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Sec.13.04 RIGHTSOFSUBJECTSOFDATA <br /> ` � <br /> Subdivision 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set jorth in this sectiox. <br /> Subd 2. Information required to be given individuaL An individual asked to supply prrvate or confidential data concerning himself <br /> sha11 be informed oj (a)the purpose ancf intended use of the requested data wirhin the collecting state agency,political subdrvrsron,or statewide <br /> system;(bJ whether he may refuse or is legally required to supply th¢requested data;(c)arry krrown consequence arising from his supplying or <br /> refusing to supptyprivate or confrdential data;and(dJ the rdentity of otherpersorrs or entities authorized by state orfederallaw to receive the data. <br /> This requirement shall not apply when an individual is asked to supply irrvestigative data,pursuant to section 13.82, subdivision 5, to a law <br /> enforcement o�cer. <br /> The commissioner of reverrue mav place the notice reauired under this subdivrsion in the indrvidual income tax or nroperty tax refund <br /> instractioxs instead ofon those forms. <br /> Subd.3.Access to data by individuaL Upon request to a responsible authority,an irrdrvidual shall be informed whether he is the subject <br /> o,jstored data on individuals,and whether it is classifted as public,private or conftdential. Upon his further sequest,an individual who is the <br /> subject of stored private or public data on individuals shall be shown the data withou�any charge to him and,rf he desires,shal!be informed of <br /> the content and meaning oJtha!data. After an individual has been shown the private data and informed of its meaning,the data need not be <br /> disclosed to hrm for six months thereafter unless a dispute or actron pursuant lo this section is pending or additional data on the individual has <br /> been collected or created. The responsible authority shall provide copies of the private or public data upon request by the individual subject of <br /> the data. The responsible authority may require the requesting person to pay the actual costs of making,cert�ing,and compiling the copies. <br /> The responsible authority shal!comply immediately,ifpossrble,with arry request made pursuant to this subdivision,or within five days <br /> of the date oJthe request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. Ifhe cannot comply with the <br /> request within that time,he shall so inform the indivrdual,and may have an additional frve days within which to comply wiPu bhe request,exc[uding <br /> Saturdays,Sundays and legal holidays. <br /> Subd.4. P�ocedure when data is not accurate or complete.An individual may contest the accuracy or completeness ofpu6lic or private <br /> data concerning himself. To exercise lhis�ight, an individual shall not�in writing the responsible authority descrrbing the nature of the <br /> disagreement. The responsible authority shall within 30 days either: (a)correct the datafound to be inaccurate or incomplete and attempt!o not� <br /> past recipients of inaccurate or incomplete data,includingrecipients named by the individual;or(bJ not�the individual that he believes lhe data <br /> to be correct. Data in dispute shall be disclosed only rf the individua!'s statement of disagreement is ixcluded with the disclosed data. <br /> The determination of the responsible authority may be appealed pursuant to the provisrons of the administratrve procedure act relating <br /> to contested ccrses. <br /> DATA PRIVACYADVISORY <br /> In accordance with M.S.13.04,Subd.2,'Rights ofsubjects oJdata';we would like to inform you thatyour requestfor a permit or licexse <br /> from the City of Orono or airy of its departments may require you to furnish certain private or confrdential information. <br /> You are notifred that: <br /> 1. The in,jormation you furnish wil!be used to determine your qualifrcation for the permit or license 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 olher local,state or federal agencies to the extent necessary to process 1he permit or <br /> licerue. <br /> 4. If your requested permit or license requires Council action to approve,some injormation may become public. <br /> S. You have certain sights under M.S. 13.04(see following page)to review private data on yourself. <br /> 6. Your fu[l name.is requrred to process this application or permit. <br /> PL�ASE PRINT <br /> �.JbE � �iC� <br /> First � I_��i�i"��,�le • l,�v""-- <br /> lB(e0 , <br /> Address <br /> �V � <br /> City State Zip Phone <br /> I understand my r'ghts s s ted above. <br /> Si ire <br /> /0 <br />