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� <br /> i <br /> , � . > „ �; . �,,;��,;,:�;. , ,,-.� ,. .__ , , <br /> ... ........�,_ <br /> � � � � � �� <br /> Sec.13.04 RIGHTS OF SUBJECTS OF DATA , ,p� f�t�i <br /> Subd. 1. Type of data. The righu of individual on whom the da�a isstoced or to be Storad�sh2ll'be'as,set.iorth`fii this section. <br /> ., �. .._ ...i.y.�1��...�f _.. ..'F ` �. ".� �� �,� •� � <br /> Subd.2. Information required to be given individual.M i�ia7tdua4asked�sr�ppfiy ptiV$te or Confiden`hal data conceming himselfshall be <br /> informed of. (a)the purpose and intended use of the requested data within the collectin�state agen„p}�,,,p,qljtical,su6division,or statewide system;(b) <br /> whe[her he may refuse or is legally required to supply Ihe re�}µeste4l"tiat;a;'�c)any known consequence arising from Ni5 supplying or refusing to supply <br /> private or confidential data;and(d)the identity of other per9on.s or p�"'titigs aTithoriaed,by state or fe�,erdJ„I1NtCo ceceive the�dafa.This requirement shali <br /> not apply when an individual is asked to supply investigatiJe�2f�;'p'u?'sua`nt to section 13.82,subdivision 5,to a law enforcement officer. <br /> The commissioner of revenue mav�lace the notice required under this subdivision in the individual income tax or property tax refund <br /> instructions instead of on those forms. <br /> Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be infortned whether he 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 the content and <br /> meaning of that data. ARer an individual has been shown the private data and informed of iLs meaning,the data need not be disctosed to him for six <br /> months thereafter unless a dispute or action pursuant[o this section is pending or additional data on the individual has been coilected or created. The <br /> responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible auihority <br /> may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. <br /> The responsible authority shal l comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of <br /> the date of the request,excluding Saturdays,Sundays and legal holidays,if immediaTe compliance 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 within which to comply with the request,excluding Saturdays, <br /> Sundays and legal holidays. <br /> S ubd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of publ ic or private data <br /> conceming himself. To exercise this right,an individual shal l notify in writing the responsible authority describing the nature of the disagreement The <br /> responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of <br /> inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data to be correct. Data in <br /> dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. <br /> The determination of the responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act relating to <br /> contested 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 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 furnish will be used to determine your qualification for the permit or license <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 permit or license. <br /> 4. If your requested permit 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 permit. <br /> r <br /> ��(,�CE ��.f��� ����� ��V 1 <br /> First Middle <br /> Last <br /> � � u�f <br /> Address <br /> C�h" State Zip Phone <br /> I understand my rights st d a ve. <br /> �CX <br /> ignature <br /> Reset Form - 32 <br />