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Sec.13.04 1ZIGHTS OF SUBJECTS OF DATA <br /> Subd.1. Type of data. The rights of individual on�vhom the data is stored or to be stored shall be as set foi�th in this section. <br /> Subd.2. Information required to be given individual. An individual asked to supply private or confidential data concerning himself shall be <br /> informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b) <br /> whether he may refuse or is Iegally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply <br /> private or confidential data;and(d)the identity ot other persons or entities authorized by state or federal law to receive the data. This requirement shall <br /> not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. <br /> The commissioner of revenue mav placc the notice required under this subdivision in the individual income tax or nropertv tax refund <br /> instructions instead of on those torms. <br /> Subd.3. Access to data by individuaL Upon request to a responsible authority,an individual shall be informed whether he is the subject of <br /> stored data on individuals,and whether it is classifed as public,private or confidential. Upon his further request,an individual who is the subject of <br /> stored private or public data on individuals shall be shotivn the data without any charge to him and,it he desires,shall be informed of the content and <br /> meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for sis <br /> months thereafter 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 authority may <br /> require the requesting person to pay the actual costs of making,certifying,and compiling the copies. <br /> The responsible authority shall comply immediately,if possible,with any requcst made pursuant to this subdivision,or within five days of the <br /> date of the request,excluding Saturdays,Sundays and Icgal holidays,if immediate compliancc is not possible.If he cannot comply with thc request within <br /> that time,he shall so inform the individual,and may have an additional[ive days within which to comply with the request,excluding Saturdays,Sundays <br /> and legal holidays. <br /> Subd.4. Proccdin�c when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private data <br /> concerning himsdf. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement. The <br /> responsible authority shall within 30 days eithci: (a)correct the data found to bc inaccurate or incompletc and attcmpt to notify past rccipicnts of <br /> inaccurate or incomplete data,including recipients named by tlie individual;or(b)notify the individual that he believes the data to be correct. Data in <br /> dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. <br /> The determination of the responsible authority ma,y be appealed pursuant to the provisions of the administrative procedure act reluting 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 /> f'or a permit or license from the City of Orono or any of its departments 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 determine your qualitication 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 with other local,state or federal agencies to the extent necessary to process <br /> the permit 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 Last <br /> Address <br /> City State Zip Phone <br /> I understand my rights as stated above. <br /> \ � �7 ����� C <br /> Signa7ar <br />