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• �„ . , � <br /> Sec.13.04 RIGHTS OF SUBJECTS OF DAT�1 <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 secaon. <br /> Subd.2. Information reqirired to be given individual. An individual asked to supply privace or confidential data conceming himself shall <br /> be informed of: (a) the purpose and incended use of the requested data within the collecang'sta[e agency, poli[ical subdivision, or statewide system; <br /> (b)whether he may refuse oi is legally required ro supply the requested data;(c)any l:nown consequence arising from his supptying or refusing to suppty <br /> priva[e or confidenrial data;and(d)the identiry of other persons or enrides authonzed by state or federal law to receive the data. This requirement shall <br /> not apply when an individual is asked to supply investieaave data, pursuant to section 13.82, subdivision 5, to a law enforcement officer. <br /> The commissioner of re�enue mav place the norice required under this subdivision in the individual income tax or propertv tax refund <br /> instruc[ions instead of on those forms. <br /> Subd. 3. Access to data by indi��dual. Upon requesc to a responsible authoriry,an individual shall be informed whether he is the subject <br /> of s[ored data on individuals, and whether it is classified as public, private or confidential. Upon his further request, an individual who is the subject <br /> of stored private or public data on individuals shall be shown[he da[a wi[hout any charge to him and, if he desires, shall be informed of the contenc <br /> and meaning of that data. Afrer an individual has been shown[he private data and informed of ics meaning, che dara need no[be disclosed to him for <br /> six months thereafter unless a dispute or acrion pursuanc to this secrion is pending or additional data on the individual has been collected or created. <br /> The responsible authoriry shal(provide copies of the priva[e or public data upon request by the individual subject of the data. The responsible authority <br /> may require[he requesting person to pay the accual costs of making, certifying, and compiling the copies. <br /> The responsible authoriry shall compty immediarely, if possible, with any request made pursuant to this subdivision, or within five days of <br /> the date of the cequest,excluding Saturdays.Sundays and leeal holidays,if immediate compliance is no[possible. If he cannot comp(y with the reques[ <br /> within that time,he shall so inform the individual,and may have an additional five days within which to comply with 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 accuracy or completeness of public or pm�ate <br /> data conceming himself. To exercise this right,an individual shall notify in writing the responsible authoriry describing the nature of the disagreement. <br /> The responsible authoriry shall within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to norify past recipients of <br /> inaccurate or incomplete data, inc(uding recipients named by the individual; or(b)notify the individual that he believes the data to be correct. Data <br /> in dispute shall be disclosed only if the individual's statement of disagreement is included with the discfosed data. <br /> The decermination of the rzsponsible auchoriry may be appealed pursuant to the provisions of the administradve procedure act relaang to <br /> contested cases. <br /> DAT�, 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 notified that: <br /> 1. The information you furnish will be used to determine your qualification for the pemut or license requested. <br /> 2. You may refuse to supply data, but refusal may require that the City deny the pemut or license. <br /> 3. The information may be shared with other local, state or federal agencies to the extent necessary to process <br /> the pernut or license. <br /> 4. If your requested pernut or license requires Council action to approve, some information may become <br /> pubiic. <br /> 5. You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself. <br /> (. Your full name is required to process this application or permit. <br /> First Vtiddlz Last <br /> Address <br /> Cih, State Zip Phone <br /> I understand my ri;hts as stated above. <br /> ,�� ' -�, <br /> ,' ����,��p ��- �-�,.�:, � , <br /> � � <br /> Sig [ure <br />