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� •. <br /> f <br /> Sec.13.04 RIGHTS OF SUBJECTS OF Dr�TA <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 section. <br /> Subd.2. Information required to be given individual.An individual asked to supply private or confidential dataconcerning himselfshall be <br /> informed of: (a)the purpose and intended use of the requested data within the col lecting state agency,pol itical subdivision,or statewide system;(b) <br /> �uhether he may refuse or is legally required ro supply the requested data;(c)any known consequence arising from his supplying or refusing to supply <br /> private or confidential data;and(d)the identity of other persons or entities aud�orized by state or federal law to receive the data.This requirement shall <br /> not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. <br /> The commissioner of revenue may place the notice required under this subdivision in the individual income tax or property tar refund <br /> instructions instead 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 subjec[of <br /> stored data on individuals,and whether it is classitied as public,private or contidentiaL Upon his further request,an individual who is the subject of <br /> stored private or public data on individuals shall be shown the data without any charge to him and,if he desires,shall be informed of the content and <br /> meaning oFthat data. After an individual has been shown the private data and infonned of its meaning,the data need not be disclosed to him for six <br /> months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The <br /> responsible audiority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority <br /> may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. <br /> The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within Yive days of <br /> the date of the request,excluding Saturdays,Sundays and legal hol idays,if immediate compliance is not possible. If he cannot comply with the request <br /> wi[hin that time,he shall so infonn the individual,and may have an additional tive days within which to comply with the request,excluding Saturdays, <br /> Swidays 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 data <br /> concerning himsel f. To exercise this right,an individual shall notily in writing the responsible authority describing the nature ofthe disagreement. The <br /> responsible authority shall within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of <br /> inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data to be correct. Data in <br /> dispute shall be disclosed only if the individuaPs stafement of disagreement is included with the disclosed data. <br /> The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating[o <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 pern�it 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 detern�ine your c�ualification for the permit or license <br /> 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 a�encies to the extent necessary to <br /> process the permit or license. <br /> 4. lf 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 /> � �S����- f�1��v 2-�.��,� <br /> First Middle Lxst <br /> ; s s� 1-�,� � ��� � a� � <br /> t�����s5 <br /> I�����,tis M�v 5�3a5 9 s-d-�gg�ov10 <br /> City St�te Zip Phone <br /> I understand my rights as stated�bove. <br /> � v <br /> Signature <br /> j'7 <br />