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. , <br /> , , + <br /> Sec.13.04 RIGHTS OF SIIBJECTS OF DATA <br /> Subd. 1. Type of data. The righ[s of individual on whom the data is stored or to be stored shall be as set fortlt in this section. <br /> Subd.2. Information required to be given indi��idual.An individual asked to supply private or confidential data conceming hin�self shall be <br /> informed of: (a)the purpose and intended use of[he requesced data within the collecting state agency,political subdivision,or statewide system;(b) <br /> whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply <br /> private or confidential daca;and(d)the identity of other persons or entities authorized by state or federal law to receive the daia.This requiremen[shall <br /> r,ot apply when an individual is asked to supply investigative da[a,pursuanc to section 13.32,subdivision 5,to a law enforcemen[officer. <br /> The commissioner of revenue mav pllce the notice required under this subdivision in the irdividual income ca�or nropertv tax_refund <br /> instructions inseead of on those ferms <br /> Subd.3. Access to data by individual. Upon request to a responsible authority,an individuzl shall be informed«�hether he is the subject of <br /> stored data on individuals,.and whether it is classified as pubtic,private or confidential. Upon his fur[her requzst,an individual who is the suojece oi <br /> srored private or public data on individuals shall be shown the data widlou[any charge to him and,if he desires,shall be informed of�he content aad <br /> meaning of that data. After an individual has been shown the pnvate data and informed of its meaning,the data need not be discloszd[o him for s�� <br /> months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individua!has been collected or created. The <br /> responsible authority shall provide copies of the pnvate or pubGc data upon reques[by the individual subject of the d2fa. The responsible authority <br /> may require the requesting person to pay the actual costs of makin;,certirying,and compiling the copies. <br /> The responsible authority shail comply immediately,ifpossible,wi.h any requzst made pursuant to this subdivision,or�vi:hin fi�;e-days oF <br /> the date of the reques[,escluding 5aturdays,Sundays and leeal holidays,if immediate compliance is not possibie. ff he cannot comply with the requesc <br /> wi[hin that time,he shall so iniorm�he individual,and may have an additional five days widiin tvhich to cocnply with the request,excluding Sacurdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure�vhen data is not accurate or comp!zte. An individual may contest the accuracy or comple[zness of public or piivate da[a <br /> concemine himsel£ To exercise this right,an individual shatl notify in wtiting the responsiblz authority descnbino[he nature of the disagreemenc.The <br /> responsible authority shall wi:hin 30 days ei[hec (a)con�ect the data found to be inaccurate o:incemple�e and attempt to notify pas[recipients o` <br /> inaccurate or incomplete data,including recipients named by[he individua(;or(b)notify the individual!hat he believes the datz to be correct. Data in <br /> dispute shalt be disclosed on(y if che individual's seatement of disa�reemen[is included wich[he disclosed data. <br /> 'The determination of the responsible authority may be appealed pursuxnc[o[hz provisions of the administrative procedure act rela!ing to <br /> contested cases. <br /> DATA PRIVACY ADVISORY <br /> In accordance with M.S. 13.04,Subd.2;"Rights of subjects oi data",we would like to infoml you that your request <br /> for a permit or license from the City of Orono or any oi its departrnents 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 determ.ine your qualifcation for the pern�it or licease <br /> requested. <br /> 2. You may refuse to supply data,but refusal may require that the City deny the pe:mit or license. <br /> �. The information may be sha:ed with otner local, state or federal agencies to the extent necessary to <br /> process the perniit or Iicense. <br /> 4. If your�equested permit o:license requires Council action to approve, some infomlation may become <br /> pub lic. <br /> 5. You have certain rights under M.S. 13.04(available upon request) to revie�v private data on yoursel_`. <br /> 6. Y our full name is required to process this applicatien or pzrmit. <br /> First t�Iiddle Last <br /> ��a�,. � ��` � � — <br /> Address <br /> 3����� c� �s�� � � ,���� �u w1 � Sss� r <br /> C�h, State Zip Phone <br /> �52 ,,(7 l -os�� <br /> i unders � 'b tated above. <br /> Signature <br /> 32 <br />