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Sec.13.04 RIGHTS OF SLJB,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 fotth in this se:aon. <br /> Subd.2. Information required to be given individual. An individual asked to s�pply private or confidencial data conceming himself <br /> shall be informed of: (a)the purpose and intended use of the requested data within the collecdng state agency,polidcal subdivision,or statewide <br /> rystem;(b)whe�her he may refuse or is legally required to supply the requested data;(c)any lmown consequence arising from his supplying or <br /> refusing to supply private or confidenaal dara;and(d)the idenuty of other persons or enades au[horized by snte or federal law to receive che data. <br /> This requirement shall not apply when an individual is asked to supply investigative data, pursuant to section 13.82, subdivision 5, to a law <br /> enforcement officer. <br /> The commissioner of revertue mav place the norice reauired under this subdivision in chz individual income taz or orooercv et refund <br /> instrucrions mstead of on those forms. <br /> Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individual shail be informed whether he is the <br /> subject of stored data on individuals,and whether it is classified as public,private or co�dendal. Upon his funher request,an individual who <br /> is the subject of stored private or public data on individuals shall be shown the data wi[hout any char�e to him and, if he desires, shall fx informed <br /> of the content and meaning of that data. After an individual has been shown the private data and informed of iu meaning, the data need not be <br /> disclosed to him for six monrhs thereafter unless a dispute or action pursuant to this secrion is pending or addirional data on che individual has been <br /> collected or created. The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of�he data. <br /> The responsible authoriry may require the requesting person to pay the actual costs of making,certifying, and compiling che copies. <br /> The responsibfe authoriry shall comply immediarely,if possible,with any request made pursuant to this subdivision, or within five days <br /> of the date of[he request,excluding Saturdays, Sundays and legal holidays, if immediate compliance is not possible. If he cannot comply with <br /> the request wirlun that cime, he shafl so inform the individual,and may have an addirional five days wichin which to comply with the request, <br /> excluding Santrdays,Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or comple[eness of public or <br /> private da[a conceming himself. To ezercise this right,an individual shall notify in writing the responsible auchoriry describing the naaire of the <br /> disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found to lx inaccurate or incompiete and attempt co nocify <br /> pasc recipiencs of inaccurate or incomplete dara,including recipients named by the individual;or(b)norify the individual that he believes che data <br /> co be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included wi[h the disclosed data. <br /> The determinaaon of the responsible authoriry may be appealed pursuant to the provisions of the administraove procedure x:t relaan; <br /> to contested cases. <br /> DATA PRIVACY ADVISORY <br /> In accordance with N1.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 permit or license requires Council action to approve, some information may become <br /> public. <br /> �. 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 /> First Middlt Last <br /> Address <br /> C��' State Zip Phone <br /> I understand my right sta 9d above. <br /> /^ � <br /> �� Z <br /> Signa <br /> . <br /> 6 <br />