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Sec.13.04 RIGHTS OF SUBJECTS OF DATA <br /> Subd.l. Type of dats. The rights of Indivldual on whom t6e data is stored or to be stored shall be as set forth in this section. <br /> Subd.2. Information required to be given individual.An individual asked to supply prlvate or confidential dats conceraing 6imself shall be <br /> informed ot: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b) <br /> whether 6e may refuse or is legally required to supply the requested data;(c)any known rnnsequence arising from his supplying or retusing to supply <br /> private or confidenNal data;and(d)the fdentity of other pereons or enUtles authorized by state or tederal law to receive the dats.This requirement shall <br /> not apply when an individual is asked to supply invesUgative data,pursuant to section 13.82,subdivision 5,to a law en[orcement officer. <br /> The commissioner of revenue mav ulace the nodce reauired under this subdivision in the individual income tax or orouertv taz refund <br /> instructions instead of on those forms. <br /> Subd.3. Access to data by individual. Upo�request to a responsible authority,an individual shall be informed whether he is the subJect of <br /> stored data on individuals,and whether it is classi�ed as public,private or rnnfidential. Upon his turther request,an indivfduai who is the subject of <br /> stored private or public data on individuals s6a11 be shown the data without any charge W him and,if he desires,shall be informed of the content and <br /> meaning of t6at data. After an tndividusl has been shown the private data and informed of Its meaning,the data need not be disclosed to him for six <br /> months thereatter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The <br /> respooslble sut6ority shall provide copies of the private or public data upon request by the individual subject ot the data.The responsible authority may <br /> require t6e requesting person to pay the actual costs of making,certitying,and rnmptling the copies. <br /> TAe responsible authority shall comply immediately,it possible,with any request made pursuant to this subdivision,or within five days of the <br /> date of the request,excluding Saturdays,Sundays and legal holidays,if immediate c.ompliance is not possible.If he cannot comply with the request within <br /> that time,he shall so inform the individual,and may have an additional five days within which to comply with the request,excluding Saturdays,Sundsys <br /> and legal holldays. <br /> Subd.4. Procedure when dsta is not accurate or complete.An individual may conteat the accuracy or completeness of public or private data <br /> concerning himself.To exerctse this right,an indivldusl s6a11 notify in writing the responsible ruthority describing the nature of the disagreemeat The <br /> responeible authority shall within 30 days either: (e)correct t6e data found to be inaccurate or incomplete snd attempt to notify past recipients of <br /> inaccurate or incomplete data,including recipients nsmed by the individual;or(b)notify the individual that he belleves the data to be�rrect Data in <br /> dispute shalt be disclosed only if the indivldusl's statement of disagreement is included wit6 the disclosed data. <br /> T6e determination ot the responsible authority may be appealed pursuant to the provisions ot 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 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 eatent 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 r quired to process this application or per 't. <br /> First � � � � ����i�l� � Last <br /> .� <br /> � <br /> Address <br /> w s�3 � � �3� <br /> City State Zip Pdone <br /> I understand my rights a stated ove. <br /> Sfgnature <br />