual may contesc the accuracy or completeness of public or private <br /> data conceming himself. To exercise chis right,an individual shall noafy in wridng che respoasible au[horiry describing the nature of the disagceement <br /> The nsponsible auchoriry shall within 30 days either: (a)correct the data found to be inaccucate or incomptete and attempc to nodfy past ncipiencc of <br /> inaccunce or incomptete data,including recipieacs named by che individual:or(b)nodfy the individual that he believes the data to be correct. Data <br /> in dispute shall be disclosed only if the individual's statement of disagrecment is included with che disclosed dara. <br /> The determination of the rosponsible authoriry may be appealed punuanc to the provisions of che adminisQarive procedure act reladng to <br /> contesad 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 permit or license from the Ciry of Orono or any of its departments may require you to furnish certain private or <br /> 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 requested. <br /> 2. You may refuse to supply data, but refusal may require that the Ciry deny the pemut or license. <br /> 3, The information may be shazed with other local, stace or federal agencies to the e=tent necessary to process <br /> the permit or license. <br /> 4. If your requested perm.it 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 perm.ic. <br /> First �tiddle Lasc <br /> Addreu � . <br /> Ciry Sate Zip Phone <br /> I understand my rights as stated above. <br /> Signamre <br />