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f <br /> Sec.13.04 RIGHTS OF SUBJECTS OF DATA <br /> Subd.1. Type o[data. The r(ghts of Individual on w6om t6e data ls stored or to be stored shall be as set forth in t6is seMlon. <br /> Subd.2. Information required to be given indiv(dual. An individual asl-ed to sapply private or rnnfldentlal data concerning hImself�shall be <br /> informed of: (a)the purpose a�d intended use of t6e requested dau within the collectiag state agency,polltical subdivision,or statewide system;(b) <br /> whether he may refuse or is legally required to supply the requested data;(c)an�•l-aowa consequence arising trom his supplying or refusing to supply <br /> private or rnn[idential data;and(d)the identity otother persons or eaNties authorQed b�state or federal law to receive the data.This requirement shall <br /> not apply w6en an individual(s asked to supply investigative data,pursuant to section 13.82,subdivis(on 5,to a law enforcement ofticer. <br /> The rnmmissioner oi revenue mav olace the notice reanired under this sub�iisision in the individual inrnme taz or orooertv tax refund <br /> instructions instead of on those forms. <br /> Subd 3. Access to data by indivldual. Upon request to a responslble authorfcc,an Indivtdual shall be Informed H�hether he is the subject of <br /> stored data on individuals,and whether it is class(fted as public,prn•ate or rnn[idential. L'pon his further request,an ind(�idual who Is t6e subJect of <br /> stored private or public data on ind(vldusls shall be shown the data without an}charge to him and,if 6e desires,shall be informed ot the conteot and <br /> mesning of that data. Atter an individual has been shown the pri��ate data and informed of its meaning,the data need not be disclosed to him[or six <br /> months thereafter unless a dispute or acNon pursuant W this section is pending or additional data on the tadividual has been collected or created. The <br /> raponsible authority shall provlde copies of the p�ivate or pubtic data upon request by thc indlviduat subject ot the data The respons(ble authoriry may <br /> require the requesting person to pay the aMual costs of maktng,certitying,and compiling the rnples. <br /> The responsible authority shail rnmply immediately,if possible,with an.-request made pursuant to this subdivision,or within[ive days of the <br /> date of the request,excluding Saturdays,Sundays and legal holida�-s,i[immediate complisnce Is aot possible.If he cannot aomply with the rtquest within <br /> that time,he shall so Inform the lndividual,and may 6ave an additlonal five days N-ithln whic6 to comply wlth the request,ezcluding Saturdays,Sundays <br /> and legal holldays. <br /> Subd.4. Procedure when data is not accurate or rnmplete.An indlvidual ma.contest the accuracy or completeness o[public or private data <br /> concerning 6imself.To exerctse this right,aa individual shall ootiF•in writing the raponsa'ble aut6oMty describing the nature of the disagreemeat.The <br /> responsible authority shall wlthin 30 days either: (a)correct the data found to be inaarurate or inrnmplete and attempt to notlfy past recipients of <br /> inaccurate or facomplete data,including recipieats named by the individual;or(b)ootlt`tLe indiv(dual that he believes the data to be comcG Data in <br /> dispute shall be disclosed only if the individual's statement of dlsagreement is indaded�.-ith the dlsclosed data. <br /> The deterrt►ination o[the responsible suthority may be appealed pursoant W the provisions of the adminlstrative procedure act relatlng 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 an�-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 quali5cation for the permit or license requested. <br /> 2. You may refuse to supply data,but refusal may reqaire that the City deny the permit or license. <br /> 3. The information may be shared with other 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 acuon to approve, some information may become <br /> public. <br /> 5. You have certain rights under M.S.13.0�(available upon request)to review private data on yourself. <br /> 6. Your full name is required to process this application or permit. <br /> F�''St Mlddle Last <br /> Address <br /> City State ZIp Phone <br /> I un �td-nny rights aF stated above. , <br /> . ,� � <br /> - � <br /> gnature <br />