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� <br /> Sec.13.04 RIGHTS OF SUBJECTS OF DATA <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 required to be given indiridual. An individual asked to supply private or co�dential dara concerning himself <br /> shall be informed of: (a)the purpose and intended use of the requested dara within the collecdng srate agency, political subdivision,or statewide <br /> rystem:(b)whzther he may refuse or is legally required to supply the requested data;(c)any(mown consequence arising from his supplying or <br /> refusing tD supply private or confidendal daa;and(d)the idendty of other penoru or enades authorized by state or federal law to receive the data. <br /> This requirement shall not apply when an individual is asked to supply investi;acive data, pursuant to secdon 13.82, subdivision 5, to a law <br /> enforcement officer. <br /> The commissioner of revenue mav place the notice reauired under this subdivision in the individual income taz or orooertv tax refund <br /> instrucrions mstead of on those forms. <br /> Subd. 3. Access to data by individual. Upon request to a responsible authoriry, an individual shall be informed whether he is the <br /> svbject of stored data on individuals,and whether it is classified as public,private or confidential. Upon his fu:ther request,an individual who <br /> is the subject of stored private or public daa on individuals shall be shown the data without any charge to him and, if he desires,shall be informed <br /> of the content and meanin�of that dara. After an individual has been shown the private data and informed of its meaning, the data need not be <br /> disclosed to him for six months thereafrer unless a dispute or acaon pursuant to this secoon is pending or addirional data on the individual has been <br /> collected or created. The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. <br /> The responsible authoriry may require the requesrin,person to pay the actual cosu of making,certifying,and compiling the copies. <br /> The responsible authority shall comply unmediately,if possible,with any request made pursuant to this subdivision, or within five days <br /> of the date of the request,excluding Saturdays, Sundays and legal holidays, if immediate compliance is not possible. If he cannot comply with <br /> the request wittun that cime, he shall so inform the individual, and may have an addirional five days within which to comp(y with the request, <br /> excluding Saturdays,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 <br /> private dara concerning himself. To exercise this right,an individual shall nodfy in writing the responsible authoriry describing the nature of the <br /> disagreement. The responsible authoriry shall within 30 days either: (a)correct the dara found to be inaccurate or incomplete and attempt to nodfy <br /> past recipienrs of inaccurate or incomplete data,including recipienu named by the individual;or(b)noafy the individual that he believes the data <br /> co be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. <br /> The determinaUon of the respoasible authority may be appealed pursuant to the provisions of the adminis�auve procedure act relaang <br /> to 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 <br /> request for a permit or license from the City of Orono or any of its departments may require you to furnish certai.n <br /> private or confidential information. <br /> You are no[ified that: � <br /> 1. The information you furnish will be used to determine your qualification 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 agencies to the extent necessary to <br /> process the permit or license. <br /> 4. If your requested pernut or license requires Counci�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 /> First Middle Last <br /> Address <br /> Ciry State Zip Phone <br /> .� <br /> I understand my rights as stated�above. <br /> l <br /> .� <br /> Signamre � ' '� �� <br /> i (� - �, <br /> � <br /> 6 <br />