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Sec.13.04 RIGFTTS OF SLJBJECTS OF DATA <br /> Subd. 1. Type of data. "Ihe righcs of individual on whom the data is stored or co be stored shall be as set forth in ttus secrion. <br /> Subd.2. Information reqirired to be given individual. An individual asked ro supply private or confidendal dara concerning himself shall <br /> be informed of: (a)the purpose and intcnded use of the requesied dara wichin the collecang Ytate agency,poliacal subdivision,or sracewide sysum; <br /> (b)whecher he may rcfuse oY is legaily required to supply the requesced data;(c)any fmown consequeace arisiag from his supplying or refusing to supply <br /> privace or confidendal data;and(d)the idendry of other persoas or enades au[horized by state or federal law to receive the data. This requiremcnt s6a11 <br /> not app(y when an individual is asked to supply invesrigaave data,pursuanc to secdon 13.82, subdivision 5, to a law enforcement officer. <br /> The commissioner of re�enue mav place the norice reouired under this subdivision in the individual income tax or propem taz refund <br /> instructions instead of on those forms. <br /> Subd. 3. Access to data by individual. Upon request to a responsible authority,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 confidendal. Upon his fur[her request, an individual who is the subjecc <br /> of stored private or public data on individuals shall be shown[he data wichout any charge to him and, if he desires, shall be informed of the content <br /> and meaning of that data. Aher an individual has been shown[he private data and informed of iu meaning,the data need not be disclosed to him for <br /> six months chereafter unless a dispute or action pursuanc to this secaon is pznding or addidonal data on the individual has been collected or creaced. <br /> The responsible authoriry shall provide copies of the private or public data upon request by the individuat subject of the data. The responsible authoriry <br /> may require[he requesdng person to pay the actual cosu of makinz,cerafying,and compiling the copies. <br /> The responsible auchoriry shall comply immediacely,if possible, wi[h any request made punuant to this subdivision, or within five days of <br /> the date of[he request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request <br /> within chat dme,he shall so inform the individual,and may have an addidonal five days wichin 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 accuracy or completeness of public or pri�•ate <br /> data conceming himseif. To exercise this righc,an individual shail noafy in wridng che responsible au[horiry describing the nacure of the disagreement. <br /> The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempc to nodfy past recipienrs of <br /> inaccunte or incomple[e data, including recipiencs named by the individual; or(b)nodfy the individual that he believes the data to be correcc. Data <br /> in dispute shall be disclosed only if the individual's statemen�of disagreemenc is included with[he disclosed data. <br /> The de[erminadon of the responsible aurhoriry may be appealed pursuant to the provisions of the administrarive procedure act relacing to <br /> contested cases. <br /> DATA 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 pernut or license from the City of Orono or any of its departments may require you to fumish 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 requested. <br /> 2. You may refuse to supply data, but refusal may require that the Ciry deny the permit or license. <br /> 3. The information may be shared with ocher local, state or federal agencies 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 /> 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 chis application or permit. <br /> � <br /> ��� ; �' <br /> First �tiddle Last <br /> ; �=, L,�-12,�;� L��j� l�� , <br /> , . <br /> Address � ' <br /> �����2,�� �m � ������ 1 �f ��L�� �f�-��-����� <br /> Ciry , Stare Zip Phone <br /> �� , <br /> I understand riQ s as stated �bo e., <br /> � i, <br /> � , <br /> �l�! � <br /> Signacure <br />