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Sec.13.04 RIGHTS OF SUBJECTS OF DATA <br /> Subd.I. Type of data The rights of individual on whom the data is stored or to be stored shall be as set forth in this section. <br /> Subd.2. Information required to be given�ndividual.An individual asked to supply privaze or confidential data conceming himself shal l be <br /> informed of: (a)the purpose and intended use of the requested data�vithin the collecting state agency,political subdivision,or stateHride system(b) <br /> whether he may refuse or is legally required to supply the requested data;(c)any i:now�n consequence azising from his supplying or refusing to supply <br /> private or confidentiai data;and(d)the identity of other persons or entities authorizeci by state or federal law to receive the data This requirement shall <br /> not apply when an individual is azked to supply investigative data,pursuant to section 13.82,su6division 5,to a law enforcement officer. <br /> The commissioner of revenue mav place the notice reauired under this subdivision in the individual income ta�c or nronem tax refund <br /> instructions instead of on those forms. <br /> Subd.3. Access to data by individual. Upon request to a responsible authority,an individuai shal I be informed whether he is the subject of <br /> stored data on individuals,and whether it is dassified as public,private or confidential. Upon ttis further request,an individual who is the subject of <br /> stored private or public data on individuals shall be shown t6e data without any charge to him and,if he desires,shall be informed of the content and <br /> meaning of that data. After an individual has been shown the private data and infom�ed of its meaning,the data need not be disclosed to him for six <br /> months thereafter unless a dispute or action pursuant to this secrion is pending or additional data on the individual has been collected or created. The <br /> responsible authoriry 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 actual costs of making,certifying,and compiling the copies. <br /> T'he responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of <br /> thedateoftherequest,excludingSaturdays,Sundaysandlegalholi�ys,ifimmed�ecomplianceisnotpossible.[fhecannotcomplywiththerequest <br /> within that time,he shall so inform the individual,and may have an additional five days within which to comply with the request,excluding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete.An individual may contest the accumcy or completeness of public or private data <br /> conceming himself. To exercise this right,an ir�dividual shall notify in writing the re�onsible authority describing the naYure of the disagreement The <br /> responsible authority shall within 30 days either. (a)comect the data found to be inaccurate or incomplete and attempt to notify past recipients of <br /> inaccurate or incomplete data,including recipienu named by the individual;or(b)notify the individual that he believes the data to be correct. Data in <br /> dispute shall be disclosed only if the individual's statement ofdisagreement is induded with the disctosed data. <br /> The detertnination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to <br /> contested cases. <br /> DATA PRIVACY ADVISORY <br /> [n 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 Omno 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 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 (ocal, state or federal agencies to the extent necessary to <br /> process 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�rmit. <br /> V �� V � �_ r�r�, � �1—��7. tN�� � fC� �� 11�G5T�� <br /> First Middk Last <br /> �-��g �f1 sC,o �c�`,�� f� `� _ <br /> aaa� <br /> �v�rz�4rtw �N � ss3� / <br /> Ciry State Zip Phooe <br /> I understand my 'ghts as stat d above. <br /> Signature <br /> Reset Form 32 <br />