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Sec.13.04 RIGH7'S OF SUBJECTS OE DATA <br /> Subd.1. Type of data. The righls of individual an whom the data is stored or to be stoted shall be as set forth in this section. <br /> Subd.2. Infomiation requircd to be given individual.An individual askod to suPP�Y P�'�vate�confidcntial data cu�ceming hitoself shall be <br /> informed of: (a)the purpose and intended use of the requested data wit6in t6e collecting state agency>Political subdivision,or statcwide system;(b) <br /> whether he may iefuse or is IeBallY re4uirad to supply the requested data;(c)any lmown consequence arising frnm his suPPiY�B or refusing to suPP�Y <br /> private or confidential de►a;end(d)the identiry of ot�r petsona or entities authoriud by state or fedaal law to ieceive the data This raquiremmt shall <br /> not apply when an individual is asked to supply investigadve data,pursusnt W section 13.82,subdivision 5,to a law�fo�ement offica. <br /> The com�ssioner of revenue mav viace the�tice iequirod nnder t6is subdivision in the individual i�ome tex or nraoertv tax refund <br /> inswcdons instead of on t6ose fom�s. <br /> Subd 3.Accesc to data by individual. Upon request to a nspoasible authariry,an individual shall be infonned whether he is the subject of <br /> stoied data on individuals,and whet6er it is classi5ed as public,privace�confidrntial. Upon his furtha tequest,en individual who ia the subject of <br /> stored private or public data on individuals shall be shown the data without any charge to him and,if he desires,shall be infonned of the content and <br /> rtxaning of that data. After an individual 6as been shown the private data aad infotmed of its meaning,the data need not be disclosed to him for six <br /> months thereafur unless a dispute or acdon puisuant to dus secd�is pending or addiaonal data on the individual has been collected or created.The <br /> resp�sible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The iesponsible authoriry <br /> �5'�9uire the requesting petson to pay the actual costs of malong,cat►fyin&and compiling the copies. <br /> "I'he responsibk authoriry shall comply immediacely,if possible,with any request made pucsuaat to this subdivision,or within five days of <br /> the date of the iequesy excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible.If he c�nnot comply�+'ith the te4uest <br /> within that dme,he shail so infocm the individual,and may have an additional Sve days within whic6 to comply with the request,excluding Sahudays, <br /> Sundeys and legal holidsys. <br /> Subd.4.Procedure when data is not accuiate a complete.An individual may cancest the accu:acy or canpleteness of public or private data <br /> co�eming lumsel£To exacise this right,an individual shall notify in writing the responsible authority describing the nahue of tlx disagreement•'Ihe <br /> responsible suihority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipienu of <br /> inaccurate�incomplete data,including recipientc named by the individual;or(b)notify the individual that he believes the data to be correct•Data in <br /> dispute shall be disclosed only if the individual's statement of disagree�nt is included with the disclosed data. <br /> The determination of the responsible authoriry may be appealed p�usuanc to the provisions of the administradve procedure act relaang 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 yow request <br /> for a permit or license from the City of Orono or any of its departments may require you to fiunish certain private or <br /> confidenrial informarion. <br /> You are notified that: <br /> 1. The information you furnish will be used to determine yow qualificarion 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 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 /> Willaim D. Wyatt <br /> F�t Middle l.ast <br /> 4325 Co.Rd.6 <br /> Address <br /> Long Lake � 55356 (952)475-1427 <br /> City State 7�p Phone <br /> I understand my rights ss stated above. <br /> Siguature <br /> � 32 <br />