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a <br /> Sec.13.04 RIGHTS OF SLIBJECTS OF D�TA <br /> Subd. 1. Type of data. The righrs of individual on whom the data is stored or co be stored shall be as set forrh in this secrion. <br /> Subd.'_. Information reqirired to be given indiridual. ,4n individual asked to supply private or confidendal data concerning himself shall <br /> be informed of: (a) the purpose and inrended use of the requested data within the colleccing"state agency, political subdivision,or sta[ewide system; <br /> (b)whether he may refuse oY is legally required to supply the requested data;(c)any l�own consequence arising from his suppiying or refusing to suppty <br /> priva[e or confidendal data;and(d)the identity of other persons or enrides authorized by state or federal law to receive the data. This requirement shall <br /> noc apply when an individual is asked to supply invesrieadve dara, pursuan�to secrion 13.82, subdivision 5, to a law enforcement officer. <br /> The commissioner of re�enue mav place the norice reauired under this subdivision in the individual income tax or propertv tax refund <br /> instructions instead of on those forms. <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 s[ored data on individuals,and wherher it is classified as public, private or confidendal. Upon his further request, an individual who is the subject <br /> of stored private or pubiic data on individuals shall be shown the data wichout any charge to him and, if he desires, shall be informed of the content <br /> and meaning of[hat data. Afrzr an individual has been shown the private data and informed of iu meaning,che data need not be disclosed to him for <br /> six months thereafter unless a dispute or acrion pursuan[to [his secaon is pending or addidonal data on the individual has been collected or created. <br /> The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry <br /> may require[he req�esting person to pay the actual cosu of makine, certifying,and compiling the copies. <br /> The responsible au[horiry shall comply immediately, if possibte, 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 request <br /> within that time,he shall so inform[he individual,and may have an addidona(five days within which to comply with the request,exctuding 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 pri�•ate <br /> data concerning himself. To exercise[his rieht,an individual shall nodfy in writing the responsible au[horiry describing�he na[ure of the disagreement. <br /> The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipienu of <br /> inaccurate or incomplete data, inciuding recipients named by the individual; or(b)notify the individual that he believes Ihe data to be correct. Data <br /> in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. <br /> Ttie de[ermination of the responsible authoriry may be appea(ed pursuant to the provisions of the administnrive procedure act relaang 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 reauest <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 pemut or license 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 process <br /> the pernut or license. <br /> 4. If your requested pernu[ or license requires Council action to approve, some information may become <br /> public. <br /> j. 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 /> First �fiddle Las[ <br /> Address <br /> C��, State Zip Phone <br /> I understand my ri ts as ated ve. <br /> �� <br /> Signature <br />