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, � <br /> Sec.13.04 RIGHTS OF S[JBJECTS OF D.�►TA <br /> Subd. 1. Type of data. The rights of individual on whom rhe data is stored or to be stored shall be as set forth in this secdon. <br /> Subd.2. Informatioa req�rired to be givea individual. .1n individual azked to supply private or confidendal data concerniag himself shall <br /> be informed of: (a)the purpose and intended use of the requesred daa within the collecang 3tate agency,poliuca!subdivision,or sratewide sysum; <br /> (b)w6echer he may refuu oY is legally required to supply che requesud data:(c)any Irnown consequence arising from his supplying or refusing to supply <br /> priva[e or confidenaal data;and(d)the idenary of ocher penoat or encdes authorized by state or federal law to receive the data. This requirement shall <br /> not apply when an individual is asked to suppiy invesdgadve dara,punuaac to secaon 13.82,subdivision 5,to a law enforcement officer. <br /> The commissioner of rovenue mav place the noace reauired under this subdivision in the individual income taz or pro�em tax refund <br /> instcucdons instead of on chose forms. <br /> Subd.3. Access to data by iadividual. Upon rcquesc to a responsible auehoriry,an individual shall be informed whether he is the subject <br /> of stored data on individuals,and whe�her it is ciassified as pubtic,private or confidenaal. Upon tus further request,an individual who is[he subjecc <br /> of stored private or public data on individuals shall be shown ehe data wirhout any charge to him and;if he desires,shall be informed of the content <br /> and meaning of chat data. After an individual has been shown ehe private data and informed of its meaning,the data need not be disclosed to him for <br /> six months thereafter uniess a dispute or action pursuanc to this secrion is pending or addiaonal data on the individual has been collected or cmated. <br /> The responsible authoriry shall provide copies of the private or public dara upon request by the individual subject of[he data. The responsible authority <br /> may require the requesdng person to pay the actual cosu of making,certifying,and compiling the copies. <br /> The responsible authoriry shail 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 immedia�e compliance is not possible. If he cannot comply with[he request <br /> wi[hin that time,he shall so inform[he individual,and may have an addidonal five days within which to compiy wich the request,ezcluding Saturdays. <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individual may conust the accutacy or completeness of public or pri�•ate <br /> data concerning himself. To exercise chis right,an individual shall noafy in wri[ing[he responsible authoriry describing che nacure of the disagreement. <br /> The responsible authoriry shati within 30 days either: (a)correct che data found to be inaccurate or incomplete and aaempt to nodfy past recipienu of <br /> inaccurate or incortplete dara, including cecipients named by rhe individual;or(b)notify the individual thac he believes the dara to be correct. Data <br /> in dispuce shall be disclosed only if the individual's statement of disagreemenc is included with the disetosed dara. <br /> The decerminaaon of the responsible au[horiry may be appealed pursuanc to the provisions of the adminisaarive procedure act relacing to <br /> contesced cases. <br /> DATA PRIVACY ADVISORY <br /> In accordance with M.S. 13.04, Subd.2, "Ri¢hts 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 refusal may require that the City deny the permit or license. <br /> 3. The information may be shued with ocher 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 permit. <br /> Fint Middle Last <br /> Address <br /> Ciry State Zip Phone <br /> I understand stated above. <br /> Signamre <br />