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• • , <br /> Sec.13.04 RIGHTS OF SUBJECTS OF DATA <br /> Subd.I. Type of data. The rights of individual on whom the data is stored or to be stored shall be as sei forth in this section. <br /> Subd.2. Informa6on requind to be given individual. An 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 known consequence arising from his supplying or rcfusing w supply <br /> private or confidential data;and(d)the identity of other penons or entities authoriud by state or federal law to receive the data. This requirement shali <br /> not apply when an individual is asked W supply investigative data,pursuant to section 13.82,subdivision 5,to a taw enforcement officer. <br /> The commissioner of revenue mav vlace the notice required under this subdivision in the individual income tax or�rooerri tax reFund <br /> instructions insuad of on those forms. <br /> Subd.3. Access to data by individual. Upon request to a rosponsible suthoriry,an individual shatl be informed whether he is the subject of <br /> stored data on individuals,and whether it is classified as public,private or confidential. Upon his further requat,an individual who is the subject of <br /> sWred privau or pubtic data on individuals shap be shown the data without any charge to him and,if he desires,shatl be informed af the content and <br /> meaning of that data. After an individua!has been shown the ptivate 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 this sectioa is pending or additional data on the individual has been wllected or created. The <br /> responsible authoriry shall provide copies of the private or pubtic data upon rcquat by the individual subject oE the data. The responsibie authority may <br /> require the requesting person to pay the actual costs of making,certifying,and compiling the wpies. <br /> The raponsible authority shall comply immediately,if possible,with any request made pursuant to chis subdivision,or within five days oPthe <br /> date of the request,cxcluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with[he request <br /> within that time,he shall so inform the individual,and may have an additional five days within which to compiy with the requesG excluding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individuai may contest the accuracy or completeness of public a privatedata <br /> conceming himself. To exercise this right,an individuaf shall nati fy in writing the responsible authority describing the nature of the disagreement.The <br /> responsible authority shall within 30 days either. (a)coaect the data found to be inaccurate or incomplete and attempt w notify past recipients of <br /> inaccurate or inrnmplete data,inciuding recipients named by the individual;or(b)aotiFy the individual that he believes the daq to be coirect Data in <br /> dispute shall be disclosed only if the individual's statement of disagreement is inciuded with the disclosed data. <br /> The determination of the responsible authority may be appealed pursuant W the provisioas of the administrative procedure act rela6ng to <br /> contated 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 <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 shazed 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 rnay 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 Middle Last <br /> Address <br /> City State Ztp Phoae <br /> I understand my rights as stated above. <br /> � ' <br /> Signature <br /> 1� <br />