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i ' � ' <br /> Sec.13.04 RIGIiTS OF SUBJECTS OF DATA <br /> Subd. 1. Type of data. The righrs of individual on whom the data is stored or co be scored shall be as set for�h ia this section. <br /> Subd.2. Information reqirired to be given.individual. A,n individual asked to supply priyate or confidendal data concecning himself shall <br /> be informed of: (a)the purpose and inrended use of the�equested data wiehin the collecdng Stace agency,political subdivision,or statewide system; <br /> (b)whe[her he may refuse o'r is legaqy mquired to supply ehe requested data:(c)any Imown wnsequence arising from tus supplying or refusing to supply <br /> privace or confidendal data:and{d)the idendry oEo�her penoas or enrides auc6orized by seate or federal law to rcceive the d�ta. 'This requiremenc shall <br /> not apply when an individual is asked to supply invesdgadve data,pursuant�o secdon 13.82,subdivision 5,to a law eniorement o�cer. <br /> The commissioner of re�enu� mav place the norice rewired under this subdivision in che individual income sax or Drooe�tv tax refund <br /> instructions instead of on those forms. <br /> Subd.3. Access to data by individuai. Upon requesc to a responsible aurhoriry,an iadividual shatl be inform=d whether he is the subject <br /> of stored data on individuals,and whe[her it is class�ed as public,private or confidendal. Upon his further request,an ir+dividual who is the subject <br /> of stored private or public data on individuals shall be shown the data wichout any charge to him and;if he desires, shall be informed of the coatent <br /> and meaning of ct►at data. After an individual has been shown the privace dara and informed of irs meaning,[he dara need not be disclosed to him for <br /> six mon�hs chereaiur unless a dispute or acdon pursuanc to �his secdon is pending or addirional data on the individual has been collected or creared. <br /> The responsible aucho�ry shall provide copies of the private or public dara upon roquesc by the individual subjecc of the daca. The responsibte au[horiry <br /> may require the requesting person to pay che acmal coSu of making,cerafying,and compiling the copies. <br /> The responsible authoriry shall comply immediately,if possible,with any request made pucsuant to this subdivision,or within five days of <br /> the date of the requesc.excluding Saairdays,Sundays and legal holidays,if immediate compliance is not possible. If he caanot comply with the request <br /> within that time,he shall so inform the individual,and may have an addirional five days wirhin wtuch to comply with ehe crquest,axciuding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or compleceness of public or pri�ate <br /> dara conceming himsdf. To exercise rhis right,an individual shall noafy in wridng the respoosibic authoriry describing�he naturo of the disagreemenc. <br /> The responsible auehoriry shall within 30 days either: (a)correct the data faund to be inaccurate or incomplece and aaemec to nodfy past recipienu of <br /> inaccurate or incomplete data, including recipients named by the individual;or(b)noafy the individual thac he believes rhe data to be correcG Data <br /> in dispuce shall be disclosed only if the individual's statement of disagreement is included wi[h c6e disclosed data. <br /> The de�erminadon of the rzsponsible aufioriry may be appealed pursuanc to the provisions of[he adminisaaave procedure act reladng to <br /> wntested cases. . _ <br /> � . DATA PRIVACY ADVISORY <br /> In accordance with M.S. 13.04, Subd.2, "Rights of subjects of data", we would like to inforca you that your request <br /> for a permit or license from the Ciry of Orono or any of i[s deparcments may require you to fumish 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 City deny the perm.it or license. <br /> 3. The information may be shazed wi[h other local, state or federal agencies to the excent necessary to process <br /> the permit or license. <br /> 4. If your requested permit or license requires Council action to approve, some information may become <br /> , public. <br /> �. You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself. <br /> (, Your full name is required to process this application or permit. <br /> Fint Middle Last <br /> Address • <br /> Ciry State .' Zip _ . .; Phone . . �.,, . <br /> I understand my righ �,state ov <br /> `� �' Z� 6 <br /> Signaare <br />