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Sec.13.04 RIGHTS OF SITB.TECTS OF D�,TA <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 secaon. <br /> Subd.2. Information required to be given individual. An individual asked to supply private or co�dencial data concerning himself <br /> shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,polidcal subdivision,or statewide <br /> system;(b)whzther he may refuse or is legally required to supply the requested dara;(c)any}aown consequence arising from his supplying or <br /> refusing to supply private or confidendal daa;and(d)the idenary of other persons or enrides authorized by srate or federal law to receive the data. <br /> This requirement shall not apply when an individual is asked to supply investigadve data, pursuant to secdon 13.82, subdivision 5, to a law <br /> enforcement officer. <br /> The commissioner of revenue mav place the notice reauired under this subdivision in the individual income taz or orooertv tax refund <br /> instrucdons!nstead 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 <br /> subject of stored data on individuals,and whether it is classified as public,private or co�dential. Upon his funher request,an individual who <br /> is the subject of stored 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 dara. Aher an individual has been shown the private data and informed of its meaning,the data need not be <br /> d'uc(osed[o him for six months thereafter unless a dispute or acaon punuant to this secaon is pending or addirional data on the individual has been <br /> colfe�ted 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 authority may require the requesting person to pay the actual costs of making,cerdfyin„and compiling the copies. <br /> The responsibie 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 legal holidays,if immediate compliance is not possible. If he cannot comply with <br /> the request wirhin that cime, he shall so inform the individual, and may have an addirional five days within which to comply with the request, <br /> excluding Saturdays,Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or <br /> private dara concerning himself. To exercise this right,an individual shall noafy in writing the responsibie authoriry describing the nature of the <br /> disa�reement. The responsible authoriry shall within 30 days either: (a)correct the dara found to be inaccurate or incomplete and attempt to nodfy <br /> past recipiencs of inaccurate or incomplete data,including recipients named by the individual;or(b)nodfy 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 data. <br /> The determinadon of the responsible authority may be appealed pursuant to the provisions of the adminisQaave procedure act relating <br /> to contested cases. <br /> DATA PRIVACY ADVISORY <br /> In accordance with NI.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 certain <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 certai.n 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 <br /> Last <br /> Address <br /> Ciry State Zip Phone <br /> I understand my rights__a�. stated above. � <br /> i <br /> ',�,, �. <br /> SignaN�----- _-�" .' <br /> 6 , <br />