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Sec.13.04 RIGHTS OP SUBJECTS OF DATA <br /> Subd. I. Typc of data. Thc rights of individual on whom thc data is storcd or to bc storcd shall bc as sct forth in this section. <br /> Subd.2. Information rcquircd ro bc givcn individual.An individual askcd to supply privatc or confidcntial data conccming himsclf shall bc <br /> informcd of: (a)thc purposc and intcndcd usc of thc rcqucstcd data within thc collecting statc agcncy,political subdivision,or statcwidc systcm;(b) <br /> whcthcn c�may rcfusc or is legally rcquired to supply thc requcsted data;(c)any known conseque�cc arising from his supplying or refusing to supply <br /> privatc or confidcntial data;and(d)thc idcntity of othcr persons or cntitics authorizcd by statc or fcdcral law to rcccivc thc data. This rcquircment shall <br /> not apply whcn an individual is askcd to supply invcstigativc data,pursuant to section 13.82,subdivision 5,to a law cnforccmc�t officcr. <br /> Thc commissioncr of rcvc�uc may olacc thc noticc rcauircd undcr this subdivision in thc individual incomc tax or�ropcRy tax rcfund <br /> instructions instcad of on thosc forms. <br /> Subd.3. Acccss to data by individual. Upon rcqucst to a responsiblc authority,an individual shall bc informcd whcthcn c�is thc subjcct of <br /> storcd data on individuals,and whcthcr it is classificd as public,privatc or confidcntial. Upon his furthcr rcqucst,an individual who is thc subjcct of <br /> storcd privatc or public data on individuals shall bc shown thc data without any chargc to him and,if hc dcsires,shall bc informcd of thc contcnt and <br /> mcaning of that data. Aftcr an individual has bccn shown thc privatc data and informcd of its mcaning,thc data nccd not bc discloscd to him for six <br /> months thcrcaftcr unlcss a disputc or action pursuant to this scction is pcnding or additional data on thc individual has bccn collcctcd a�crcatcd. Thc <br /> responsiblc authority shall providc copics of thc privatc or public data upon rcqucst by thc individual subjcct of thc data. Thc responsiblc authority <br /> may rcquirc thc rcqucsting person to pay du actual costs of making,ccrtifying,and compiling thc copics. <br /> Thc responsiblc authority shall comply immcdiatcly,if possiblc,with any rcqucst m�dc pursuant to Q�is subdivision,or within fivc days of <br /> d�c datc of thc rcqucst,cxcluding Saturdays,Sundays and Icgal holidays,if immcdiatc compliancc is not possibla If hccannotcomply with thc rcqucst <br /> within that timc,hc shall so inform thc individual,and may havc an additional fivc days within which to comply with thc rcqucst,cxcluding Saturdays, <br /> Sundays and Icgal holidays. <br /> Subd.4. Proccdurc whcn data is not accuratc or complctc.A�individual may contcst thc accuracy or complctcncss of public or privatc data <br /> conccming himsclf. To cxcrcisc this right,an individual shall�otify in writing t6c responsiblc authority dcscribing thc naturc of thc disagrccmcnt.Thc <br /> responsiblc authoriry shall within 30 days cithcr. (a)con�cct thc data Found to bc inaccuratc or incomplctc and attcmpt to notify past rccipic�ts of <br /> inaccuratc or incomplctc data,including rccipicnts�amcd by thc individual;or(b)notify thc individual that hc bclicvcs thc datn to bc corrcct. Data in <br /> disputc shall bc discloscd only if thc individual's statcmcnt of disagrccmcnt is includcd with the discloscd data. <br /> Thc dctcrmination of thc responsiblc authoriry may bc appcalcd pursuant to thc provisions of thc administrativc proccdurc act rclating to <br /> contcstcd cascs. <br /> DATA PRNACY ADVISORY <br /> In accordancc with MS. I 3.04,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�re notificd that: <br /> 1. The information you furnish will be used to determine your qualification for the pcnnit or license <br /> requested. <br /> 2. You may refusc to supply data,but refusal may require that the City deny the permit or license. <br /> 3. The information may be shared with othcr local, state or federal agencies to the extent necessary to <br /> process the permit or license. <br /> 4. If your requcsted 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 fu►I namc is rcquired to process this application or permit. <br /> ��r���r�.r,t N:Lo\� Se �c��l <br /> First Middle Last <br /> �5�-I� 0��1 v..:c� �����-r ��.�� <br /> Address <br /> ���� �� ����� � <br /> City State Zip Phone <br /> I understand my rights as stated above. �� �������� <br /> �1.'l�-�,F� ����-�--�----- <br /> Signaturc <br /> 32 <br />