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j <br /> CS OF SUBJECTS OF DATA <br /> 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 />'.. Information required to be Oven individual. An individual asked to supply private or confidential data concerning himself shall <br />,a) the purpose and intended use of the requested data within the collecting'state agency, political subdivision,or statewide system; <br /> y refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply <br /> atrial data:and(d)the identity of other persons or entities authorized by state or federal law to receive the data. This requirement shall <br /> 1 individual is asked to supply investigative data, pursuant to section 13.82, subdivision 5, to a law enforcement officer. <br /> immissioner of revenue may place the notice required under this subdivision in the individual income tax or property tax refund <br /> d of on those forms. <br /> 3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject <br /> individuals,and whether it is classified as public, private or confidential. Upon his further request, an individual who is the subject <br /> Dr public data on individuals shall be shown the data without any charge to him and, if he desires, shall be informed of the content <br /> tat data. After an individual has been shown the private data and informed of its meaning, the data need not be disclosed to him for <br /> fter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. <br /> uthority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority <br /> equesting person to pay the actual costs of making, certifying, and compiling the copies. <br /> sponsible authority shall comply immediately, if possible, with any request made pursuant to this subdivision,or within five days of <br /> uest, excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request <br /> to shall so inform the individual,and may have an additional five days within which to comply with the request,excluding Saturdays, <br /> I holidays. <br /> 4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private <br /> imself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement. <br />.uthority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of <br />>mplete data, including recipients named by the individual: or(b) notify the individual that he believes the data to be correct. Data <br /> e disclosed only if the individual's statement of disagreement is included with the disclosed data. <br />:termination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to <br /> DATA PRIVACY ADVISORY <br /> lance with M.S. 13.04, Subd. 2, "Rights of subjects of data", we would like to inform you that your request <br />)r license from the City of Orono or any of its departments may require you to furnish certain private or <br /> aformation. <br /> notified that: <br /> 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 /> The information may be shared with other local, state or federal agencies to the extent necessary to process <br /> the permit or license. <br /> If your requested permit or license requires Council action to approve, some information may become <br /> public. <br /> You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself. <br /> Your full name is required to process this application or permit. <br /> Middle ( last <br /> �YVO^�o CV — t�VIC op�\ I <br /> 23 ( l ; (z-lv _ Mp 5-5-z-/oY `) 22 -712 <br /> State Zip Phone <br />;rand my rights as stated above. <br />