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Sec.13.04 RIGHTS OF SUBJECTS OF DATA � - <br /> Subdivision 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. Injormation required to be given individuaL An indivrdual asked to supply private or confidentia!data concerning himselj <br /> shall be informed of.' (a)the purpose and rntended use ojthe requested data within the collecting state agency,politica!subdivision,or statewide <br /> system;(bJ whether he may refuse or is legally required to supply the requested data;(cJ any known consequence arising from his supplying or <br /> refusing to supply private or confrdential data;and(d)the identity of olherpersons or entities authori�ed by state orfedera!lalv to receive the data. <br /> This requirement shafl not apply ivhen an individual is asked to supply investigative data,pursuant to sectron 13.82, subdivision S, to a law <br /> enforcement oJficer. <br /> The commissioner of revenue mav place the notice required under this st�bdivision in the individual income tax or properry 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 subject <br /> of stored data on individuals, and whether it is classified as public,prrvate or confidentral. Upon his further request,an individual who is the <br /> subject of slored private or public data on individuals shall be shotivn the dala without any charge to him and, if he deslres,shall be infarmed of <br /> the content and meaning ojthat data. After an individua!has been sholvn the private data and rnformed of its meaning, the data need not be <br /> disclosed to him for six months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has <br /> been collected or created. The responsible authority shall provide copies of the private or public data upon req:�est by the individual subject of <br /> the data. The responsible authority may require the requesting person to pay the actual costs of makrng,cert�rng,and compiling the copies. <br /> The responsible authoriry shal!comply immediately,rfpossible,with any request made pursuant to thrs s:ibdivision,or within frve days <br /> of the date oJthe request,excluding Saturdays,Sundays and legal holidays,rf immediate compliance is not possi6fe. Ifhe cannot comply ivith the <br /> request within that lime,he shall so inform the indivrdual,and m.ay have an addilional five days ivithin tivhich to comply wifh the request,excluding <br /> Saturdays,Sundays and legal holydays. <br /> Subd.4. Procedure when data is not accurate or comp[ete.An individual may contest the accuracy or completeness ofpublrc or private <br /> data concerning himself. To exercise this right, an individual shall not�rn writing the responsrble authorrty describrng the nalure of the <br /> drsagreement. The responsible authorityshal!wrthin 30 days either: (a)correc!the datafo:�nd to be inaccurate or rncomplele and attempt to not� <br /> past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)not�the individua!that he believes the data <br /> to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with Ihe disclosed data. <br /> The determination of the responsible authorlty may be appealed pursuant to the provisions of the admrnistratrve procedure act relating <br /> to contested cases. <br /> DATA PRIVACYADVISORY <br /> In accordance with M S.13.04,S:�bd.2, 'Rights ofsubjects ofdata';we would like to inform you that yourreqtrestfora permit orlicense <br /> from the City of Orono or any of its departments may require you to furnish certain private or confrdential information. <br /> You are notified that: <br /> /. The informatron you furnish ivrll be used to determine your qualifrcation for the permit or lrcense requested. <br /> 2. You may refuse 10 supply data,but refusal may requrre thar 1he Crty deny the permit or license. <br /> 3. The information may be shared with o[her local,sta[e or federal agencies to the extent necessary to process the permr�or <br /> lrcense. <br /> 4. If your reguested permit or lrcense requires Counci!action to approve,some information may become public. <br /> 5. You have certain rights under M.S. 13.04(see follotiving page)to review private data on yourseff. <br /> 6. Your full name is required to process this applrcation or permit. <br /> PLEASE PRlNT <br /> �i�� ���c�t ��''te(��>^ <br /> First n Middle � Last <br /> i <br /> ���� �`���;��.vY� c� � � <br /> Address <br /> �`� ,/1 `" ` C,��i � I �Li� � ���`'� <br /> '� Jv�,4 � <br /> ./ - �7 - <br /> Crty State Zip Phone <br /> 1 unde�tand my rights as state,�!above. <br /> � ' ., /� " <br /> //;'�r���'� _ <br /> S�rgnature <br /> !0 <br />