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Sec.13.04 RIGHTS OF SUB.JECTS OF D�1TA <br /> Subd. 1. Type of data. The righrs of individual on whom the data is stored or to be stored shall be as set forth in this section. <br /> Subd.2. Information reqirired to be given individual. An individual asked to supply private or confidendal data concerning himself shall <br /> be informed of: (a)the purpose and intended use of the requested data within the collecting'state agency,political subdivision,or sratewide system; <br /> (b)whether he may refuse oY is legally required to supply the requested data;(c)any laiown consequence arising from his supplying or refusing to supply <br /> privace or conndenrial data;and(d)the idenrity of other persoas or enddes au[horized by sta[e or federal law to receive the data. This requiremenc shall <br /> not apply when an individual is asked to supply invesrigadve dara, pursuan[to secrion 13.82, subdivision 5, to a law enforcement officer. <br /> The commissioner of re`enue mav plac the norice reauired under this subdivision in the individual income tax or propertv tax refund <br /> instructions instead of on those forms. <br /> Subd. 3. Access to data by individual. Upon requesc co a responsible authoriry,an individual shall be informed whether he is the subject <br /> of stored data on individuals, and whe[her it is classified as public, private or confidential. Upon his further request, an individual who is the subject <br /> of stored private or public data on individuals shali be shown cfie data wichout any charge[o him and, if he desires, shall be informed of the content <br /> and meaning of[hat data. After an individual has been shown the private data and informed of iu meaning,[he data need not be disciosed to hicn for <br /> six monrhs thereafter unless a dispute or accion pursuanc to chis secnon 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 authority <br /> may require the requesting person to pay the accual costs of making. certifying, and compiling the copies. <br /> The responsible authoriry shall comply immedia[ety, if possible, with 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 chat time,he shall so inform the individual,and may have an additional five days within which to comply with the request,excluding Saturdays, <br /> 5undays and leeal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or pri��ate <br /> data conceming himself. To exereise this rieht,an individual shall nodfy in wridng the responsible authority describing the narure of the disagreement. <br /> The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccutate or incomplete and attempt to nodfy past recipients of <br /> inaccunte or incomplete data, including recipien[s named by the individual; or(b)notify the individual that he believes the data to be correc[. Data <br /> in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. <br /> The determinadon of the rzsponsible authoriry may be appealed pursuant to the provisions of the administradve procedure act relaring to <br /> contested cases. <br /> DATA PRIVACY ADVISORY <br /> In accordance with M.S. 13.04, Subd. 2, "Riahts of subjects of data", we would like to inform you that your request <br /> for a pernut or license from the City of Orono or any of its departmen[s may require you to furnish cenain 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 pemut or license requested. <br /> 2. You may refuse to supply data, but refusal may require that the City deny [he 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 pemut or license. <br /> 4. If your requested pernut or license requires Council action to approve, some informa[ion may become <br /> public. <br /> j. You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself. <br /> (, Your full name is required to process this application or permit. <br /> First �'liddle Last <br /> Address <br /> State Zip Phone <br /> City <br /> I understand my rights as stated above. <br /> i <br /> v <br /> S�gnature <br />