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Sec.13.04 RIGHTS OF SUBJECTS OF DATA <br /> Subd, l. 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 orconfidential data conceming himself shall be <br /> informed of: (a)the purpose and intended use of the requested data wi[hin the collecting state agency,political subdivision,or sta[ewide system;(bj <br /> whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising ftom his supplying or refusing to supply <br /> private or confidential data;and(d)the identity of other persons or entities authorized by state or fede�al law to receive the data.This requirement shall <br /> not apply when an individual is asked to supply investigative da[a,pursuant to section 13.32,subdivision 5,to a law enforcement officer. <br /> The commissioner of revenue mav p(ace the notice required under this subdivision in the individual income tax or�roperty tax refund <br /> instructions instead of on[hose forms. <br /> Subd.3. Access to data by individuaL Upon request to a responsible authority,an individual shall be informed whether he is the su6ject of <br /> storcd data on individuals,.and whether i[is classified as public,private or confidentiai. Upon his further request,an individual who is the subject of <br /> stored private or public data on individuals sliall be shown the data without any charge to him and,if he desires,shall be informed of the content and <br /> meaning of tE�at da[a. After an individual has been shown the priva[e data and informed of its meaning,the data need not be disclosed to him for six <br /> months therea8er 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 authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry <br /> may require the requesting person to pay the actual costs of making,ceRifying,and compiling the copies. <br /> The responsib:e authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of <br /> the date of the requesc,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot compty with the request <br /> within that time,he shall so inform the individual,and may have an additional five days within which to comply with the request,excluding Sacurdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete.An individual may contest the accuracy oc completeness of public or private data <br /> concerning himsel£ To exercise this right,an individual shal]notify in writing the responsible authoiity describing the nature of the disagreement.The <br /> responsible authority shall within 30 days either: (a)con'ect the data found to be inlccura[e or incomplete and attempt to notify past recipients uC <br /> inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data to be correct. I)ata ir <br /> dispute shatl be disclosed only if the individual's statement 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 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 pemiit or license from the City of Orono or any of its departments may require you to fumish certain priva`.e cr <br /> confidential information. <br /> You are notified that: <br /> l. The information you fumish will be used to determine your qualification for the pernzit 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 perniit or license. <br /> 4. If your requested permit or license requires Council action to approve,some infornlation 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 /> U'L— � �1.� ��u-i.v S G:C <br /> First Middle Last <br /> � t�.. �'�'�c �a� - <br /> Address <br /> ��� � n� � ��.���� ����� ��s-v,o� <br /> City State Zip Phone <br /> under and my rights as tated above. <br /> (�� <br /> Signature <br /> 32 <br />