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t _, . <br /> Sec.13.04 RIGHTS OF SLTBJECTS OF D�TA <br /> Subd. 1. Type of data. 'Ihe rights of individual on whom the data is stored or to be stored shall be as set forth in this secaon. <br /> Subd.2. Information req�rired to be given individual. r1n individual asked to supply privace or confideooal dara concerning himself shall <br /> be informed of: (a)the purpose and intended use of the requesced data wi[hin the collecang'state agency,polidcal subdivision,or sratewide rystem; <br /> (b)whe[her he may refuse oi is legaily required to supply the requesced data;(c)any Irnown coasequence arising from his supplying or refusing to supply <br /> private or confidendal data;and(d)the idenary of other persoas or endaes au[horized by state or federnl law to receive che data. This requiremenc shali <br /> not app(y when an individual is asked to supply invesdgadve da[a,pursuant to secaon 13.82, subdivision 5, to a Iaw enforcement officer. <br /> The commissioner of revenue mav place the nodce reauired under this subdivision in the individual income tax or�rovem taz refund <br /> instructions inscead of on[hose forms. <br /> Subd. 3. Access to data by individual. Upon requesc to a responsible auchoriry,an individual shall be informed whether he is the subject <br /> of stored data on individuals,and whether it is class�ed as public, Private or confidenaal. Upon his further request, an individual who is the subjecc <br /> of stored private or public dara 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[hat data. After an individual has been shown the privare data and informed of its meaning,the dara need not be disclosed to him for <br /> six monrhs thereafter unless a dispute or acdon pursuanc to [his secaon is pending or addidonal data on the individual has been collected or created. <br /> The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority <br /> may require the requesting person to pay the accual cosu of makin¢,certifying,and compiling the copies. <br /> The responsible au[horiry shall comply immedia[ely, 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(egal holidays,if immedia[e compliance is not possible. If he cannot comply with the request <br /> wi[hin that dme,he shall so inform[he individual,and may have an addidonal five days wi�hin which to comply wi[h the request,excluding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuncy or completeness of public or private <br /> data concerning himsetf. To exercise this right,an individual shall noafy in wridng che responsible authoriry describing[he nature of the disagreemeat. <br /> The responsibie authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipients of <br /> inaccurate or incomplete data, including recipiencs named by the individual; or(b)nodfy the individual thac he betieves the data to be coaect. Data <br /> in dispute shall be disclosed only if the individual's sta[emenc of disagreement is included wi[h the disclosed data. <br /> The determinadon of the responsible authority may be appealed pursuant to the provisions of che administrative procedure act relaring to <br /> contested cases. <br /> DATA PRNACY ADVISORY <br /> In accordance with M.S. 13.04, Subd.2, "Ri.u,,hts of subjects of data", we would like to inform you that your request <br /> for a pernut or license from the Ciry of Orono or any of its departments may require you to furnish certain private or <br /> confidential information. <br /> You are notified that: <br /> 1. The information you furnish will be used to determine your qualification for the perm.it 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 wich ocher local, scate 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 /> First �tiddle Last <br /> Address <br /> Ciry Stare Zip Phone <br /> I understand my rights as stated above. <br /> j� / <br /> ���G� <br /> Signantre <br />