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,• <br /> Sec.13.04 RIGFiTS OF SUB.TECTS OF DaTA • <br /> Subd. i. Type of data. The righrs of individual on whom the data is stored or to be stored shall be as set forth in this secdon. <br /> Subd.2. Information reqirired to be given individual. An individual asked to supply private or confidenrial data concerning himself shall <br /> be informed of: (a)the purpose and intended use of the requesud data within the collecang"state agency,po(irical subdivision,or sratewide system; <br /> (b)whether he tnay refuse oY is legally required to supply the requested data;(c)any known coasequence arising from his supplying or refusing to supply <br /> private or confidendal dara;and(d)the idenary of other persoas or enrides auchorized by state or federal law to receive the data. This requirement shall <br /> not apply when an individual is asked to supply invesdgadve dara,pursuan[to secdon 13.82,subdivision 5, to a law enforcement officer. <br /> The commissioner of revenue mav place the noace reauired under this subdivision in the individual income tax oc property taz refund <br /> instructions inscead of on those forms. <br /> Subd. 3. Access to data by iadividual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject <br /> of stored data on individuals,and whether it is classified as public, private or confidendal. Upon his further request,an individual who is the subject <br /> of stored prsvate or public data on individuals shall be shown the data wichout any charge to him and;if he desires, shall be informed of the content <br /> and meaning of�hat data. Aftzr an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for <br /> six months thereahec unless a dispute or acdon pursuant to this secrion is pending or addidoaal data on the individual has been collected or creaced. <br /> The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry <br /> may require the requesring person to pay the actual costs of making,cerrifying,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 immediace 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 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 pri�•ate <br /> data conceming himself. To exercise chis right,an individual shall nodfy in wricing the responsible authoriry describing�he nature of the disagreemenc. <br /> The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipients of <br /> inaccunte or incomplete data, including recipiencs named by the individuai;or(b)nodfy the individual that he believes the data to be coaect. Data <br /> in dispute shail be disclosed only if the individual's statement of disagreement is included with the disclosed data. <br /> The derermination of the responsible auchority may be appealed pursuant to the provisions of the adaunistracive procedure act reladng 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 pemut 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 detemune your qualification for the perm.it or license requested. <br /> 2. You may refuse to supply data, but refusal may require tha[ 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 pemut 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 perm.it. <br /> First �Iiddle Last <br /> Address . <br /> City Stam Zip Phone <br /> � <br /> I unders my rig as te� bove. <br /> S' a re <br />