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• ' - . � <br /> Sec.13.04 RIGHTS OF SUBJECTS OF DATA <br /> Subd.l. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth iK thts sectton. <br /> Subd.2. Information requlred to be given Individual. An individual asked to supply prlvate or cont3dential data rnncerning himself shall be <br /> informed of: (a)the purpose and Intended use of the requested data w(thin the colleMing state agency,political subdivision,or statewide system;(b) <br /> whether he may refuse or is legally required to supply the requested data;(c)sny known consequence arising from his supplying or refusing to supply <br /> private or confidential data;and(d)the identity of other persons or enHtles authorized by state or tederal law to receive the data. This requirement shall <br /> not apply when an indiv[dual is asked to supply investtgative data,pursusnt to seMion 13.82,subdivision 5,to a law enforcement officer. <br /> The commissioner of revenue mav olace the notice reauired under this subdivision In the Individual income tax or orooertv tax refund <br /> instruMions instead of on those forms. <br /> Subd.3. Access to dsta by indtvidual. Upon request to a responsible authority,an indlvidusl shall be informed whet6er he is the subject o[ <br /> stored data on individuals,and whether it is cisssified as public,prtvate or contldenttal. Upon hts further request,an ind(vidual who is the subject of <br /> stored private or publlc data on individuals shall be shown the data without any charge to him and,if he desires,shall be iniormed of the content and <br /> meaning of that data. After an individual has been shown the private dats and iniormed of Its meantng,the data need not be disctosed to him[or siz <br /> months thereafter unless a d[spute or action pursuant to this sectlon is pending or additional data on the individual hss been collected or created. The <br /> responsible suthority shall provide copies of the private or public data upon request by the individual subject of the data.The responsible authority may <br /> require the requesting person to psy the actual rnsts of maldng,certifying,and complling the coptes. <br /> The responsible authority ahsll comply immediately,if possible,with any request made pursuant to this subdivisian,or wtthin five days of the <br /> date of the request,excluding Saturdays,Sundays and legal holidays,it immediate compliance is not possible.It he cannot�mply with the request wtthin <br /> that time,he shall so Inform the individual,and may 6ave an additlonal tive days within which to comply with the request,excluding Saturdays,Sundays <br /> and legai holidays. <br /> Subd.4. Procedure when data is not accurate or rnmplete. An individual may contest the accuracy or completeness of publicor private data <br /> rnncerning himself. To exercise this right,an individual sha11 noti[y in writing the responsible suthority describing the nature of the dtsagreemen� The <br /> responsible suthority shall wit6in 30 days eit6er: (a)correct the data found to be inaccurate or incomplete snd attempt to notity past reclpients ot <br /> inaccurate or incomplete data,including reciplents named by the individual;or(b)notlfy the tndividual thst he believes the data to be rnrrect. Data in <br /> dispute shall be disclosed only If the indivtdual's statement of disagreement is included with the disclosed data. <br /> The determination of the responsible suthoNty may be appealed pursuant to the provtsions ot 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 /> confdential 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 eztent 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 /> Flrst Middle Last <br /> Address <br /> Ctty State Zip Phone <br /> I understand my rights as state above. <br /> i��'`i� <br /> Signature <br />