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w <br /> • Sec.13.04 RIGHTS OF SUBJECI'S OF DATA <br /> Subd.1. Type of data. 1'he righu of individual on whom the data is stored or to be stored shell be as set forth in this section. <br /> Subd.2.Infom�ation required to be given individual.M individual asked w supply private or confidential data conceming himself shall be <br /> informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b) <br /> whether he may refuse or is legally required to supply the requested data;(c)any knoKm consequence arising from his supplying or refusing to supply <br /> private or confidential data;and(d)the identity of other persons or entities suthorized by state or federal law to receive ihe data.This requirement shall <br /> not apply when an individual is asked W supply investiga6ve data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. <br /> The commissioner of revenue mav olace the notice reapired under this subdivision in the individual income tax or vroneriv tax refund <br /> instructions instead of on those forms. <br /> Subd.3.Access to data by individual. Upon request to a responsible authority,an individual shall be informad whether he is the subject of <br /> stored data on individuals,and whether it is classified as public,private or contidential. Upon his fiuther request,an individual who is the subject of <br /> stored private or public data on individuals shall be shown the data without any chazge to him and,if he desires,shall be infortned of the content and <br /> meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for six <br /> months thereafter unless a dispute or action pursuant to Uus section is pending or additional data on the individual has been collected or created. The <br /> responsible authority shall provide copies of the private or public dam upon request by the individual subject of the data. The responsible suthority <br /> may require the requesting person W pay the actual costs of making,certifying,and compiling the wpies. <br /> 1'he responsible authority shall wmply immedisuly,ifpossible,with any request made pursuantto this subdivision,or within five days of <br /> the datc of the request,excluding Sahudays,Sundays and legal holidays,if immediate compliance is not possible.If he cannot comply with the request <br /> within that time,he shall so infortn the individual,and may have en additional five days within which to comply with the roquest,excludit►g Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is nQt accurate or complete.An individual may contest the accuracy or completeness of public or private data <br /> conceming himself.To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disageement.The <br /> responsible authority shall within 30 days either. (a)cort�t the data found to be inaccurate or incomplete end attempt to notify past recipients of <br /> inaccurate or incomplete data,including recipients named by the individual;or(b)nodfy the individual that he believes the data to be cortect Data in <br /> dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. <br /> The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating 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 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 fumish will be used to determine your qualification for the permit 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 /> publia <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 /> F��e ���f �aa���.1 �c <br /> Addresv <br /> f'�'7 h • lo S 7 -�,� <br /> City State Zip Phone <br /> I unders y rights as stated above. <br /> Signature <br /> 32 <br />