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Sec.13.04 RIGFiTS OF SUBJECTS OF DATA <br /> Subd. 1. Type of data. "Ihe righ�s of individual on whom the data is stored or to be stored shall be as set fonh in this secrion. <br /> Subd.2. Information reqirired to be given individual. �.n individual azked to supply private or confidenaal data conceming himself shall <br /> be informed of: (a)the purpose and incended use of che requesred data within the collecdng'state agency, polirical subdivision,or sratewide system; <br /> (b)whether he may refuse oY is legally required to supply the cequested data;(c)any lrnown consequence arising fmm his supplying or refusing to supply <br /> priva[e or confidendal data;and(d)the idenary of ocher penoas or enrides au[horized by srate or federal law to receive the data. This requiremenc shall <br /> no[apply when an individual is asked to supply invesrigadve dara, pursuant to section 13.82, subdivision 5, to a law enforcement o�cer. <br /> The commissioner of revenue mav place the norice rewired under this subdivision in the individual income tax or Dropem tax refund <br /> instructions instead of on those forms. <br /> Subd. 3. Access to data by individual. Upon requesc to a responsible authority,an individual shall be informed whether he is the subject <br /> of stored dara on individuals,and whe[her ic is classified as public, private or confidenual. Upon his furthec request,an individual who is the subjecc <br /> of stored private or public data on individuals shall be shown the dara wichout any charge to him and,-if he desires, shall be informed of[he content <br /> and meaning of�hat data. Aftzr an indi�+idual has been shown che private data and informed of iu meaning,the data need not be disclosed to hun for <br /> six months thereaftec unless a dispute or acdon pursuan�to this secaon is oending or addirional data on the individual 6as been collected or crea�d. <br /> The responsible auchoriry shail provide copies of the privace or public data upon request by the individual subject of the dara. The responsible authoriry <br /> may require the requesring person to pay the actual costs of makine, certifying,and compiling the copies. <br /> The responsible au[horiry shall comply immediately, 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 noc possible. If he cannot comply with the reques[ <br /> wi[hin[hat time,he shall so inform[he individuai,and may have an addiaonal five days within which to comply wi[h 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 accuracy or completeness of public or private <br /> data conceming himself. To exercise chis right,an individual shail noafy in wriring the responsible authoriry describing[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 norify past recipiencs of <br /> inaccurate or incomplete data, including recipients named by the individual; or(b)notify the individua!that he believes rhe data to be correcc. Data <br /> in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. <br /> The decerminarion of the rzsponsib(e auchoriry may be appealed pursuant to [he provisions of the administradve procedure act relacing to <br /> contested cases. <br /> DAT� 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 pernu[ or license from the City of Orono or any of its deparcments may require you to furnish certain private or <br /> confidential information. <br /> You are 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 information may be shared wi[h ocher local, state or federal a;encies to the estent necessary to process <br /> the pernut or license. <br /> 4. If your requested permi[ or license requires Council action to approve, some information may become <br /> public. <br /> j. 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 /> pin� tiliddle Last <br /> Address <br /> ��n, Srate Zip Phone <br /> I understand my riahts as stated ab ve. l <br /> � <br /> Signamre <br />