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Sec.I3.04 RIGHTS OF SUBJECTS OF DATA <br /> Subd. 1. Type of data. The rights of individual on whom the dam is mored or m 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 confidential dam concerning himself shall <br /> be informed of: (a)the purpose and intended use of the requested data within the collecting 3mr_agency,political subdivision,or statewide system; <br /> (b)whether he may refuse or is legally required to supply the requested data;(e)any known coas-quence arising from his supplying or refusing to supply <br /> private or confdendal dam;and(d)the identity of other persons or entities authorized by star_or federal law to receive the dam. This requirement shall <br /> not apply when an individual is asked ro supply investigative dam.pursuant to se-.--;Oa 13.82,subdivision S,to a law enforcement officer. <br /> The commissioner of revenue may ola- the notice required under Ns subdivision in the individual_income tax or orooetty tax refund <br /> instructions instead of on those forms. <br /> Subd.3. access to data by individual. upon request to a responsible authority,an individual shall be informed whether he is the subject <br /> of stored dam on individuals,and whether it is classified as public.private or conrdendal. Upon his further request,an individual who is the subject <br /> of stored private or public dam on individuals shall be shown the dam without any charge to him and:if he desires,shall be informed of the content <br /> and meaning of that dam. After an individual has been shown the private data and informed of its meaning,the dam aced not be disclosed to him for <br /> sit months thereafter unless a dispute or action pursuant to this section is pending or additional dam on the individual has been collected or created. <br /> The responsible authority shall provide copies of the private or public dam upon request by the individual subject of the dam. Tae responsible authority <br /> may require the requesting person to pay the actual costs of making.certifying.and compiling the copies. <br /> The responsible authority shall comply immediately,if possible,with a_y request made pursuant to this subdivision,or within five days of <br /> the date of die request,excluding Saturdays.Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request <br /> within chat time,he shall so inform the individual,and may have an additional 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 notify in writing the responsible authority describing the nature of the disagreemear. .. <br /> The responsible authority shall within 30 days eit.`.er. (a)correct the dam found to be inaccumtn or incomplete and attempt to notify past recipients of <br /> inaccurate or incomplete dam, including mcipieats named by the individual;or(b)notify the individual that he believes the dam to be correct. Dam <br /> in dispute shall be disc:osed only if the individual's statement of disagreement is included wic'i the disclosed dam. <br /> The determination of the responsible authority may be appealed pursu+_.t to the provisions of 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 /> 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 /> ?. 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 /> S. You have certain rights under NI.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 Zip Phone <br /> I understand my rights as stated above. <br /> Signature <br />