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. <br /> Sec.13.04 RIGHTS OF SiJBJECTS 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. InformaHon reqwred to be given indivtdual. An i�ividual asked to supply private or confidential data concerning himself <br /> shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,polidcal subdivision,or statewide <br /> sysrem;(b)whether he may refuse or is IegaUy required to supply the requested data:(c)any lrnown consequence arising from his supplying or <br /> refiuing ro supply private or confidential data;and(d)the idenriry of odier persons or entities authorized by state or federal law ro receive the data. <br /> This requiremen[shall not apply when an individual is asked to supply investigative data,pursuant to secdon 13.82, subdivision 5, to a law <br /> enforcement officer. <br /> The commissioner of revemie mav olace the no6ce reauired under this subdivision in the individual income taz or nrooertv taz refund <br /> insuucrions instead of on rhose forms. <br /> Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the <br /> subject of stored data on individuals,and whether it is classified as public,private or confidential. Upon his further request,an individual who <br /> is che subject of stored private or public data on individuals shall be shown the data without arry charge to him and,if he desires,shall be informed <br /> of d�e content and meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be <br /> disclosed w him for six months thereafrer unless a dispute or action pursuant w this section is pe�ing or addidonal data on the individual has been <br /> collected or creaced. The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. <br /> The responsible authority may require[he requesting person to pay the actual costs of�naking,certifying,a�compiling the copies. <br /> The responsible authority shall comply immediately,if possible,with azry request made pursuant to this subdivision,or within five days <br /> of che date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with <br /> che request within that ume,he shall so inform the individual,and may have an additional five days within which to comply with the request, <br /> � excluding Saturdays,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 <br /> privare data concerning himcelf. To ezercise this right,an i�ividual shall notify in writing the responsible authority describing the nature of the <br /> disagreement. The responsible authoricy shall within 30 days either: (a)correct d►e data fouad to be inaccurate or incomplete and attempt to nodfy <br /> past recipiena of inaccurate or incomplete data,including recipients named by the individual;or(b)norify the individual that he believes the data <br /> to be conecc. Dars in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. <br /> The deternunaaon of the respoasible authority may be appealed pursuant to the pmvisions of the adminisua6ve procedure act relating <br /> to 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 <br /> request for a permit or license from the City of Orono or any of its departments may require you to fumish certain <br /> private or confidential information. <br /> You are notified that: � <br /> 1. The information you fumish 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 Ciry 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 Council action to approve, some information may become <br /> public. <br /> 5. You have certain rights under M.S. 13.Q4(available upon request)to review private data on yourself. <br /> 6. Your full name is required to process this appIication or permit. <br /> � � ����� �l���� <br /> First Middle Last <br /> /a 7D r9��,r� � <br /> Ad re � <br /> Ciry . State Zip Phone <br /> I understand my ' e a ove. <br /> Si re <br /> 6 <br />