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i <br /> Sec.13.04 RIGFTTS OF SIJBJECTS OF DaTA ' ' <br /> Subd. i. Type of data. The righrs of individual on whom che dara is scored or to be smred shatl be as set focth in this secaon. , <br /> Subd.2. Information req�dred to be givw individnal. An iadividual asked to supply private or confidendal dara conceming himself shail <br /> be infocmed of: (a)the puc�ose and inrended use of the�equesced daa within the coUecoag itarc agency,polidcal subdivision,or sracewide rystem; <br /> (b)whether he may refuse ot u legally required co supply the cequesoed dara;(c)any l�own coauque�e arising from his supplying or refusing to supply <br />� private or coafidendal data;and(d)che ideadry of ocher peaons or enddes aurhorized by sta[e.or fedecal law to receive rhe da�a. 13is requiremenc shall ` <br /> noc apply when an individual is asked to supply invesdgarive dara,pursuant to uction 13.82,subdivuion S,to a law enfarcemenc officer. <br /> The commissioner of revenue mav place the nodce reauired under this subdivision in the individual income tax or propern raz refund <br /> instnicdons instead of on those forms. <br /> Subd. 3. Access to data by individual. Upan request to a responsible auehoriry,an individual shall be informed whechec he is the subject <br /> of scored da[a on individuals,and whether it is classified as public, priva[e or confidendal. Upon his further request,aa individual who is the subject <br /> of stored private or public dam on individuals shall be shown che dan wichout any chacge to him and,'if he desires, shall be informed of the content <br /> and meaning of fiat data. After an individuai haz been shown che private daca and infocmed of ics meaning,ehe dara need not be disciosed to him for <br /> six mon[hs[hereafter unless a dispute or acdon pursuanc to this secdon is pending or addidonal data on the individual has been collected or creattd. <br /> 1he cesponsible authoriry shall provide copies of che private or public data upon roquest by the individual subjecc of�he data. The responsible au�horiry <br /> may iequire the requesring person to pay rhe acmai coscs of making,certifying,and compiling the copies. <br /> The responsible auehoriry shall comply immedia[ely,if possible, with any request made punuanc to this subdivision, or within five days of <br /> the dace of the request,excluding Saturdays,Sundays and legal holidays,if immediace compliance is noc possible. If he cannot comply wich rhe requesc <br /> within[hac time,he shall so inform rhe individual,and may have an addiaonal five days within which to comply wich che request,excluding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data u not accurate or comp(ete. An individual may contesc the accuracy or compteceness of public or private <br /> data concerning himself. To ezereise chis righc,an individual shap noafy in wridng the responsible authoriry describing the nature of the disagreement. <br /> The responsible auchoriry shall within 30 days eicher: (a)correct[he dam found to be inaccurate or incomplete and attempt to nodfy past recipiena of <br /> inaccurate or incomplete dan,including recipiencc named by che individual;or(b)noufy the individual thac he believes the data to be cocrecc. Data <br /> in dispute shall be disclosed only if[he individual's statemen[of disagreemenc is included with�he disclosed data. <br /> The determinaaon of the responsible auehoriry may be appealed pursuanc to the provisions of the administradve procedure act nladng to <br /> contesced 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 Ciry 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 refusaI may require that the City deny the permit or license. <br /> 3. 'The information may be shared with ocher local, state or federal agencies to the eztent 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 pecmit. <br /> Ficsc Middle �� <br /> Address . <br /> Ciry State Zip Phone <br /> I understand my rights as stated above. <br /> Signamre <br />