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Sec.13.04 RIGEiTS OF SUBJECTS OF D�TA • <br /> Subd. 1. Type of data. The righ[s of individual on whom the dara is stored or to be stored shall be as set forth in this secaon. <br /> Subd.2. Information reqirired to be given individual. An individual asked to supply private or confideodal data concerning himself shall <br /> be informed of: (a)-the purpose and intended use of the requesred data within the collecring�tare agency,polidcal subdivision,or statewide system; <br /> (b)whether he may refuse ot is legally required to supply the requested data;(c)any Imown consequence arising from his supplying or refusing to supply <br /> private or confidential data;and(d)the idennry of other persons or enriaes auchorized by state or federal law to receive the data. This requirement shall <br /> not apply when an individua]is asked to supply invesrigadve da[a, pursuant to section 13.82, subdivision 5, to a law enforcement officer. <br /> The commissioner of re�•enue mav place the nodce rewired under this subdivision in the individual income tax or propem haz refund <br /> instructions insczad 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 subject <br /> of stored data on individuals,and whether it is classified as public, privace or confidenaal. Upon his fur[her request,an individual who is the subject <br /> of stored private or public data on individuals shall be shown the data wichout any charge to him and,�if he desires, shall be informed of[he content <br /> and meaning of that dara. After an individual has been shown the private dara and informed of its meaning,the data need not be disclosed to him for <br /> six months thereafrer unless a dispute or acdon pursuant to this section is pending or addidonal data on the individual has been collected or created. <br /> The 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 cosu of making,cemfying,and compiling the copies. <br /> The responsible authoriry shall comply immediately, if possible, wich any request made pursuant to this subdivision,or within five days of <br /> the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request <br /> within[hat time,he shall so inform the individual,and may have an addiaonal five days within which to comply with the request,excluding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An mdividual may contest the accuncy or completeness of public or private <br /> data concerning himself. To exercise this right,an individual shall nodfy in wriring the responsible authoriry describing che nature of the disagreement. <br /> The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurace or incomplete and attempc to nodfy past recipients of <br /> inaccurate or incomptete data, inciuding recipienrs named by che individual;or(b)notify the individual thac he believes the data to be correct. Data <br /> in dispute shall be disclosed only if the individual's statement of disagreement is included wi[h the disclosed data. <br /> The decerminarion of the responsible au�horiry may be appealed punuant to the provisions of the admuustrative procedure act relating to <br /> contested cases. <br /> DATA PRIVACY ADVISORY <br /> In accordance wich M.S. 13.04, Subd.2, "Ri;hts of subjects of data", we would like to inform you that your request <br /> for a permit or license from the City of Orono or any of its departments may require you to fumish certain private or <br /> confidential information. <br /> You are notified that: <br /> 1. The information you furnish will be used to determine your qualification for the permit or license 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 wich ocher local, state or federal agencies to the extent necessary to process <br /> the pemut or license. <br /> 4. If your requested permit or license requires Council 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 Lasc <br /> Address <br /> City Srate Zip Phone <br /> I understand my ri�hts as stated above. <br /> Signature <br />