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.. . .s <br /> Sec.13.04 RIGIiTS OF SUB.TECTS OF DaTA <br /> Subd. 1. Type of data. The righ[s of individual on whom the dara is stored or ro be stoced shall be as set focth in this secdon. <br /> Subd.2. Information reqirired to be given iadividual. An individual acked to svpply private or confidenrial data conceming himseif shall <br /> be informed of: (a)�the purpose and incended use of the nquesud data within the collecdn$state agency,political subdivision,or statewide system; <br /> (b)whether he may refuse ot is legally required to supply the iequesud data;(c)any lmown coasequence arisiag from his supplying or refusing W supply <br /> private or coafidential data;and(d)the idenriry of other persoas or enrides authorized by state or fedecal law to receive the data. 'Ihis requirement shall <br /> not apply when an individual is asked to supply invesdgadve dara,pursuant to secdon 13.82,subdivision 5,to a law enforcement o�cer. <br /> The commissioner of revenue mav place the nodce rewired under this subdivision in the individual income raz or aronem taz refund <br /> instructions instead of on those forms. <br /> Subd.3. Access to data by individuai. Upon request to a respoasible authoriry,an individual shall be informed whether he is the subject <br /> of stored data on individuals,aad whe�her it is class�ed as public,private or confidenaal. Upon his further roquest,an individual who is the subject <br /> of stored private or public data on individuals shall be shown the data without aay charge to him and;if he desires,shall be informed of the content <br /> and meaniag of that data. After an individual has been shown the private dara and informed of its meaning,the data need not be disclosed to him for <br /> six months thereafter unless a dispuu or acaon pursuant to this section is pending or addidonal dara on the iadividual has been collected or created. <br /> The responsible authority shall provide copies of the private or public data upon request by the individual subject of[he data. The responsible authoriry <br /> may require the requesdng person W pay the actual costs of making,certifying,and compiling the copies. <br /> The responsible authoriry shall comply immediately, if possible,with any request made pursuant W this subdivision,or within five days of <br /> the date of the requesc,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the mquest <br /> withitt that.time,he shall so inform the individual,and may have an addiaonal 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 mdividuat may conust the accumcy or completeness of public or private <br /> data conceming himself. To exercise this right,an individuat shall nodfy in wridng the responsible authoriry describing che nature of the disagreement. <br /> The responsible authoriry shall within 30 days either: (a)correct the data found ro be inaccurate or incomplete and aaempc to nodfy past recipieau of <br /> inaccurate or incomplete data,including recipienrs named by the individual;or(b)aoafy the individual that he believes the data W be correct Data <br /> in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed dara. <br /> The decerminadon of the responsible authoriry may be appealed punuant w the provisions of the adminisaative procedure act relating w <br /> contested cases. <br /> DATA PRIVACY ADVISORY <br /> R 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 furnish certain private or <br /> confidential information. <br /> You ue notified that: <br /> 1. The information you furnish will be used to detemune 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 shazed 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 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 /> � � � o�' ��� <br /> Fint / Middle / ,� / Last <br /> �vr <br /> Address i��/ �� �� �� /�3 U(I/� <br /> City Stau Zip Phone <br /> I understand my rights as stated above. r <br /> �%%�� r <br /> Signamre <br />