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� . <br /> . � <br /> Sec.13.04 RIGIiTS OF SUB.TECTS OF DATA <br /> Subd. 1. Type of data. The righcs of individual on whom[he dara is stored or to be stored shall be as set forrh in this secrion. <br /> Subd.2. InFormation reqirired to be given individual. .�n individual asked to supply private or confidendal dara conceiniag himself s6a11 <br /> be informed of: (a)the purpose and incended use of the requesred dara wi[hin the collecting state agency,poliacal subdivision,or stauwide sysum; <br /> (b)whe[her he may refuse oY is legally required to supply ehe requesud data;(c)any Irnown consequence arising from his supplying or refusing to supply <br /> priva�e or confidendal data;and(d)the idenary of o[her persoas or entines 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 dara,pursuant to section 13.82,subdivision 5,to a law enforcement o�cer. <br /> The commissioner of revenue mav place the noace rewired under this subdivision in the individuat income tax or orooertv taz refund <br /> inst�ucaons inscead of on ehose forms. <br /> Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject <br /> of stored data on individuals,and whether it is class�ed as public,priva[e or confidenaal. Upon his further request,an individual who is the subjecc <br /> of stored private or pubiic data on individuals shall be shown the daa wichout any charge to him and;if he desires,shall be informed of the content <br /> and meaning of that data. After an individual has been shown the private dara and informed of iu meaning,the data need not be disclosed ro him for <br /> six months thereaher unless a dispute or action pursuanc to rhis secrion is pending or addiaonal data on the individual has been collected or creared. <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 requesang person to pay the actual costs of making,cerufying,and compiling the copies. <br /> The responsible au[hority shall comply immediately,if possible,with any request made pursuant to this subdivision,or wichin five days of <br /> the date of the request,excluding Saturdays,Sundays and tegal holidays,if immediau compliance is not possible. If he cannot comply with the requesc <br /> wirhin that time,he shali so inform[he individual,and may have an addirional five days within which to compiy wich 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 concerning himself. To exercise this right,an individual shall noafy in wridng the responsible authoriry describing che nature of the disagreement. <br /> The responsible authoriry shall within 30 days either: (a)correct rhe data found m be inaccurate or incomplete and attempt to nodfy Qast recipienc�of <br /> inaccurate or incompiete data, including recipients named by[he individual;or(b)nodfy the individual thac he believes the data to be correct. Data " <br /> in dispuce shall be disclosed only if the individual's sratemenc of disagreemenc is included wirh the disclosed data. <br /> The decerminarion of the responsibte auchoriry may be appeated pursuant to the provisions of the administradve procedure act relaring 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 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 thar. <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 shared with ocher 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 /> First Middle Last <br /> Address . <br /> Ciry State Zip Phone <br /> , <br /> I understand s ted above. <br /> naaro <br />