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�` <br /> Sec.13.04 RIGHTS OFSUBJECTS OFDATA <br /> Subdrvision 1. Type ojdata The rights of individual on whom the data rs stored or to be slored shall be as set forth in this section. <br /> Subd.2. Injoimation required to be given IndividuaL An individual asked to supply private or confrdential data concerning himself <br /> shall be informed of (a)the purpose and rntended use of the requested data within tire collectrng state agency,political subdivision,or statewide <br /> sys�em;(6J whether he may refuse or is legally required to supply!he requested data;(c)arry known coxsequence arising from his supplyrng or ' <br /> refusing to supply private or confidential data;and(d)the identity of other persons or entities authorrzed by state or federal!aw to receive the data. ' <br /> This requirement shall not apply when an individual is dsked to supply rmestigative data,pursuant to section 13.82, subdivision 5, to a/aw <br /> enforcement o�cer. <br /> The commissroner of revenue mav place the notice sequired under this subdivision in the individual income tax or nropertv tax refund <br /> iustructrons inslead olon those torms. <br /> Subd.3.Access to data by lndividuaL Upon request to a responsible authority,an individual shall be informed wherher he is the subject <br /> of stored data on ixdividuals,and whether it is classifred as public,private or confrdential. Upon hrs further reques�,an individual who is the <br /> subjec�of srored private or public da�a on individuals shall be shown the data without cury charge,to him and,if he desires,shall be informed of <br /> the content and meaning of that data. After an indrvidual has been shown the private data and irformed of its meaning,the data need noJ be <br /> disclosed to hira for six months thereafter unless a dispute or action pursuant to�his section is pendixg or addrtiona/data on the individual has <br /> been collected or created. The responsi6le authority sha[l provide copres of the private or public data upon request by the individual subject oj <br /> the data. The responsible authority may require the requesting person to pay the actua!costs of making,cert�rng,and compi[ing the copies. <br /> The responsible authority shall comply immediately,ifpossible,with arry request made pussuant lo this subdivision,or within frve days � <br /> of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate complrance is not possible. If he cannot comply with the <br /> request within that time,he shall so inform the individual,and may have an additional five days within which to comply wrth the request,ezcluding <br /> Saturdays,Sundays and legal holydays. <br /> Subd.4.Procedure when data is not accurate or complete An indivrdual may conrest the accuracy or completeness ofpublic or prrvate <br /> data concerning himsel,f. To exercise this right, an individual sha!!nol�in writing the responsible authority describing the nature of 1he <br /> disagreement. The resporuible authority shall within 30 days either: (aJ correct the datafound to be inaccurate or incompleJe and atJempt to not� <br /> past recipients of inaccurate or incomplete data,including recrpients named by the indivrdual;or(b)not�the individual that he believes the data <br /> to be correct Data in drspute shall be disclosed only if Jhe irrdividua!'s statement of disagreement is included with the disclosed data. <br /> The determination of the responsible authority may be appealed pursuant to the provisiorrs of the adminrstralive procedure act relating <br /> to coxlesled cases. <br /> DATA PRIVACYADVISORY <br /> In accordance with M.S.13.04,Subd.2,'Rights ofsubjects ofdata"we would lrke to inform you thatyourrequest for a permit or license <br /> from the Crty of Orono or arry of iu departments may require you to furnish certain private or confrdential information. <br /> You are notifred 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 agencres to the extenl necessary to process the permit or <br /> license. <br /> 4. If your requested permit or license requires Council action to approve,some information may become public. <br /> 5. You huve certain rights under M.S.13.04(see following page)to review private data on yourself. <br /> 6. Your full rrame is required to process this application or permit. <br /> PLEASE PRINT <br /> First Midd[e Last <br /> Address <br /> Crty State Zip Phone <br /> ! nderst 'g s a state above. <br /> Sign e � <br /> 10 <br />