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. <br /> r � , <br /> �• . <br /> Sec.13.04 RIGHTS OF SUBJECTS OF DATA <br /> Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored sl�all be as set forth in this secrion. <br /> Subd.2. InformatIon required to be�ven indiv[dual. An individual asked ro supply private or confidential data concerning himself <br /> shall be informed of: (a)the purpose a�irne�ed use of the requested data within the collecting state agency,political subdivision,or statewide <br /> system;(b)whether he may refuse or is legally requ'ued to supply the requested data;(c)azry lmown consequence arising from lris supplying or <br /> rofiuing to supply privaoe or confidetrtial data;azd(d)the dentity of other persons or enades authorized by state or fedetal law to roceive the data. <br /> This requirement shall not apply when an iudividual is asked to supply investigative data,pursuant to section 13.82, subdivision 5, to a law <br /> enforcement officer.. - <br /> The commiesioner of revernie mav nlace the notice reauired under this subdivision in the individual income taic or nrocern tax refund <br /> instructions instead of on those forms. <br /> Subd.3. Access to data by individual. Upon request to a responsibte authority,an individual shall be informed whether he is the <br /> subject of stored data on individuals,and whether it is class�ed as public,private or confidential. Upon his further request,an individual who <br /> is dx subject of soored private or pablic data on individuals shall be shown the data without a�charge to him and,if he desires,shall be informed <br /> of t�content aqd meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be <br /> disctosed to him for six months thereafter imless a dis�wte or action pursuant to this section is pending or addieonal data on the individual has been <br /> collecLed or ccraoed. The respons�(e aud�rity shall provide copies of the private or public data upon request by the individual subject of the data. <br /> The responsible authority may requiro the requesting person to pay the acwa(costs of maldng,certifying,and compiling the copies. <br /> The�espontible suthority shalt comply immediately,if possibte,with any request made pursuant w this subdivision,or within five days <br /> of the date of the request,excluding Sanu�days,S�ndays and legal holidays,if immediate compliance is not possible. If he camot comply with <br /> the request within that time,he shall so infotm the individual,and may have an addidonal five days within which to comply with the request, <br /> ezcluding Saturdays,Sundays and legal ho6days. <br /> Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or <br /> privaoe da�w�erning lvmself. To ezeroise this right,an individual shall notify in writing the rosponsible authoriry describing the nature of the <br /> disagree��. The responSible suthority shall within 30 days either. (a)correct du data fa�nci to be inaccurate or incomplete and attempt to notify <br /> past recipiec�u of inaccurabe or incompleoe data,including recipients named by the individual;or(b)iatify the individual that he believes the data <br /> to be correct. Data in dispux shall be disclosed only if the individual's statement of disagreement is i�luded with the disclosed data. <br /> Tl�detecminadon of the cesponsiible authority may be appealed pursuant to the provisions of the administrative procedure act relaang <br /> to conusted 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 <br /> request for a permit or license from the�ity of Orono or any of its departments may require you to furnish certain <br /> private or confidential information. <br /> You aze notified that: <br /> 1. The information you fumish will be used to determine your qualification for the permit or license <br /> 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 <br /> process the permit or license. <br /> 4. If your requested permit or license requires Council acdon 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 /> CL�C �fe� ��!`I£'t� <br /> ly� ( 51��P�-.� 1���� �t <br /> h'Ic� s3 �s - �6s3 <br /> Ciry State Zip Phone <br /> I ders y,�igh ve. <br /> 1 <br /> Signature <br /> 6 <br />