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r' , <br /> Sec.13.04 RIGHTS OF SLIBJECTS OF DATA <br /> Subd. 1. Type of data. The rights of individual on whom rhe data is stoted or co be swred shall be as set for[h in this section. <br /> Subd.2. Information reqirired to be given individual. An individual asked to supply private or confidendal data concerning himself shal! <br /> be informed of: (a)the purpose and intended use of the requested data wichin the collecting Ytace agency,polidcal subdivision,or sratewide system; <br /> (b)whecher he may refitse oY is legally required to supply the requesud data;(c)any laiown consequence arising from his supplying or refusing to supply <br /> priva[e or confidendal data;and(d)the idenriry of o[her persons or enddes aurhorized by state or federal law ta rcceive the data. This requirement s6a11 <br /> not apply when an individual is asked to supply invesrigadve dara, punuant[o secaon 13.82, subdivision 5,to a law enforcement o�cer. <br /> The commissioner of re�enue mav place the nodce rewired under this subdivision in the individual income_tax or propertv tax refund <br /> instructions ins[ead of on those forms. <br /> Subd.3. Access to data by individual. Upon request to a responsible au[hority,an individual shall be informed whether he is the subject <br /> of stored data on individuals,and whether it is etassified as public,privace or confidendal. Upon his further request,an individual who is the subject <br /> of stored private or public data on individuals shall be shown[he data wi[hout any charge to him and,-if he desires,shall be informed of the content <br /> and meaning of diat data. Aftec an individual has been shown[he private data and informed of its meaning,the data need not be disclosed to him for <br /> six months thereafter unless a dispute or acdon pursuant to this secdon is pending or addidonal dara on the individual has been collected or created. <br /> The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority <br /> may require the requesdng person to pay the actual cosu of making,cerafying,and compiling the copies. <br /> The responsible authoriry shali comply immediately, if possible,with any request made pursuant to tktis subdivision,or within five days of <br /> the date of the request,excluding Saturdays,Sundays and legal holidays,if immedia[e compliance is not possible. If he cannot comply with the request <br /> within that dme,he shall so infocm the individual,and may have an additional five days within wluch co 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[his right,an individual shall nodfy in writing the responsible authoriry describing�he nature of the disagreement. <br /> The responsible authoriry shall within 30 days either: (a)correct ihe data found to be inaccurate or incomplete and aaempt to nodfy past recipienu of <br /> inaccurate or incomplete data, inciuding recipients named by the individual;or(b)nodfy the individual that he believes the data to be correct. Data <br /> in dispuce shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. <br /> The decerminadon of the responsible au[horiry may be appealed pursuant to the provisions of the adminisorarive procedure act reladng 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 fumish 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 /> g. 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 /> First Middle Last <br /> Address <br /> City State Zip Phone <br /> I understand my rights as stated above. <br /> Signamre <br />