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i � 1► SUBJECTS OF DATA of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section. oration required to be given individual. An individual asked to supply private or confidential data concerning himself shall urpose and intended use of the requested data within the collecting State agency, political subdivision,or statewide system; or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply i;and(d)the identity of other persons or entities authorized by state or federal law to receive the data. This requirement shall lual is asked to supply investigative data, pursuant to section 13.82, subdivision 5, to a law enforcement officer. mer of revenue may place .he notice required under this subdivision in the individual income tax or properev tax refund those forms. ss to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject als,and whether it is classified as public, private or confidential. Upon his further request,an individual who is the subject :data on individuals shall be shown the data without any charge to him and, if he desires, shall be informed of the content After an individual has been shown the private data and informed of is meaning,the data need not be disclosed to him for :ss a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority g person to pay the actual costs of making.certifying,and compiling the copies. e authority shall comply immediately, if possible, with any request made pursuant to this subdivision,or within five days of :luding Saturdays.Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request ;o inform the individual,and may have an additional five days within which to comply with the request,excluding Saturdays, rs. edure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement. shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of data, including recipients named by the individual;or(b)notify the individual that he believes the data to be correct. Data ed only if the individual's statement of disagreement is included with the disclosed data. tion of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to DATA PRIVACY ADVISORY vith M.S. 13.04, Subd.2, "Rights of subjects of data", we would like to inform you that your request se from the City of Orono or any of its departments may require you to furnish certain private or tion. ,d that: formation you furnish will be used to determine your qualification for the permit or license requested. iay refuse to supply data, but refusal may require that the City deny the permit or license. formation may be shared with other local, state or federal agencies to the extent necessary to process rmit or license. r requested permit or license requires Council action to approve, some information may become ave certain rights under M.S. 13.04 (available upon request) to review private data on yourself. MI,name is required to process this application or permit. 2 3 o-i v P It 7z 2 State Zip Phone ly rights as stated above.