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Sec.13.04 RIGHTS OF S[IBJECTS 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 ia this secdon. <br /> Subd.2. Informadon reqirired to be given individual. .�.n individual asked to supply private or confidendal data concerniag himself shall <br /> be informed of: (a)che purpose and in[ended use of che requesud dara wi[hin the collecting"sta[e agency, polidcal subdivision,or sratewide system; <br /> (b)whether he may refuse oY is legally required to suppiy[he mquested data;(c)any irnovm co�sequence arising from his supplying or refusing to supply <br /> priva�e or confidendal data;and(d)the idenary of ocher penoas or enndes authorized by state or federal law to receive the data. 'Ihis requirement shall <br /> not appiy when an individual is asked to supply invesrigadve dara,pursuant to secdon 13.82, subdivision 5, to a law enforcement o�cer. <br /> The commissioner of re�•enue mav place the notice reauired under this subdivision in the individual income tax or propem tax refund <br /> instructions inscexd of on chose forms. <br /> Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject <br /> of stored data on individuais,and whether it is classified as public, priva�e or confidenrial. Upon his further request,an individual who is the subjecc <br /> of stored private or public data on individuals shall be shown che dan wichout any charge to him and,�if he desires, shall be informed of the conter.t <br /> and meaning of�hat data. Aftzr an individual has been shown the private data and informed of i[s meaning, the data need not be disclosed to him for <br /> six months thereafter unless a dispute or acrion punuanc to this secaon is oending or addiaooal data on the individual has been collected or created. <br /> The responsible au[horiry shall provide copies of the private or public data upon request by the individual subject of che dara. The responsible authoriry <br /> may require the requesring person to pay the actual coscs of making, certifying, and compiling the copies. <br /> The responsible authoriry shall comply immedia[ely, if possible, with any request made pursuant to this subdivision,or within five days of <br /> the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the requesc <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 oc complete. An individual may contest the accuracy or completeness of public or pri��ate <br /> data concerning himself. To exercise rhis right,an individual shall nodfy in writing che responsible authoriry describing che nantre of the disagreemeot. <br /> The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and aaempt to norify past recipiencs of <br /> inaccurate or incomp(ete data, including recipiencs named by[he individual; or(b)nodfy the individual that he believes che data to be correct. Data <br /> in dispute shall be disclosed only if the individuai's statement of disagreement is included with the disclosed data. <br /> The de[erminarion of the responsible auchoriry may be appealed pursuant to the provisions of the administradve procedure act relating to <br /> contested cases. <br /> DATA PRIVACY ADVISORY <br /> In accordance with M.S. 13.04, Subd.2, "Ri�hts 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 /> 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 City deny the permit or license. <br /> 3. The information may be shared with ocher local, state or federal a;encies 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 /> 5. 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 /> CC?,'1�;��, � /���C���,,,.� <br /> First �Iiddle Lasc <br /> ��3s� C�� , L.�� <br /> Address <br /> �r�� •�l/� ��53S� �?S�-�.3�a. ��� <br /> Cin, State Zip Phone <br /> 6,Z ` 373' °�'�a <br /> I rs m ri� s as stated above. <br /> /�"� <br /> Signacure <br />