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� <br /> Sec.13.04 RIGHTS OF SIJB.TECTS OF DATA <br /> Subd. 1. Type of data. The righcs of individual on whom the data is stored or to be stored shall be as set forth in this secdon. <br /> Subd.2. Information reqirired to be given individual. An individual asked to supply privace or confidenrial dara concerning himself shall <br /> be informed of: (a)the purpose and iatended use of the requesud data wi[hin the collecting'state agency,poliacal subdivision,or sratewide system; <br /> (b)whether he may refuse oY is legaily required to supply[he requested data;(c)any known consequence arising from his supplying or refusing to supply <br /> private or confidendal data;and(d)�he ideodry of other persoas or endries authorized by state or federnl law to receive the data. This requirement shall <br /> not apply when an individual is asked to supply invesdgadve data,pursuant to secdon 13.82,subdivision 5, to a law enforcement o�cer. <br /> The commissioner of revenue mav place the nodce rewired under chis subdivision in the individual income tax or propertv tax refund <br /> instructions inscead 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 subject <br /> of stored data on individuals,and whe[her it is classified as public, private or co�denaal. Upon his further request,an individual who is the subjecc <br /> of stored private or public dara on individuals shall be shown the da[a without any charge to him and,'if he desires,shall be informed of the content <br /> and meaning of that data. After an individual has been shown che privace data and informed of irs meaning,the data need not be disclosed to him for <br /> six months thereafter unless a dispute or acrion pursuant to this secdon is pending or addidonal dara on the individual has 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 requescing person to pay the acmal cosu of making,certifying,and compiling the copies. <br /> The responsible authority shall comply immediately, if possible, with any request made pursuant to this subdivision,or wi[hin five days of <br /> the date of the request,ezcluding Sacurdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request <br /> within that time,he shall so inform the individual,and may have an addidonal five days within wluch to comply with the request,excluding Saturdays, <br /> Sundays and legal ho(idays. <br /> Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private <br /> data concerning himself. To exercise this right,an individual shall nodfy in wridng the responsibie authoriry describing the nature of the disagreemenc. <br /> The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomptete and attempt to nodfy past recipienu of <br /> inaccurate or incomplete data, including recipients named by the individual;or(b)nodfy the individual that he believes the data to be correct. Dara <br /> in dispute shall be disclosed only if the individual's statement of disagreement is included wi[h the disclosed data. <br /> The determinarion of the responsible authoriry may be appealed pursuant to the provisions of the adminisaadve procedure act relacing to <br /> contested cases. <br /> DATA PRNACY 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 aze notified that: <br /> 1. The information you fumish will 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 pemut or license. <br /> 3, The informa[ion may be shared with other local, state or federal a;encies 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 /> ��-�1�� ��1,� ��%��;I,�'�;� � <br /> p��� Middl Last <br /> ��� ���'�"�" �/� <br /> Address � /���� ��"-����� ��� ����� <br /> ���'� <br /> Ciry Stace Z�p Phone <br /> I understand my rights as�tated above. <br /> ��'C/GL--(rL-�__ �-���il�J��'c_s2� <br /> Signature <br />