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, - , <br /> Sec.13.04 RIGHTS OF SUBJECTS OF DATA <br /> Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this secdon. <br /> Subd.2. Information required to be given individual. An individual asked to supply private or confidenIIal data concerning himself <br /> shall be informed of: (a)the purpose and intended use of the requested dara within the colleccing state agency,polidcal subdivision,or statewide <br /> rystem;(b)whether he may refuse or is legally required to supply the requested data;(c)any lmown consequence arising from his supplying or <br /> refusing to supply private or confidenaal daa;and(d)the identiry of other persons or enaoes authorized by state or federal law to receive the dara. <br /> This requirement shall not app(y when an individual is asked to supply investigative data, pursuant to secdon 13.82, subdivision 5, to a law <br /> enforcement officer. <br /> The commissioner of revenue mav lace the notice re uired under this subdivision in the individual income taz or ro em tax refund <br /> instructions instead of on those forms. <br /> Subd. 3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the <br /> subject of stored data on individuals,and whether it is classified as public,private or confidential. Upon his further request,an individua]who <br /> is the subject of scored private or public data on individuals shall be shown the data without any charge to him and, if he desires,shall be informed <br /> of the content and meanin,of that data. Aher an individual has been shown the private data and informed of its meaning,the data need not be <br /> disclosed to him for six months thereafter unless a dispute or acdon pursuant to this secaon is pending or addidonal data on the individual has been <br /> collected or created. The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. <br /> The responsible authoriry may require the requesrin�person to pay the actual costs of making,certifying,and compiling the copies. <br /> The responsible authoriry shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days <br /> of the date of the request,excluding Saturdays, Sundays and lega!hofidays,if immediate compliance is not possible. If he cannot comply with <br /> the request within that time, he shall so inform the individual,and may have an addidonal five days witivn which to comply with the request, <br /> excluding Saturdays,Sundays and legal holidays. <br /> Subci.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or <br /> private dara conceming himself. To exercise this right,an individual shall noafy in writing the responsible authoriry describing the naeure of the <br /> disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify <br /> past recipiencs of inaccurate or incomplet�data,including recipients named by the individual;or(b)norify the individual that he believes the data <br /> to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed dara. <br /> The determinaaon of the responsible authoriry may be appealed pursuant to the provisions of the administrauve procedure act relating <br /> to 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 <br /> request for a permit or license from the City of Orono or any of its departments may require you to furnish certai.n <br /> private or 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 <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 permit or license. <br /> 4. If your requested pemut 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 /> 1<<In 17. �CAt�c�.i.,,- <br /> First Middle Last <br /> �� �n G S� sf-t Cr <br /> Address <br /> �N��n �':� Ilt� c�1 /Lt� �"u'7� G I� ��G y�=3TG`l <br /> C�ry � State Zip Phone <br /> I understand my rights as stated above. <br /> a <br /> �� <br /> Signature <br /> 6 <br />