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.._ <br /> Sec.13.04 RIGHTS OF SUBJECTS OF DATA <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 section. <br /> Subd.2. Information required to be given individual. An individual�sked ro supply private or confidential data conceming himself <br /> shall be informed of: (a)the purpose and inte�ded use of the requested data within the collecting state agency,poliacal subdivision,or statewide <br /> system;(b)whether he may refuse or is legally required to supply the reques[ed data;(c)any Imown consequence arising from his supplying or <br /> refusing tn supply private or confidenrial dara;and(d)the idenary of other persons or endaes authorized by sate or federal law to receive the 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 commiscioner of revenue mav lace the notice re uired under this subdivision in the individual income taz or ro ertv tax refund <br /> instructions instead of on those forms. <br /> Subci. 3. Access to data by individual. Upon request to a responsible authority,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 further request,an individual who <br /> is the subject of stored private or public data on individuals shall be shown the data without any charge to hun and, if he desires, shall be informed <br /> of[he content and meanin�of that data. Afrer an individual has been shown the private data and informed of its meaning,the data need not be <br /> disclosed to him for six months thereaher uriless a dispute or action pursuant to this secaon is pending or additional data on the individual has been <br /> collzcted or created. The responsible authority shalt provide copies of the private or public data upon request by the individual subject of the data. <br /> The responsible authority may require the requesrin�person to pay the actual costs of making,certifyin„and compiling the copies. <br /> Tne responsible authority shall comply immediately,if possible,with any request made pursuant co this subdivision,or within five days <br /> of the date of the request,excluding Saturdays,Sundays and legal holidays, if immediate compliance is not possible. If he cannot comply with <br /> the request wichin that time, he shall so inform the individuai, and may have an addidonal five days wichin which to comply with the request, <br /> excluding Saturdays,Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individual may contes[the accuracy or completeness of public or <br /> private data conceming himsetf. To exercise this right,an individual shall notify in writing the responsible authoriry describing the nature of the <br /> disae;eement. The responsible authoriry shall within 30 days either: (a)correct the dara found to be inaccurate or incomplete and attempt to nodfy <br /> past recipients of inaccurate or incomptece dara,including recipients named by the individual;or(b)notify the individual that he believes the data <br /> to be correcc. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. <br /> The detemunaaon of the responsible authoriry may be appealed pursuant to the provisions of the adminisQaove procedure act reladng <br /> ro 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 pemut 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 permit. <br /> First Middle Last <br /> Address <br /> Ciry State Zip Phone <br /> I u�der t m � st ed abo e. 1 <br /> ��� � <br /> Signature <br /> 6 . . <br />