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• � '• • <br /> 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. Iaformation req�red to be given individual. An individual asked to supply private or confidential data conceming himself shall <br /> be informed of: (a)the purpose and intended use of the requested data within the collecdng State agency,political svbdivision,or statewide system; <br /> (b)whether he may refuse oY is legally requiced to supply the requested data;(c)any l�own consequence azising from his supplying or refusing to supply <br /> private or confideatial data;and(d)the identity of other persons or entities authorized by state or federal law to receive the daca. This requirement shall <br /> not apply when an individual is asked to supply investigaave data,pursuant to secdon 13.82,subdivision 5,to a law enforcement o�cer. <br /> The commissioner of revenue mav alace the nodce required under this subdivisian in the individual income tax or nroaertv tax refund <br /> insnucdons instead of on those focros. <br /> Subd.3. Access to data by iadividual. Upon request to a responsible authority,an individual shall be informed whether he is the subject <br /> of stored data on individuals,and whe[her it is class�ed as public,private or confidendal. Upon his further request,an individual who is the subject <br /> of 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 <br /> and meaning of that dara. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for <br /> siz months thereafter unless a dispute or action pursuanc to this secdon is pending or addidonal data on the individual has been collected or created. <br /> The rrsponsible authoriry shall provide copies of the private or public data npon request by the individual subject of the data. The responsi'ble authority <br /> may require the requesting person to pay the actual cosu of making,certifying,and compiling the copies. <br /> The responsible authority shall comply ima►ediately,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. If he 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 /> Suadays and legal holidays. <br /> Subd.4. Procedure whea data is not accurate or complete. An individual may contest the accuracy or completeness of public or private <br /> data concerning himself. To exercise rhis right,an individual shall notify in writing che responsfble authority describing che nature of the disagreement. <br /> The responsible authoriry shall within 30 days either: (a)correct tfie data faund to be inaccurate or incomplete and attempt to norify past recipienu of <br /> inaccurate or incomplete data,including recipients named by the individual;or(b)notify�e individuat that he believes the data to be cocrec� Data <br /> in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. <br /> The determinaaon of the responsible authority may be appealed pursuant to the pro\ns of the admiaistrarive 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 aze notified that: <br /> 1, The information you fumish will be used to determine your qualification for the permit 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 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 /> F� Middle � <br /> Address . <br /> Ciry State Zip Phone <br /> I understand my rights as stated above. <br /> . <br /> � — <br /> Signature • <br />