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. . � <br /> Sec.13.04 RIGH'TS OF SLJB.JECTS OF D�TA <br /> Subd. 1. Type of data. The rieh�s of individual on whom[he data is stored or to be scored shall be as set fotth in this secrion. <br /> Subd.�. Information required to be given individual. �.n individual asked to supply privace or confidendal daca concerning himself shall <br /> be informed of: (a)the purpose and intended use of the requested data within the collecdng'state agency, polidcal subdivision,or sratewide system; <br /> (b)whether 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 /> priva[e or confidential data;and(d)the iden[iry of other persons or entities authorized by state or federal law to receive the data. T'his requirement shall <br /> not apply when an individual is asked to supply invesdgadve dara, pursuant to section 13.82, subdivision�, to a law enforcement officer. <br /> The commissioner of revenue mav place the norice reauired under this subdivision in the individuai income tax or propertv tax refund <br /> instructions instzad of on those forms. <br /> Subd. 3. Access to data by individual. Upon request to a responsible au[horiry,an individual shall be informed whether he is the subject <br /> of stored data on individuals, and whe[her it is ctassified as public, private or confidendal. Upon his furthzr request, an individual who is[he subject <br /> of scored private or public data on individuals shall be shown the data wichout any charge to hun and, if he desires, shall be informed of the content <br /> and meaning of chat data. Aftzr an individual has been shown the private data and informed of ics meaning, the data need not be disclosed to him for <br /> six months thereafter unless a dispute or acrion pursuan[to this secrion is pending or addirional data on the individual has been collected or created. <br /> The responsible authoriry shall provide copies of[he private or public data upon request by the individual subject of the data. The responsible authoriry <br /> may require che requesting person to pay the actual costs of makine, certifying, and compiling the copies. <br /> The responsible au[horiry shall compiy immediately, if possible, with any request made pursuant to this subdivision, or wi[hin five days of <br /> the date of[he request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comp(y wi[h the request <br /> within that time,he shail so inform the individual,and may have an addicional five days within 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 accuracy or completeness of public or pri�•ate <br /> data concerning himself. To exereise this right,an individual shall notify in wricing the responsible authority dzscribing�he nacure of the disagreement. <br /> The responsible auchoriry shall within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to norify past recipienu of <br /> inaccurate or incomplete data, induding recipients named by the individual; or(b)notify the individual tha[he believes the data to be correct. Data <br /> in dispute shall be disclosed oniy if the individual's statement of disagreement is included with the disclosed data. <br /> The decerminanon of the rtsponsible authoriry may be appealed pursuant to the provisions of the administrarive procedure act relacing 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 reauest <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 thar. <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 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 permit or license. <br /> 4. If your requested permit or license requires Council action to approve, some information may become <br /> public. <br /> j. 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 �iiddle Last <br /> Address <br /> Ciry State Zip Phone <br /> I understand my ri hts as stated above. <br /> / � <br /> �gnature � <br />