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♦ � <br /> � � `) <br /> Sec.13.04 RIGH'TS OF SUBJECTS OF DATA <br /> Subd. 1. Type of data. The righ[s of individual on whom che data is stored or to be stored shall be as set forth in this section. <br /> Subd.2. Information reqtrired to be givea individual. An individual asked to supQly private or confidenaal data concerning himself shall <br /> be informed of: (a)the purpose and intended use of the requesred data within the collecdng�tau agency,political subdivision,or stauwide sysum; <br /> (b)whether he tnay refuse oY is legally required co supply tbe requested data;(c)any known consequence arising from his supplying or refusing to supply <br /> privau or confidendal data;and(d)the identity of o[her persons or enudes authorized by state or federel law to receive the data. This requirement shall <br /> not apply when an individual is asked to supply invesdgaave data,pursuant to ucdon 13.82,subdivision 5,to a law enforcement officer. <br /> The commissioner of re�enue mav alace the nodce required under this subdivision in the individual income tax or�ropertv taz refund <br /> instructions instead of on those forms. <br /> Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is ihe subject <br /> of stored data on individuals,and whe[her it is class�ed as public,priva[e or confidenaai. Upon his further request,an individual who is the subject <br /> of stored private or public data on individuais shall be shown the dara wirhout any charge to him and;if he desires,shall be informed of the content <br /> and meaning of chat data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for <br /> six months thereafter unless a dispute or acdon pursuanc to[his secdon is pending or addidonal data on the individual has been coilected or created. <br /> The responsibie authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry <br /> may require the requesdng person to pay the actual costs of making,cerdfying,and compiling the copies. <br /> The responsible authoricy shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of <br /> the date of the request,exciuding Saturdays,Sundays and tegal holidays,if immediate compliance is not possible. If he cannot comply with the requesc <br /> wirhin that tune,he shail 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 concerning himself. To exercise this right,an individual shall nodfy in wridng the rosponsible authoriry describing[he nature of the disagreement. <br /> The responsible authoriry shall within 30 days either: (a)correct the data found m be inaccurate or incomplece and aaempt to nodfy past recipienu of <br /> inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data to be correct. Data <br /> in dispute shail be disclosed only if the individual's statement of disagreement is included with the disclosed data. <br /> The determinarion of the responsible authority may be appealed pursuant to the provisions of the adminisuarive 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 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 /> First Middie Last <br /> Address � <br /> C�ry State Zip Phone <br /> I understand my rights as stated above. <br /> Signature <br />