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� <br /> Sec.13.04 RIGHTS OF SIJB.TECTS OF DATA � <br /> Subd. 1. Type of data. The rights of individuai on whom the data is stored or to be sto�ed shall be as set forth in this secdon. • <br /> Subd.2. Informatioa reqirired to be given individual. An individual asked to supply private or confidenrial data conceraing himself sha11 <br /> be informed of: (a)the purpose and intended use of the requesred data within the collecting 3tate agency,poliacal subdivision,or statewide sysum; <br /> (b)whether he may refuse oY is legally required to supply the requested data;(c)any Imown consequence arising from his supplying or refusing to supply <br /> private or canfidential data;and(d)the identiry of other penons or enudes authorized by state or fedecal law to receive the data. This requirement shall <br /> not apply when an individual is asked to supply invesrigaave data, pursuant to secaon 13.82,subdivision 5,to a law enforcement o�cer. <br /> The commissioner of revenue mav place the noace required under this subdivision in the individual income tax or vropertv taz refund <br /> instructions instead of on[hose 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 whecher 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 wirhout any chacge to him and,-if he des'ues, shall be informed of the content <br /> and meaning of[hat data. After an individuai has been shown the priva[e data and informed of ics meaning,the data need not be disclosed to him for <br /> six months thereafter unless a dispute or acrion pursuant co chis secdon is pending or addidonal data on the individual has been collected or created. <br /> The responsible authoriry shaU provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry <br /> may require the requesting person to pay the actual cosu of making,certifying,and compiling 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 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 /> Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private <br /> data concerning himself. To exercise this right,an individual shall notify in writing the responsible suthoriry describing the nature of the disagreement. <br /> The rosponsible authoriry shall within 30 days either: (a)corrcct the data found co be inaccurate or incomplete and attempt to nodfy past recipiencs of <br /> inaccurau or incompiete data, including recipients named by the individual;or(b)nodfy the individual that he believes the 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 determinadon of the responsibie au[hority may be appealed pursuant w the provisions of the adminisuarive procedure act relating to <br /> contested cases. <br /> DATA PRNACY 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 shazed 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 /> F�n� Middle Last <br /> Addross <br /> Ciry State Zip Phone <br /> I understand my rights as stated above. <br /> Signature <br />