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� <br /> ._ _ . , <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 stored shall be as set focth in this secaon. <br /> Subd.2. Information reqirired to be given individuat. An individuai asked w suppiy private or confidenrial data concecning himself shall <br /> be informed of: (a)the purpose and intended use of the requested data within the collecdng state agency,polidcal subdivision,or statewide rysum; <br /> (b)whether he may refuse oY is legally required to supply the requesud data;(c)any lmown consequence arising from his supplying or refusing to suppty <br /> private or confidential data;and(d)[he idenriry of other persons or enudes authorized by state or federal law to�eceive the data. This requirement shall. <br /> not apply when an individual is asked to supply invesrigadve data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. <br /> The commissioner of re�enue mav place the nodce rewired under this subdivision in the individual income_tax or proaertv taz refund <br /> instrucdons instead of on those forms. <br /> Subd.3. Access to data by iadividual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject <br /> of stored data on individuals,and wherher ic is classified as public,priva[e or confidenaal. Upon his further request,an individual who is the subject <br /> of stored private or public data on individuals shall be shown che data wirhout any charge to him and;if he desires,shall be informed of the content <br /> and meaning of ct►at data. After an individual has been shown rhe private data and informed of its meaning,the data need not be disclosed to him for <br /> six mon[hs thereafrer unless a dispute or acdon pursuanc to this section is pending or addidonal data on the individual has been collected or created. <br /> The responsible authoriry shall provide copies of the private or public data upon request by the individuai subject of the data. The responsible authoriry <br /> may require the requesting person to pay the actual cosu of making,certifying,and compiling the copies. <br /> The responsible authoriry shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of <br /> the date of the request,excluding Saturdays.Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request <br /> within that time,he shall so inform the individual,and may have an addidonal 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 individual may contest the accuracy or completeness of public or private <br /> data conceming himsetf. To exercise[his right,an individual shall notify in writing the responsible authority describing[he nature of the disagreement. <br /> The cesponsible authoriry shall within 30 days either: (a)correct the data found to be inaccu�ate or incomplete and attempt to nodfy past recipienu of <br /> inaccurate or incomplete data, including recipients named by the individual;or(b)notify the individua!that he believes the data to be correct. Data <br /> in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. <br /> The de[erminadon of the responsible authoriry may be appealed pursuant to the provisions of the administrarive procedure act relating co <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 any 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 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 other 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 certai.n rights under M.S. 13.04 (available upon request) to review private data on yourself. <br /> (, Your full name is required to process this application or permit. <br /> First Middle Last <br /> Address • <br /> Ciry State Zip Phone <br /> I understand my rights as stated above. <br /> � <br /> Signacure <br />