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� <br /> Sec.13.04 RIGHTSOFSUBJECTSOFDATA , � <br /> Subdivision 1. Type ojdata The rights of rndivrdual on whan the data rs slored or to be stored shall be as se!forth rn this sectron. <br /> Subd.2. Informalion required lo be given individual. An individual asked to supply private ar confrdentral data concerning himselJ <br /> shall be injormed of.' (aJ the p:rrpose and intended use of the requested data within the collecting state agency,polrtical subdrvision,or statewide <br /> system;(b)whether he may refuse or is legally required to supply the requested data;(cJ any known consequence arrsing from hrs supplyrng or <br /> refusing to supply private or confrdentral dala;and(dJ the identiry of other persons or entities authorized by state orfederal!mv to receive the data. <br /> 7Ttis requirement shall not apply when an individual rs asked to supply investigative data,pursuant 10 section 13.82, subdivrsion 5, to a!aw <br /> enforcemen!oJfrcer. <br /> The commissioner of revenue may place the notice required under this subdivision in the individual income tax or property taz refund <br /> instructrons instead of on those forms. <br /> Subd.3. Access to data by individuaL Upon request to a responsrble authorrty,an rndividua!shall be informed ivhether he is the subject <br /> of stored data on indivrduals, and whether it is classifred as public,priva�e or confidentral. Upon his further reguest,an indrvidual who is the <br /> subject ojstored private or public data on individuals shal!be shown the data ivithout any charge!o him and, if he desires,shal!be informed of <br /> the content and meaning of that data. Ajter an individual has been shown the private data and informed of its meanrng, the data need not be <br /> disclosed to hrm for six monlhs thereafter unless a dispute or actron pursuant to thls sectron rs pendrng or additiona/data on the rndividual has <br /> been collected or created. The responsible authorrty shall provide copres of the private or public data upon request by the individual subject of <br /> the data. The responsible authority may require the requesting person to pay the actual costs of making,certifying,and comprling the copres. <br /> The responsible authority shall comply rmmediately,rfpossible,with any reguest made pursuant to this subdivrsion,or within five days <br /> of the date of the request,excluding Saturdays,Sundays and/egal holydays,if immediate comp/rance is not possible. I,f he cannot comply ivith the <br /> request ivithin that time,he shall so rnjorm the indivrdual,and may have an additional five days ivithin tivhrch to comply with the request,excludrng <br /> Saturdays,Sundays and legal holydays. <br /> Subd.4. Procedure when data is not accu�ate or complete.An indrvidual may contest the accuracy or completeness ofpublic or private <br /> data concernrng himselj. To exercise this right, an rndividual shall notify rn wrrting the responsible authoriry describing the nature of the <br /> disagreement. The responsrble authority shall ivrthin 30 days either: (a)correct the daJafound to be inaccurate or incomplete and attempt to not� <br /> past recipients of inaccurale or incomplete data,including recipients named by the individual;or(bJ notrfy the individual that he 6elieves the data <br /> to be correct. Data rn drspute shall be drsclosed only if the individual's statement of disagreement is rncluded tivith the disclosed data. <br /> The determrnation ojthe responsrble authorrry may be appealed pursuant to the provisrons oJthe administratrve procedure act relating <br /> to contested cases. <br /> DATA PRIVACYADVISORY <br /> In accordance with M.S.13.04,Subd.2,"Righls ofsubjects ofdata",we would like to injorm you that your reqtrest for a permit or license <br /> jrom the City ojOrono or any of its departments may require you lo jurnish certain private or confrdentral injormation. <br /> You are notified that: <br /> I. The information you furnish wifl be used to determine your qualrfication for the permrt or license requested. <br /> 2. You may refuse 10 supply data,but refusal may requrre that the City deny the permit or lrcense. <br /> 3. The information may be shared wrth other local,state or federal agencies to the extent necessary to process the permit or <br /> license. <br /> 4. Ijyour requested permit or license requrres Council actron!o approve,some injormation may become public. <br /> 5. You have certain rrghts under M.S. 13.04(see following pageJ to review prrvate data on yourself. <br /> 6. Your ful!name rs reguired to process this app/icatron or permit. <br /> PLEASE PR/NT <br /> First Middle Last <br /> Address <br /> Ciry State Zrp Phone <br /> I understand my rrghts as stated above. <br /> Signature <br /> 10 <br />