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<br /> Sec.13.04 RIGHTS OF SLTBJECTS 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 to supply private or co�denaal data concerning himself shall
<br /> be informed of: (a)the purpose and intended use of the requested data within the collecdng'state agency,polidcal subdivision,or statewide sysum;
<br /> (b)whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply
<br /> private or confidendal data;and(d)the idendry of other persons or enuties authorized by state or federal law to receive the data. This requirement shall
<br /> not appiy when an individual is asked to supply investigadve data,pursuant to secdon 13.82, subdivision 5, to a law enforcement officer.
<br /> The commissioner of revenue mav place the notice reauired under this subdivision in the individual income tax or nrooerN tax refund
<br /> instrucaons mstead of on those forms. - ' . .. ,
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<br /> Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject
<br /> of stored data on individuals,and whether it is classified as public, private or co�dendal. Upon his further request,an individuai who is the subject
<br /> 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 of the contenc
<br /> and meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed W him for
<br /> six months thereafoer unless a dispute or ac6on pursuant to this secdon is peading or addidonal data on the individual has been collecud or created.
<br /> The responsible audioriry shall provide copies of the private or public data upon request by the individual subject of the data. 73e responsible authority
<br /> may require the requesting person to pay the actual costs of making,cectifying,and compiling the copies.
<br /> The responsible authoriry shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of
<br /> the date of the request,excluding Saturdays,Sundays,and legal holidays,if immediate compliance is not possible. If he cannot comply with the reques[
<br /> within that time,t�shall,�o inform the individuai,aiid maX'hav�an addiponal fve days within wt�jch ro coanply with the request,excluding Saturdays,
<br /> Sundays and tegal holidays. ` . . `, " � ' • � t s • . ." '
<br /> Subd.4.� �rocedure when data is not accurate or complete.'�1n individual i�ay cpntdsf the acturacy or completeness of public or private
<br /> dap conceming liunself. To exercise this r�ght;an individual shall nodfy in vvtiring,the res'ponsible authorirydescribing the nature of the disagreement.
<br /> The responsible authoriry shall within 30 days either: (a)coaect the data found to be inaccurnte or urcomplete and attempt to nodfy past recipients of
<br /> inaccurate or incomplete daca, including recipients named by the individual;or(b)notify the individual that he believes the data to be correct Data
<br /> in dispute shali be disclosed only if the individual's statement of disagreement is included with the disclosed data.
<br /> The determination of the responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act relating to
<br /> contested cases. ` � _ -
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<br /> , . • , � , DATA PRIVACY.ADViSOR�� ' � , . '
<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 Ciry of Orono or any of its departments may require you to fumish certain private or
<br /> confidential information.
<br /> You aze notified that:
<br /> 1. The�formation you furnish will be u�ed to.detemsine your qualification for the permit or license requested.
<br /> 2. �` You may'r'efuse�tb`sQpply data,'bu�refusal may require that the Ciry 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 ybnr•requested�permir 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 /> �' i6�cr� �..- Mt �aW�cpQ
<br /> First Middle ��
<br /> �a�a w�.� ��-,� r���� �
<br /> Address
<br /> G�Ja�r�-- M� s3'3 y/ �i� 3•as f3�"d �
<br /> C►�Y Srate Zip Phone
<br /> I undet5t�nd my nghts as stated above.
<br /> ���r"�' e�a W►e
<br /> signature
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