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�►. <br /> . <br /> Sec.13.04 RIGFTTS OF S[JBdECTS OF DATA <br /> Subd. 1. Type of data. The rights of individual on whom the data is swred or to be stored shall be as set forth in this section. <br /> Subd.2. Information req�rired to be given individaal. An individual asked to supply private or confidential data conceming himself shall <br /> be informed of: (a)the purpose and inunded use of the requesud data within the collecting rtate agency,polidcal subdivision,or statewide system; <br /> (b)whether he may refuse oY is legally required to supply the requested data;(c)any lmown coasequence arising from his supplying or refusing to supply <br /> private or confidential data;and(d)the identiry of o[her persons or entides authorized by state or federal law to receive the data. This requirement shall <br /> not apply when an individual is asked to supply invesrigative dara,pursuant to secdon 13.82,subdivision 5,to a taw enforcement officer. <br /> The commissioner of revenue mav place the notice required under this subdivision in the individual income tax or nropertv tax refund <br /> instrucdons inscead of on those forms. <br /> Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject <br /> of swred data on individuals,and whether it is classified as public,private or confidenaal. Upon his further request,an individual who is the subject <br /> of stored private or public data on individuals shall be shown the data without any chazge to him and,-if he desires,shall be informed of the content <br /> and meaning of that data. After an individual has been shown the privace data and informed of iu meaning,the data need not be disclosed to him for <br /> siz months theroafter unless a dispute or acdon pursuant to[his secrion is pending or additional data on the individual has been collected or creaud. <br /> The responsibie authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority <br /> may roquire the requesting person to pay the acwal coscc of malcing,certifying,and compiling the copies. <br /> The responsible andioriry shall comply immediately,if possibte,with any request made pursuant to this subdivision,or within five days of <br /> the date of the request,ezcluding Saturdays.Sundays and legal holidays,if immediau compliance is not possible. If he cannot comply with the request <br /> within diat time,he shall so inform the individuai,and may have an addiaonal five days within which to compiy with the roquest,excluding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data Ls not accurate or complete. An individual may contest the accuracy or completeness of public or private <br /> data concerning himself. To exercise rhis right,an individual shall notify in wricing the responsible authority describing[he nature of the disagreement. <br /> The responsible authority shall within 30 days either: (a)correct the data found ro be inaccurate or iacomplete and aaempt to notify past recipients of <br /> inaccurate or incomplete data,including recipients named by the individual;or(b)nodfy the individual that he believes the data to be correcc. Data <br /> in dispute shall be disclosed only if the individual's statemenc of disagreement is inciuded with the disclosed data. <br /> The determinadon of the responsible authoriry may be appealed pursuant w�e provisions of the administradve procedure act relating to <br /> contested cases. <br /> DATA PRNACY ADVISORY <br /> In accordanee 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 /> confidentiai 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 permit or license. <br /> 3, The information may be shared with other local, state or federal agencies to the extent 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 /> 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 /> First Middle Last <br /> Address , <br /> Ciry State Zip Phone <br /> I understan rights as stated above. <br /> Signacure <br />