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°;'� <br /> Sec.13.04 RIGH'fS OF SIJBJECTS OF DATA <br /> Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section. <br /> Subd.2. Information reqirired to be given individual. An individual asked to supply private or confidenual data concecning himself shall <br /> be informed of: (a)the purpose and intended use of the requested data within the collecting§tatt agency,political subdivision,or statewide sysum; <br /> (b)whether he may refuse or is legally required to supply the requested data;(c)any imown consequence arising from his supplying or refusing to supply <br /> privace or confidendal data:and(d)the idenriry of o[her penons or enaaes au[horized by state or federal law to receive the data. This requirement shall <br /> not apply when an individual is asked to supply invesrigadve data,pursuan[to section 13.82, subdivision 5, to a law enforeement o�cer. <br /> The commissioner of revenue mav ptace the notice re4uired under this subdivision in the individual income tax or_propertv tax refund <br /> instcucrions ins[ead of on those forms. <br /> Subd. 3. Access to data by individual. Upon reques[to a responsible au[horiry,an individual shall be informed whether he is the subject <br /> of stored data on individuals,and whe[her ic is ciassified as public, private or confidendal. Upon!ris further request,az►individual who is the subject <br /> of stored private or public data on individuals shall be shown the data wirhout any charge to him and;if he desires, shall be informed of the conunt <br /> and meaning of that data. After an individuai has been shown the private data and informed of iu meaning,[he dara need not be disclosed to him for <br /> six months thereafter unless a dispute or acdon pursuant to �his secdon is pending or addidonal data on the individual has been collected or created. <br /> The responsible authoriry shall provide copies of the private or public data upon requesc by the individual subject of the data. The responsible authoriry <br /> may require the requesar�person to pay the acmal 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 Sacurdays,Sundays and legal hotidays,if immediate compliance is not possible. If he cannot comply with the request <br /> wichin that time,he shall so inform rhe individuai,and may have an addidonal 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 conceming himself. To exercise this right,an individual shall nodfy in writing the responsible authoriry describing the naturo of the disagreement. <br /> The rosponsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipiena of <br /> inaccurate or incomplete data, including recipients named by[he individual; or(b)nodfy che individual thac he believes the data to be correcc. Data <br /> in dispute shall be disclosed only if che individual's statement of disagreement is included with the disclosed data. <br /> The determinadon of the responsible authoriry may be appealed pursuant to the provisions of the administradve 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 determine your qualification for the permit or license requested. <br /> 2. You may refuse to supply data, but refusal may require that the Ciry deny the permit or license. <br /> 3, The information may be shared with o[her 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 /> /(��N � G� ''-.���s10� � <br /> /7'� Mi e Las� <br /> First � ,/�/� �7' <br /> /GhJ <br /> Address '/ <br /> e �i P�� �l�—�` —ZZ� <br /> City State Zip Phone <br /> I und rst m s stated above. <br /> _�'C./ - <br /> Signa re <br />