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! �• � <br /> Sec.13.04 RIGHTS OF SUBlECTS OF DATA <br /> . <br /> Su6division/. Type ojdata The rights oJindividual on whom the data is stored or to be stored shall be as set forth in this section. <br /> Subd.2. Injormation required to be given individuaL An rndividual asked to supply private or confidentia!data concerning himse[f <br /> shall be informed of (a)the purpose and intended use of the requested data withrn the collecting srate agency,political subdivision,or statewide <br /> system;(b)whether he may refuse or is legal[y required to supply the requested data;(c)any known consequence arising from his supplying or <br /> refusing to supply private or confrdential data;and(d)the identity of o[her persoru or entities authorized by state or federa!law to recerve the data. <br /> This requirement shall not apply when an individual is asked to supply imestigative data,pursuant to section 13.82, subdivisron S, to a lmv <br /> enjorcement o�cer. <br /> The commissioner of revenue mav place the notrce reouired under this subdivision in the individual income tax or Dropertv tax refund <br /> rnstructiorrs instead olon those torms. <br /> Subd.3.Access to data by individuaL Upon request to a responsrble authority,an individual shall be informed whether he is lhe subject <br /> of stored data on individuals,and whether it is classrfied as public,privale or conf dential. Upon his further request,an indivrdua!who is the <br /> subject of stored private or public data on indrvrduals shall be shown the data without arry charge to him and, rf he desires,shall be injormed of <br /> the content and meaning of that data.�After an individual has been shotivn the p�rvate data and informed of its meaning, the data need not be <br /> disclosed to him for six months therea,f'ter unless a dispute or action pursuant to this sectron is pending or additronal data on the rndrvidual has <br /> been collected or created. The responsible authorrty shall provrde copies of the prrvate or public data upon request by the rndrvidua!subject of <br /> the data. The resporrsible authority may require the requesting person to pay the actual costs of making,cert�rng,and compiling the copies. <br /> The responsible authority shall comply immediately,ifpossible,with any request made pursuant to thrs subdivrsion,or within feve days <br /> of the date oJthe request,excluding Saturdays,Sundays and lega!holidays,tf immedrate compliance is not possible. If he cannot comply with the <br /> request within that time,he shall so inform the rndivrduaJ,and may have an addrtional five days within which to comply with the request,excluding <br /> Saturdays,Surutays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complet�An rndividual may contest the accuracy or completeness oJpublic or private <br /> data cortcerning himself To exercise this right, an individual shal!notify in writing the resporuible authority describrng the nature of the <br /> disagreemenL The responsible authority shall within 30 days erther: (a)correct the datafound lo be rnaccurate or incomplete and attempt to not� <br /> past recipients oJ'inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data <br /> to be correct. Data in dispule shall be disclosed only if the individual's statement ojdisagreement is included with the disclosed data. <br /> The determination of the resporrsib[e authority may be appealed pursuant to the provrsions of the admrnistrative procedure act relating <br /> to cantested cases. <br /> DATA PRIVACYADVISORY <br /> In accordance with M.S.13.04,Subd.2,'Rights ofsubjects ofdata';we would like to rnform you that your request for a permit or license <br /> from the City ojOrono or arry oJits deparhnents may requr�e you to furnish certain private or confidential injormalion. <br /> You are notifred that: <br /> 1. The injormatron you furnrsh wi[!be used to determine your qualiftcation for the permit or license requested. <br /> 2. You may refuse to supply data,but rejusal may require that[he Crty deny the permit or license. <br /> 3. The information may be shared with other local,state or jederal agencies lo the extent necessary to process the permit or <br /> license. <br /> 4. Ijyour requested permit or license requires Counci!action to approve,some injormation may become pub[ic. <br /> 5. You hme certarn rights under M.S. /3.04(see folloiving page)to review prrvate data on yourself. <br /> 6. Your full name rs required to process this applicatron or permit. <br /> PLEASE PRINT <br /> SCC�VC' Lb►.x�^I� u�e�� <br /> Frrst Middle Last <br /> 2/44 5/�/fo�l,�o/� 2o Q� <br /> Address <br /> w�yza��- �-,.r� �S3 y/ <br /> City State Zip Phone <br /> J u nd�� � ated above. <br /> � <br /> S' re <br /> /0 <br />