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R,� , ' � ., + <br /> Sea13.04 RIGHTS OF SUBJECTS OF DATA <br /> Subd.l. Type of data. The rlghts of iodividual on w6om t6e data is stored or to be stored shall be as set forth ln this section. <br /> Subd.2. Informal3on required to be given individual.An indtvidual asked to supply prtvate or confidential data concerning himself shall be <br /> informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b) <br /> w6ether he may refuse or is legally required to supply the requested data;(c)any lmown consequence arising from his supplying or refusing to supply <br /> private or confidentfal data;and(�the Identity of other persons or entlties authortzed by state or federal law to receive the data T6is requirement shall <br /> not apply when an individualls asked to supply invecttgative data,pursuant to section 13.82,subdlvision 5,to a law enforcement officer. <br /> The commisstoner of revenue mav olace the notice required under t6is subdivision in the individual income tag or uroaertv tax refund <br /> instructlons instead of on those forms. <br /> � <br /> Subd.3. Access to data by indivtdual. Upon request to a responsible authority,an individual shall be informed whether 6e is the subject of <br /> stored data on individuals,and whether it is classitled as public,private or confidential. Upon his further request,an indPvidual who ts the subject of <br /> stored private or public data on tndPvlduals shall be shown the data without any charge to him and,if he destres,shall be Informed of the content and <br /> meaning of t6at data. After an indfvidual has been shown the private data and informed of its meaning,the data need not be disclosed to him for six <br /> months thereafter unless a dispute or action pursuant W this section is pending or additional data on the individual has been collected or created. T6e <br /> responsible suthority shall provide copies of the private or public data upon request by t6e individual subJect of t6e data.T6e responsible suthority may <br /> require the requesting person to pay the actual costs of maldng,certifying,and compiling the copies. <br /> The responsible authority shall comply immediately,if possible,wit6 any request made pursuant to thts subdivtsion,or within flve days of the <br /> date of t6e request,excluding Saturdays,Sundays and legal holldays,if immediate compliance is not possible.If he cannot comply wfith the requcst within <br /> th$t Hme,he shall so inform the tndivldual,and may have an additional five days w[thin which to comply with the request,excluding Saturdays,Sundays <br /> and legal holldays. <br /> . Subd.4. Procedure when data is not accurate or complete. An indivldual may contest t6e accuracy or completeness of public or private data <br /> concerning himself. To egerctse this rIg6t,an lndlvidual shall notify in wrtting the responsible authority describing the nature of the disagreement T6e <br /> responsible sut6ority shall within 30 days efther: (a)correct the data found to be inaccurate or incomplete and attempt to notlfy past recipients of <br /> inaccurate or tncomplete data,includtng recipients named by t6e individual;or(b)notlfy the ind[vidual that he believes the data to be correc4 Data in <br /> dPspute shaU be disclosed only if the individual's statement of disagreement is Included with the disclosed data. <br /> The determination of the responsible author[ty may be appealed pursuant to the provisions of the administrative procedure act relattng 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 are no 'tif'ied that: <br /> 1. The information you furnish 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 eztent 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 permi� <br /> �► ����s ���1� <br /> First Middle Last '" - <br /> �Z90 �� �� F�-;��� , <br /> Address <br /> �'on� , /� l�-/Id S'S.�/ % 2-�7Z-3�'7�� <br /> C1ty State Zip hone <br /> I understand my rights as tated above. <br /> Sig re <br />