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. � <br /> Sec.13.04 RIGHTS OF SLJB.TECTS OF D,�TA <br /> Subd. 1. Type of data. The righ[s of individual on whom the data is stored or to be stored shall be as set forrh in this secdon. <br /> Subd.2. Information required to be given individual. An individual asked to supply private or confidenaal data conceming himself shall <br /> be informed of: (a) the purpose and intended use of the rEquested data wi[hin the collecdng'state agency, polidcal subdivision,or statewide system; <br /> (b)whether he may refuse or is legaliy required to supply the requested data;(c)any Irnown consequence arising firom his supplying or refusing to supply <br /> private or confidenrial data;and(d)che idenary of other penons or endaes authorized by state or federal law to ieceive the data. This requirement shall <br /> not apply when an individual is asked to supply invesrieaave dara, pursuant to secrion 13.82, subdivision 5, to a law enforcement o�cer. <br /> The commissioner of revenue mav pface the nodce required under this subdivision in the individual income tax or propem tax refund <br /> instrucrions instead of on those forms. <br /> Subd. 3. Access to data by individuaL Upon request to a responsible authoriry,an individual shall be informed whether he is the subjec[ <br /> of stored data on individuals, and whether i[is classified as public, priva[e or co�den[ial. Upon his further request, an individual who is[he subject <br /> of stored private or public data on individuals shall be shown[he data wichout any charge to him and, if he desires, shall be informed of the conten[ <br /> and meaning of that data. Afrer an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for <br /> six months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. <br /> The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry <br /> may require the requesting person to pay the actual costs of making, certifying, and compiling the copies. <br /> The responsible authoriry shall comply immediately, 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 legai holidays,if immediate compliance is not possible. If he cannot comply with the reques[ <br /> within that time,he shall so inform[he individual,and may have an addidonal 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 pubiic or private <br /> data concerning himself. To exercise this right,an individual shall notify in writing the responsible authoriry describing[he nature of the disagreement. <br /> The responsible authoriry shall within 30 days either. (a)correc[[he data found to be inaccurate or incomplete and attempt to norify past recipienrs of <br /> inaccurate or incomplete data, including recipients named by the individual; or(b) notify the individual tha[he belizves the data to be correct. Data <br /> in dispute shall be disc(osed only if the individual's statement of disagreement is included with the disclosed data. <br /> The determination of the responsible authority may be appealed pursuant to the provisions of the admuustra[ive procedure act relating to <br /> contested cases. <br /> DATA PRIVACY ADVISORY <br /> In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of data", we wouid like to inform you that your request <br /> for a pernut 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 pernut or license. <br /> 3. The information may be shared with other(ocal, state or federal agencies to the extent necessary to process <br /> the pemut 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 Middle Las[ <br /> Address <br /> C�n, State Zip Phone <br /> I understand my rights as stated above. <br /> Signa�ure <br />