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Sec.13.04 RIGI-�TS OF SIIBJECTS OF DAT.+i <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 secdon. <br /> Subd.2. Information req�rired to be given individual. An individual asked to supply private or confidenrial dara concerning himself shall <br /> be informed of: (a)the purpose and intended use of the requesced data within the collecting'state agency,polirical subdivision,or statewide sysum; <br /> (b)whether he may refuse oY is legally required to supply the requested data;(c)any known coasequence arising from his supplying or refusing to supply <br /> private or confidendal data;and(d)the idenriry of other persons or enriaes authorized by state or federal iaw to receive the data. This requirement shall <br /> not apply when an individual is asked to supply invesrigadve dara, pursuanc to secrion 13.82,subdivision 5, to a law enforcement officer. <br /> The commissioner of revenue mav place the noace reauired under this subdivision in the individual income tax or property taz refund <br /> instructions instexd of on those forms. <br /> Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject <br /> of stored data on individuais,and whether it is class�ed as public, priva[e or confidencial. Upon his fucther request,an individual who is the subject <br /> of stored pri�ate or public dara on individuals shall be shown the data without any charge to hun and,�if he desires, shall be informed of the content <br /> and meaning of that data. Aftzr 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 thereafrer unless a dispute or acdon pursuanc to this secrion is pending or addidonal 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. T'he responsible authoriry <br /> may require the requesring person to pay the actual cosu of making, certifying,and compiling the copies. <br /> The responsible authority shall comply immedia[ely, if possible,with any request made pursuant to this subdivision,or within five days of <br /> the date of ihe request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannoc comply with the request <br /> within that time,he shall so inform the individual,and may have an addiaonal five days within which to compiy 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 private <br /> data concerning himself. To exercise chis righ[,an individual shall noafy in writing the responsible authoriry describing�he 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 nodfy past recipients of <br /> inaccucate or incomplete data, including recipiencs named by the individual; or(b)nocify the individual that he believes the data to be correct. Data <br /> in dispuce shall be disclosed only if che individual's statement of disagreement is included with the disclosed data. <br /> The decerminarion of the responsible au[hority may be appealed pursuant to the provisions of the admuustrarive 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 request <br /> for a permit or license from the City of Orono or any of its departments may require you to fumish certain private or <br /> confidential informa[ion. <br /> You are notified that: <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 permit 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 /> 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 /> � <br /> �CC� ����� � __ GLS Gt- /J. <br /> First vti die Last <br /> �� � � � � - �� �� - <br /> Address '`�L� �j—�� ��,�"' ������ � <br /> �p�� Iti�. �, <br /> City Srate Z�p Phone <br /> I derstand my ts at d above. � <br /> , <br /> i i • <br /> { \ : <br /> Signamre <br />