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Sec.13.04 RIGHTS OF SUBJECTS OF D,�T?� <br /> Subd. 1. Type of data. The righ[s of individual on whom the data is scored or to be scomd shall be as set forth in this secrion. <br /> Subd.2. Information reqirired to be given individual. r1n individual asked to supply private or confidenrial data couceming himself shall <br /> be informed of: (a) the purpose and in[eoded use of the requested data wi[hin the collecting'state agency, polidcal subdivision,or sracewide rystem: <br /> (b)whecher he may refuse or is legally required to supply the requested data;(c)any imown consequence arising from his supplying or refusing to supply <br /> pnvace or co�denna!dara:and(d)ehe idendty of other persons or enddes authorized by snte or federal law to receive the data. This requirement chall <br /> not appty when an individual is asked [o supply investigarive data, pursttant[o secvon 13.82, subdivision�, to a faw enforcement o�cer. <br /> "I�e commissioner of revenue mav place the noace re uired under this subdivision in the individual income tax or orovem caz refur.d <br /> instrucnons ins�ead oi on rhose forms. <br /> Subd. 3. Access to data by individual. Upon request ro a responsible authoriry,an individual shall be informed whecher he is che subjec[ <br /> of stored data on individuals, and whether it is classined as public, private or confidendal. Upon his further request, an individual who is the subjec[ <br /> ot stored private or public data on individuals shall be shown the data wi�hout any charge to him and, if he desires, shall be informed of rhe contenc <br /> and meaning ot�hat dara. After an individual has bee�shown the priva[e data and informed of ics meaning, rhe da[a need not be disclosed to him ior <br /> six monchs�hereafter unless a dispu[e or action pursuant to this secdon is pending or addidonal data on[he individual has been collecced or crearEd. <br /> The responsiblz authoriry shall provide copies of the privare or public data upon reques[by the individual subject of the da[a. The responsible au�hori[y <br /> may require the requesting person to pay the actual costs of making, certifying, and compiling the copies. <br /> The responsible auchonry shall comply immedia[ely, if possible, with any request made pursuan[ro[his subdivision,or within five days of <br /> the date of the request, excluding Saturdays,Sundays and legal holidays,if immediate compliance is no[possible. If he cannot comply wich the request <br /> wichin chac time,he shall so inform the individual,and may have an addiaonal five days wi[hin which to comply with[he request,excluding Saturdays, <br /> Sundays and leeal holidays. <br /> Subd.�. Procedure when data is not accurate or complete. An individual may contest the accuracy or comple[eness of public or private <br /> data conceming himself. To exercise chis right,an individual shall nocify in wriang[he responsible au[horiry describing the nature of the disagreemenc. <br /> The responsible authority shall wi[hin 30 days eicher. (a)correcc the data found to be inaccucate or incomplete and attempt to nodfy past recipienrs of <br /> inaccurate or incomplete data, including recipien[s named by the individual; or(b) notify the individual thac he believes the data to be correct. Da[a <br /> in dispute shall be disclosed only if[he individual's sratement of disagreement is included with che disclosed data. <br /> The determination of[he responsible auchority may be appealed pursuant to the provisions of the administradve procedure ac� relanng to <br /> contesred cases. <br /> DATA PRIVACY ADVISORY <br /> In accordance wi[h M.S. 13.04, Subd. 2, "Rights of subjects of data", we wouid 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[ified 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 [he 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 permi[ or license requires Council action to approve, some information may become <br /> public. <br /> �. You have certain rights under :v1.S. 13.04 (available upon request) ro review private data on yourself. <br /> (. Your iull name is required to process t ' application or permit. <br /> �' � � <br /> , , � <br /> � , � ��_��'��������_�u�E=e� '_�--- _ <br /> �; I�1 � � �L-LEf� <br /> First <br /> �Siddle Las� <br /> `� 4�2-�'-> �-� �� �� �� <br /> > _�—� <br /> Address ^ ,{ � <br /> `_,�-`����j�� i"» ��C� -S �I �� — `T"s'�;� 7 <br /> City \`' Sta[e Zip Phone <br /> I �derstan my rights as ated above. <br /> ����-- _ ����1,�; �''� <br /> Sigr�nire � <br /> �_� <br /> � <br />