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� . <br /> Sec.13.04 RIGHTS OF SUBJECTS OF D�TA <br /> Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this secdon. <br /> Subd.2. Information reqirired to be given individual. An individual asked to supply private or confidendal data conceming himself shall <br /> be informed of: (a)the purpose and intended use of the requested dara within the collecting'state agency,polirical subdivision,or sratewide system; <br /> (b)whether he may refuse oY is legally required to supply the requested data;(c)any lmown coasequence arising from his supplying or refusing to supply <br /> privace or confidencial data;and(d)the idenriry of other persons or enriaes au[horized by state or federal law to receive the data. This requirement shall <br /> not apply when an individual is asked to supply investigadve data, pursuant to section 13.82, subdivision 5, to a(aw enforcemenc officer. <br /> The commissioner of revenue mav place the nodce reouired under this subdivision in the individual income tax or property tax refund <br /> instructions inscead of on those forms. <br /> Subd.3. Access to data by individual. Upon request to a responsibie authority,an individual shall be informed whether he is the subject <br /> of stored data on individuais,and whe[her it is classified as public, private or confidendal. Upon his further request,an individual who is the subject <br /> of stored private or public data on individuals shall be shown the data wichout any charge to hun and, if he desires, shall be informed of the content <br /> and meaning of that data. Aftzr an individual has been shown the private data and informed of its meaning, the data need not be disclosed to him for <br /> six months theceafter unless a dispute or acaon pursuant to this secdon is pending or addiaonal data on the individual has been collected or crea[ed. <br /> The responsible authoriry shall provide copies of the private or pubiic data upon request by the individual subject of the dara. The responsible authoriry <br /> may require the requesting person to pay the acmal costs of making, cerdfying, and compiling the copies. <br /> The responsible authority shall comply immediately, if possible, with any reques[made pursuant to this subdivision,or within five days of <br /> the date of ihe request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request <br /> within that time,he shall so inform the individual,and may have an addidonal 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 compieteness of public or private <br /> data concerning himself. To exercise this right,an individual shall norify in writing the responsible authority describing[he nature of the disagreement. <br /> The responsible authoriry shall within 30 days either: (a)correct the data found ro be inaccurate or incomplete and attempt to nodfy past recipienu of <br /> inaccurate or incomplete data, including recipients named by the individual; or(b)notify the individual that 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 data. <br /> The determination of the responsible authoriry may be appealed pursuant to the provisions of��.e administrative 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 furnish certain private oP <br /> confidential information. <br /> You are notified that: <br /> 1. The information you furnish will be used to deternune 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 with other local, state or federal agencies to the extent necessary to process <br /> the pernut 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 perm.it. <br /> I <br /> _ ra � a —I� ��j '�� <br /> First Middle Last <br /> � �op S b�� �� ��=���, �� � <br /> Address �i <br /> ���- :`� i'/%'✓ ��/� �� �5i�s���5�-� <br /> City State Zip Phone <br /> �, _____. <br /> �------ - -5--- . __ _ __ <br /> � t�derstand my nghts as stated ab e. --�- - ---- <br /> — -- � _____-- <br /> _ __ _:_,� - - <br /> - i". <br /> SI�RflNIC <br />