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� � , . <br /> Sec.13.04 RIGHTS OF SLJBJECTS OF DATA <br /> Subd.1. Type of data. The rights of individual on whom the data is stored or to be atored st�all be as set forth in this section. <br /> Subd.2.Information required to be given individual.M individual asked to supply private or confidential data concerning hunaelf shall be <br /> infoimed of; (a)the purpose and'mtended uae of the requested data within the collecting state agency,political subdivision,or statewide system;(b) <br /> whather he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refuaing to supply <br /> private or confidential data;and(d)the identity of other pe�sons or entities authorized by state or fedecal law to receive ihe data.This requirement shall <br /> not apply when an individual is asked to aupply inv�tigative data,pursuant to section 13.82,subdivision 5,to a law cnforcement officer. <br /> T6e commiasioner of revenue mayp►ace the notice required under thia aubdivision in the individual income tax or o�y tax refund <br /> inatructions instead of on those fom�s. <br /> Subd.3. Access to data by individual.Upon request to a responsible authority,an individual shall be informed whether he is the subjectof <br /> stored data on individuals,and whether it is classified as public,private or confidential. Upon hia fu�ther requeat,an individual who ia the subject of <br /> stored private or public data on individuals ahall be shown the data without any charge to him and,�he desirea,shalt be inforrned of the content and <br /> meaning of that data. After an individual hae been shown the private data and infonned of ite meaning,the data need not be discloaed to him for six <br /> montha thereafter unless a diapute or action pursuant tn this section is pending or additional data on the individual has been collected or created. 1'he <br /> responaible authority shall provide copies of the pr�rvate or public data upon requeat by the individual aubject of the data. T'he responsible authority <br /> may requue the requesting person to pay the actual costs of making,ceitifying,and comQiling the copies. <br /> The responsible authority shail comply immediately,ifpoasible,with any request made puisuant to thie aubdrvision,or within five days of <br /> the date of the requeet,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible.If he cannot comply with the requeat <br /> within that time,he shall so inform the individual,and may have an additional frve days within which to comply with the requeat,excluding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4.Procedure when data is not accuraie or complete.M individual may contest the accuracy or completeness of public or private data <br /> concerning hunsel£ To exercise this right,an individual shall notify in writing ihe reeponsible authority describing the nature of the disagreement The <br /> reaponsible authority shall within 30 days either: (a)cotrect the data found to be inaccurate or incomplete and attemQt to notify past recipients of <br /> inaccurate or incomplete data,including recipienta named by the individual;or(b)notify the individual thathe believes the data to be correct.Data in <br /> dispute aliall be diaclosed only if the individual's statement of disagreement ia included with the disclosed daU. <br /> The determination of the responsible authority may be appealed pureuant to the provisions oFthe adminiatrative procedure act relating to <br /> conteated cases. <br /> DATA PRIVACY ADVISORY <br /> In accordance with M.S. 13.04,Subd.2,"Rights of subj ects of data",we would like to infonn you that your request <br /> for a pennit or license from the City of Orono or any of its departrnents may require you to fiunish certain private or <br /> conf'idential information. <br /> You are notified that: <br /> 1. The information you fiunish will be used to detennine your qualification for the pemiit or license <br /> 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 other local, state or federal agencies to the extent necessary to <br /> process the petmit 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 pennit. <br /> _�i,� I'-��� Sei��Cc_ �-c��1ft"uc+cc`>. -�-�IC. / �--�a.,r �oe,t:/ <br /> First Middle Last <br /> � �� .�`fi'' f�irE.. /�� � � <br /> Address <br /> C.�)udv��b�a l-�Qi4V1ts iyl� SS�-1�- t 7(c3-7 k�S�->`/// <br /> City State Zip Phone <br /> I understand my rights as stated above. <br /> . r � r <br /> �, r� • - <br /> Signatur <br /> 32 <br />