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Sec.13.04 RIGFI'TS OF S[JBJECTS OF DATA � <br /> � <br /> Subd. 1. Type of data. 'Ihe rights of individual on whom the data is stored or to be stoced shall be as set forth in this secdon. <br /> Subd.2. Information reqirired to be given individual. An individual asked to supply private or confidendal data concerning himself shall <br /> be informed of: (a)the purpose and intended use of the reqaesmd data within the collecting 3tau agency,polirical subdivision,or statewide system; <br /> (b)whecher he may refuse ot is legally required to supply the mquesud data;(c)any lmown consequence arising from his supplying or refusing to supply <br /> private or confidenaal data;and(d)the idenaty of o[her persons or enfldes authorized by state or fedecal law to receive the data. This requirement shall <br /> not apply when an individual is asked to supply invesrigadve dara,pursvant to secdon 13.82,subdivision 5,to a law enforcement officer. <br /> The commissioner of revenue mav place the noace rewired under this subdivision in the individual income taz or proaertv taz refund <br /> instructions instead of on those forrt►s. <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 stored data on individuals,and whether it is class�ed 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 charge w him and;if he desires,shall be informed of the content <br /> and meaning of[hat data. After an individual has been shown[he private data and informed of its meaning,che data need not be disclosed to him for <br /> six months thereafur unless a dispuu or acdon pursuanc w this secaon is pending or addiaonal data on the individual has been collected or created. <br /> The responsible authoriry shall provide copies of the private or public data upon nquest 6y the individual subject of the data. The responsible authority <br /> may requiro the requesang person to pay the actual cosu of making,cectifying,and eompiling the copies. <br /> The responsible authoriry shall 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 possibte. If he cannot comply with the request <br /> within that tune,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 /> Subd.4. Procedure when data is not accurate or complete. An individuat may conust the accuracy or completeness of public or private <br /> data concerning himself. To exercise this right,an individual shall nodfy in wricing the responsible authoriry describing rhe naturo of the disagmement <br /> The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipients of <br /> inaccunte or incomplete data, including recipients named by the individual;or(b)noafy the individual t6at he believes rhe data to be correct. Data <br /> in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. <br /> The detezminadon of the responsible authority may be appealed pursuant to the provisions of the administraave 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 detemune 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 /> Fi�� Middle Last <br /> Address <br /> Ciry State Zip Phone <br /> I understand my rights as stated above. <br /> Signacure <br />