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. <br /> Sec.13.04 RIGfTI'S OF S[IBJECTS OF D�Ta <br /> Subd. 1. Type of data. The rights of individual on whom the data is stored or co be stored shall be as set forth in this secaon. <br /> Subd.2. Information reqirired to be given individval. An individual asked to supply private or confidenrial data concerning himself shall <br /> be informed of: (a) the purpose and intended use of the requesred data within the collecting"state agency,poliucal subdivision,or sratewide system; <br /> (b)whe[her he may refuse oY is legally required co supply the requesced data;(c)any lrnown consequence arising fmm his supplying or refusing to supply <br /> privace or corindenrial data;and(d)the idendry of other persons or enrides authorized by state or federal law to receive the data. This requirement shall <br /> not apply when an individual is asked to supply invesdeadve dara, pursuan[to secdon l3.82, subdivision 5, [o a law enforcemenc ofFicer. <br /> The commissioner of re�enue mav place the norice rewired under this subdivision in che individual income tax or propertv tax refund <br /> instructions ins�ead 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 wherher it is classified as public, priva[e or confidential. Upon his further request,an individual who is che subject <br /> of stored private or public data on individuals shall be shown[he dara wichout any charge to him and, if he des'ues, shall be informed of rhe content <br /> and meaning of rhat data. After an individua!has been shown che private data and informed of iu meaning,the data need not be disclosed to hirn for <br /> six months thereafrer unless a dispute or acrion pursuanc to �his secaon is pznding or addidonal data on the individual has been collecced or crea�ed. <br /> The responsib(e authoriry shall provide copies of the private or public data upon request by the individual subjecc of che data. The responsible authoriry <br /> may require the requesting person to pay the actual cosu of making, certifying,and compiling the copies. <br /> The responsible au[horiry shal(compiy immediatety, if possible, with any request made pursuant to this subdivision,or wi�nin fivz days of <br /> the date of che request,excluding Sacurdays,Sundays and legal holidays,if immediace compliance is not possible. If he cannot comply with the request <br /> within rhat time,he shall so inform rhe 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 accuracy or compleceness of public or pri�•ate <br /> data concerning himself. To exercise this right,an individual shall noafy in wridng the responsible authoriry describing[he nature of the disagreement. <br /> The responsible aurhoriry shall within 30 days either: (a)correc[che data found to be inaccurate or incomplete and attempt to norify past recipiencs of <br /> inaccunte or incomplete data, including recipiencs named by the individual; or(b)notify the individual tha[he believes the data to be correct. Data <br /> in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed dara. <br /> Tlie decerminaaon of the responsible authority may be appealed pursuan[to the provisions of the administrarive procedure act reladng 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 permit or license from the City of Orono or any of its departments may require you to fumish certain private or <br /> confiden[ial 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 City deny the permit or license. <br /> 3, T'he information may be shared wi[h other local, state or federal a�encies to the extent necessary to process <br /> thz permit or lic�nse. <br /> 4. If your requested pernut 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 /> First �liddle Last <br /> Address <br /> Ciry 5tate Zip Phone <br /> I understand my rights as stated above. <br /> Signature <br />