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,.__ . <br /> Sec.13.04 RIGHTS OF SUBJECTS 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 forth in this section. <br /> Subd.2. Information required to be given individual. An individual asked ro supply private or confidential data concerning himself <br /> shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide <br /> system;(b)whether he may refuse or is legally required to supply the requested data;(c)any lrnown consequence arising from his supplying or <br /> refusing to supply private or confidential data;and(d)the idenury of other persons or entities authorized by state or federal law to receive the data. <br /> T'his requirement shall not apply when an individual is asked to supply investigative data, pursuant to section 13.82, subdivision 5, to a law <br /> enforcement officer. <br /> The commissioner of revernie mav olace the notice reauired under this subdivision in the individual income rax or nrooertv tax refund <br /> instrucdons instead of on those forms. <br /> Subd.3. Access to data by individual. Upon request to a.responsible�uthoriry,�an individual shall be informed whether he is the <br /> subject of stored data on individuals,and whether it is classified as public,privaCe or confidendal. Upon 6is fitrther request,an individua!who <br /> is the subject of stored private or public data on individuals shall be shown the data without any charge to him and,if he desires,shall be informed <br /> of the content and meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be <br /> disclosed to him for six months thereafter unless a dispute or acbon pursuant ro this section is pending or additional data on the individual has been <br /> collected or created. The responsible authoriry shali provide copies of thc private or public data upoa requ�t by the individual subject of the data. <br /> The responsible authoriry may require the requesting person to pay the actual cosu of making,certifying,and compiling the copies. <br /> The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days <br /> of thedate of the request,excluding Saturdays,Sundays and legal 6olidays,if immediate:compliance.is'not possible. If he cannot comply with <br /> the request wiUvn that time,he shall so inform the individual,and may have an additional five days within which to comply with the request, <br /> excluding Saturdays,Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individual may contgst the ac,curacy or completeness of public or <br /> private data conceming hiin`self. To exercise this right,an individual shall notify in w�iting the responsible auflioriry describing the nature of the <br /> disagreement. The respons�ble authoriry shall within 30 days either: (a)correct the data,foand to be ipaccurate or incomplete and attempt to notify <br /> past recipienu of inaccurate or incomplete data,,including recipienu named by the�individual;or(b)noafy the iidividual that he believes the data <br /> to be correct. Data in dispute stiall be disclosed only if the individual's state�ent of disagreement is included with the disclosed data. <br /> The determinadon of the responsible authoriry may be appealed pursuant w the provisions•of the administradve procedure act relating <br /> to 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 <br /> request for a permit or license from the �ity of Orono or any of its departments may require you to furnish certain <br /> private or conf'idential 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 inay be sliared with other locai, 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 certai�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 /> �4 Tf� �1�18L .�aL�rMA <br /> First Middle Last <br /> t ota �2ca .,�wy av� � <br /> Address <br /> 1�/A Vz.AT� nrl nl �"'391 �75=a41S <br /> Ciry State Zip Phone <br /> derstand my ri as stated above. <br /> � <br /> $'tg fe <br /> 6 <br />