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\` <br /> J . 0 � <br /> Sec.13.04 RIGHTS OF S[JBJECTS OF DATA <br /> Subd. 1. Type of data. The rights of individual oa whom the data is stored or to be stored shall be as set forth in this secdon. <br /> Subd.2. Information required to be givea indivIdual, pn iadividual asked to supply privace or co�dential data conceming bimseYf <br /> shall be informed of: (a)the purpose and intended use of the tequested data within the collecting s[ate agency,polidcal subdivision,or statewide <br /> system:(b)whether he may refnse or is legally required to supply the requested data;(c)any Irnown consequence arising from his supplyiag or <br /> refiuing ro supply private or confidenaal data;and(d)the identiry of ocher persons or eaaaes auchorized by state or federal(aw to receive the data. <br /> T6is requi�ement shall not apply when an individual is asked to supply invesrigative data,pursuant to secdon 13.82, subdivision 5, to a law <br /> enforeement officer. <br /> � The commissi ner of revenue ma tace the noace re ire unde this bdivision in e individual inc me tax or ro tax refu <br /> insnvcaons instead of on those forms. <br /> Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individua!shall be informed whether he is the <br /> subject of stored data on individuals,and whether it is class�ed as public,private or canfidential. Upon his further request,an individual who <br /> is the subjecc oP swred private or public data on individuals sha11 be shown the data without any charge ro him and,ff he desires,shall be informed <br /> � of the content and meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not bc <br /> disclosed w him for six moad�s thereafter unless a dispute or acdon pursuanc to this secdon is pending or addidonal data on the individual has been <br /> collzcted or created. TEie respa�ible authoriry shall provide copies of the private or public dara upon request by the individual subject of the data. <br /> The respoasible authority may require the requesting person to pay the actual cosu of making,certifying,and compiling the copies. <br /> Zhe resporuible authority shatl camply irnmediately,if possible,widt any requesc made pursuan�to this sub��uion,or within five days <br /> of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply widi <br /> the request widun thac time,he shall so inform the individual,and may have an addidonal five days within which to comply with the request, <br /> excluding Saturdays,Sundays and legal hoiidays. <br /> Subd.4. Procedure when data is not accurate or camplete. An individual may contest che accuracy or completeness of public or <br /> private data concerning himself. To exercise this right,an individual shall notify in writing the responsible authority descn'bing the�nature of ehe <br /> disagreemenc. The respo�sible authoriry shall within 30 days either. (a)correct the data faund ro be inaccurate or incomplete and aaempt to noafy <br /> past recipiencs of inaccurace or incomplete da1a,including recipienu named by the individuai;or(b)nodfy the individual that he believes the data <br /> • to be coaect. Data in dispuce sha11 be disclosed only if the individual's statement of disagreement is included with the disclosed data, <br /> The determinaaon of the responsible authoriry may be appealed pursuant to che provisions of the administradve procedure act relating <br /> to con[ested cases. <br /> pATA PRIVACY ADVISORY � . <br /> In accordance with M.S. 13.04, Subd. 2, "Ri�hts of subjects of data", we would like to inform you that your <br /> request for a permit or license from the �ity of Orono or any of its dPT�,�rrr�ents may reo���re yon m fi,m_�� ��-*�:,, <br /> private or�uniiaential inrormauon. ' . <br /> You are notified that: , <br /> 1. The information you furnish will be used to determine your qualification for the permit or license <br /> 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 <br /> process the permit or license. <br /> 4. If your requested permit or license requires Counc::,:;,;ion to approve, some i..:ol�.ia�ion 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 /> First Middla �� <br /> Address <br /> Ciry Srate Zip Phone <br /> I understand my ri�hts as stated above. <br /> . <br /> Signature <br /> 6 . . <br />