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� � ' . <br /> Sec.13A4 RIGHTS OF SUBJECTS OF DATA <br /> Subd. 1. Type oY data. The rights of individual on evhom the data is stored or to l�e stored shall�ie as set foith in this section. <br /> Subd_2. Infonnation requu�ed Co be given individual. An individual askecl to supply private orconiiclential data concerning himself shnll be <br /> infonned of: (a)the purpose and intended use of the requested data within thc collectino state agency,political subdivision,or statewide system;(b) <br /> whcther he may refuse or is legally required to supply tlie requested data;(c)any kno�wi consequencc;arising from his supplying or refusing to supply <br /> private or confidential data;and(d)the identity of other persons or entilies authorized by state or federal law to receive the data. 111is reyuirement shall <br /> not apply when an individual is asked to supply invesligative data,pursuant to section 13.82,subdivision 5,to a l:�w enforcemcnl oCficcr. <br /> The commissioner of revenue mav nlace the nolice reyuired uncler tliis suFidivision in the incliv_iilual inconre tar q���rc�ert�ax refuncl <br /> instructions instead of on those fonns. <br /> Subd.3. Access to data by individuaL Upon requesf to a responsible aulhority,an indivirlual shall be infonncd whether he is the subject oP <br /> stored dala on individuals,and whether it is classitied as public,private or contidentiaL Upon t�is furdler request,an individual who is the subject of <br /> slored private or public data on individuals shall be shown tl�e d�ta wi[hout any ctiarge to him and,it�he desires,shall be inlormed of tl�e content and <br /> meaning of that data. After an individual has been shown the private data and infonned of iCs meaning,the data need not be disclosed to him for six <br /> months thereafter unless a dispute or action pursuaiit to this section is pendin�d or adciitional data on tlie individual has been collccted or created. Tlie <br /> responsiUle authority shail providc copies of the private or public data upon request by the individual subject of the data. The responsible authority may <br /> require Qie requesting person to pay the actual costs of making,certitying,and compiling the copies. <br /> The responsible authority shall compiy immediately,if possible,with any request ntade pursuant to this subdivision,or within five days of the <br /> date oi'the request,excluding SaWrdays,Sundays and legal holidays,if immediate compIiance is not possible. If he cannot comply wi�h the reyucst <br /> wilhin that time,he shalf so infonn lhc individual,and may l�ave an addi[ional tive days within which tu cocnply with the requesf,excluding Saturdays, <br /> Sundays and lega]holidays. <br /> Subd.4. Procedure when data is not accurate or cotnplete. An individual may conte,t the accuracy or complet�ness of public or priva(e data <br /> conccrning himselE To exercise this right,an individual shall notify in writing the tesponsibie autha ily descriUinc the nature aFthe disagreement. The <br /> responsible authority shall within 30 days either. (a)conect the data found to be inacrurate or incomplcke aod attempt to notify past recipients of <br /> inaccurate or incomplete data,including recipients named by the individual;or(b)notity Yhe inci.ividual that he believes the data to be con�ect. Data in <br /> dispute shall bc disclosed only if the individual's stalemcnt of disa�eement is induded with the disclosed datzt. <br /> The detennination of the responsible authority may be appealed pursuanC to the provisioos of lhe administrative procedure act relalin<o to <br /> contesled cases. <br /> DATA PRIVACY ADVISOIi�' <br /> Jn accordance with M.S. 13.04,Subd.2,"Rights of subjects o f data",we would like to inforni you ttiat youi•request <br /> for a pennit ar license from the City of Orono or any of its depart�nents may require you to fuixusl�ce�rtain private or <br /> conftdeiitial information. <br /> You are notified that: <br /> L The infonnation you fiiniish will be used to detennine yo���z� qualification for the permit or liceiise <br /> requested. <br /> 2. You may refuse to supply data,but refusal may require that tlie City deny the permit or license. <br /> 3. The infoin�ation. may be shared �vith other local, state or f�dera] a�?encies to tlle extent necessary to <br /> process the pennit ar license. <br /> 4. If your requested permit or license requu�es Council action to approve, some infonnation may become <br /> public. <br /> 5. You have certain rights under M.S. 13.04 (available upr�n request)to revie�v private data oi�i yourself. <br /> 6. our full name is�required to process this application qr peinzit. <br /> f � ���� <br /> Eirst " Nliddlc l�ast ^ <br /> �.. ,. ��. � � s� <br /> �ddr <br /> ' ,-,�� �7'��'�`� � <br /> �ity ' Statc 26p,-- 3'hon: <br /> �' ��—�� <br /> ��mderstand my rigl�ts as stated above. %' � <br /> �� �� <br /> ---_---_ <br /> _ � <br /> Si;nahu•c — -- --- <br /> f <br /> ,. ;7 <br /> �� _ <br />