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Sec.13.04 RIGIiTS OF SiJBJECTS OF DATA <br /> Subd. 1. Type of data. The righcs of individual on whom the data is stored or co be stored shall be as set forth in this secaon. <br /> Subd.2. Information reqirired to be given individual. r1n individual asked to supply private or confidenaal data conceming himself shall <br /> be informed of: (a)the purpose and intended use of the requesred data within the collecting"state agency,polidcal subdivision,or statewide system; <br /> (b)whe[her he may refuse oY is legally required to supply[he requested data;(c)any la�own consequence arising fmm his supplying or refusing to supply <br /> private or confidential data;and(d)the idenriry of other persons or enrides auchorized by state or federal law to receive the data. This requirement shall <br /> noc apply when an individual is asked to suppty invesrigadve dara, pursuant ro secdon 13.82, subdivision 5, to a law enforcemen[officer. <br /> The commissioner of re�enue mav place the nodce reouired 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 request to a responsibfe authoriry,an individual shall be informed whe[her he is the subject <br /> of stored data on individuals, and whe[her it is classified as public, private or confidendal. Upon his further request, an individual who is the subject <br /> of stored private or public data on individuais shall be shown the data wi[hout any charge to him and, if he desires, shall be informed of the content <br /> and meaning uf[hat data. After an individual has been shown[he private data and informed of ics meaning, the data need not be disclosed to him for <br /> six months thereafter unless a dispute or acrion pursuant to this section is pending or addidonal data on[he individual bas been collected or created. <br /> The responsible authoriry 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 costs of makin¢, certifying; and compiling the copies. <br /> The responsible authoriry shall comply immedia[ely, 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 reques[ <br /> within that time,he shall so inform the individual,and may have an additional five days within which to comply wi[h the request,excluding Saeurdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or comple[eness of public or pri��ate <br /> data conceming himself. To exercise chis rieht,an individual shall noafy in wri[ing the responsibie authoriry dzscribing[he nature of the disagreement. <br /> The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipienu of <br /> inaccurate or incomplete data, including recipients named by the individual; or(b) notify the individual that he believes the data to be correct. Data <br /> in dispute shall be disclosed only if the individuai's statement of disagreement is included with the disclosed data. <br /> Ttie determination of the responsible authoriry may be appealed pursuant to the provisions of the administraave procedure act relaang 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 /> for 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 fumish wiil 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 with other local, state or federal a�encies to the extent necessary to process <br /> the pernu[ 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 �Siddlz Last <br /> Address <br /> Ciry State Zip Phone <br /> I understand my right ve. <br /> .--�- <br /> Signature <br />