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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 to supply private or confidential data concerning himself shall be <br /> informed of: (a)the purpose and intended use ofthc 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 refusing to supply <br /> private or confidential data;and(d)the identity of other persons or entities authorized by state or federal law to receive the data.This requirement shall <br /> not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. <br /> The commissioner of revenue may place the notice t'_esn red under this subdivision in thejnegvidual income tax or propertym refund <br /> instructions instead of on thou forms. <br /> Subd.3.Access to data by individual. Upon request to a responsible authority,en individual shall 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 request,an individual who is the subject of <br /> 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 content and <br /> meaning of that data. After an individual has been shown the private 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 section is pending or additional data on the individual has been collected or created. The <br /> responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The respousibie authority <br /> may require the requesting person to pay the actual costa 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 of <br /> the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible.Ifhe cannot comply with the request <br /> within that 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 ofpublic or private data <br /> concerning himself.To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement.The <br /> responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of <br /> inaccurate or incomplete data.including recipients named by the individual;or(b)notify the individual that he believes the data to be correct.Data in <br /> dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. <br /> The determination of the responsible authority may be appealed pursuant 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 <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 shared 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 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 /> row Lee_ <br /> Fir-st Middle Last <br /> 997 w: I21—ivrss 7--ra. : i <br /> Address <br /> 4^rb`in yy1 t1J 5-53 6/a�7j)3ls— <br /> Cit-y State Zip Phone <br /> I understand my rights as stated ab' . <br /> at- % , ;or <br /> Signature <br /> .yl�p en <br /> ; 7 ' `'�{ "J ,,0 "•til�"`4." 32 <br /> Z d 9891 'ON JNIINIU1/NOS1 VD 'M Wd9Z Zl 8001 <br />