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. <br /> � <br /> • 'Sec.13.04 RIGHTS OF 3UBJECI'S OF DATA <br /> Subd 1. Type of data. The rights of individual on whom the datn is atored or to be atored she11 ba ae set forth in this secrioa <br /> Subd.2.Information required to be given individual.An individual asked w supplyprivate orconfidential data conceining himaelfshall be <br /> informed oE (a)the purpose and intanded use of the requested data within the collecting atate agenc.y.Political subdiviaion,or statewide system:N) <br /> whether he may refuae or is legally:equired to supply the requasted deta;(o)anY]mown consequeace arising fmm his supplying or refusing w supply <br /> private or confideatial data;and(d)the identity ofother peraons or entities authorizedby state orfederal law to r�xiva the data.This requirement shall <br /> not apply when an individual is asked to supply investigative data,putauant to section 13.82,subdivision 5,to a law enforcemeat officer. <br /> The coma►issioner of revenue may nlace the norica re,auired under this subdivision in the iadividual income tax oz pr�y tax refund <br /> inatructicros irtstead of on th�e fotms. <br /> Subd.3.Access to data by individual.Upon requ�tto a responaible authority,an individual ahallbe infocmedwhetherhe is the aubje�t of <br /> stored dam on individuals,and whether it is clasaiSed as public,private or confidential.Upon his further request,an individual who is the snbject of <br /> stored private or pnblic data on individuals shall be ahown the data without azry chatge W him and,if he desires,st�ll be informed of the content and <br /> meaning of that data. After an individual has been shown the private data and informed of ita meaning,the data need not be dieclosed W him for six <br /> months thereafterunless a dispute or action pwsuant to this section is pendiag or additional data on the individual has been collected or creatsd.The <br /> respona➢ble suthority shall provide copies of the private or gublic data upon request by the individual subject of the data. The i+esponaible authority <br /> maY require the requesting Person to pay the actual coats of makin�,c�tifying.a�oomPiling the copies. <br /> T'he iesponaible authority ahall comply immediately,ifpoavible,with any request made p�usaant to this subdivision,or within five days of <br /> the date ofthe request,excluding Sapudays,Sundays aad legal holidays,if immediate compliance is not possible.Ifhe cavnot comply with the requeat <br /> within that time,he shall so inform the individual,and may have an addidonal frve dayswithinwluch W complywith the request,excluding Saturdays, <br /> 5undays aad legal holidays. <br /> Subd.4.Procedure when data is not accu�ate or complete.An individual amy conbe.sttheaccivac.y orcompleteness ofpnblic orprivate dala <br /> conceming 6imaelf.To exercise this right,�individual shall notiPy inwriting the tespaasible authority descnbingthe nahue ofthe disagreement The <br /> rwponsible authority ahall within 30 daya either. (a)comct the dam found to be inaccucate or incomplete and euempt to notify�st recipients of <br /> inaccurate ar incomplete data,iacluding reeipients named by the individual;or(b)notifythe individual that he believ�the data to be correct.Data in <br /> dispute shall be disclosed only if the individual's atatement of dieagreement ia included with the disclosed data. <br /> The detemunatioa of the responsible authority may be appealed piusuant W tha provisiona of the adminishative procedure act relating W <br /> coatested casea. <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 fiunish certain private or <br /> confidential information. <br /> You are notified that: <br /> 1. The information you fiunish will be used to rietermine your qualification for the �rmit or license <br /> requ�ted. <br /> 2. You may refuse to supply data,but refi�sal may require that the City deny the permit or license. <br /> 3. The information may be shazed 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 ugon reyuest)to review private data on youtself. <br /> 6. Your full name is reyuired to process this application or permit. <br /> Y��VUI,�� �/r✓� ,���► <br /> � i 4 �� 3,�� ,�-✓� . �4 � <br /> Addras <br /> /�''�Ll� Qi��� �✓1/ �� �13"3�-Z, 3� <br /> C�y . State Zig Phone <br /> I unde my ts as st�ted above. <br /> sfgnatare <br /> --- -`Reset Form 32 <br />