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. _ <br /> , ^ <br /> . <br /> � <br /> � <br /> Sec.13.04 RIGATS OF SUBJECTS OF DATA ,� <br /> Subd. 1. Type of data. The right�of individnal on whom the data is stored or m be stored shall be as set forth ia�is secdon. � <br /> Subd.2. Information req�rired to be given individual. An individual asked to supply private or confidendal data concerning himself shall <br /> be informed of: (a)the purpose and iatended use of the requested data within the collecting�State agency,political subdivision,or statewide system; <br /> (b)whether he may refuse oY is legally required to supply the requested data;(c)any imown consequence arising from his supplying or refusing to supply <br /> private or confidendal data;and(d)the identity of other persoas or endties auchorized by state or federal law to receive the data. This requirement shall <br /> not apply when an individual is asked to supply investigauve dara,pursnanc to secdon 13.82,subdivision 5,w a law enforcement officer. <br /> The commissioner of re�enue mav vlace the nodce rewired under this subdivision in the individual income tax or prooertv taz refund <br /> instcucdons 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 whether it is class�ed as public,private or confidential. Ugon his further request,an individual who is the subject <br /> of stored private or public data on individuals shall be shown the data wirhout any charge to him and;if he desires,shall be informed of die coatent <br /> and meaning of[hat data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for <br /> six mondis thereafter unless a dispute or acrion pursuant to this section is pending or addiaonal data on the individual has been collected or created. <br /> The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the 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 authority shall comply immediately,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 ihe request <br /> within that dme,he shall so inform the individual,and may have an addidonal five days within wluch to comply with the request,excluding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure whea data is not accurate or complete. An mdividual may contest the accucacy or completeness of public or private <br /> data concerning himsetf. To exercise this right,an individual s6all noafy in writing che responsible authoriry describing che nature of the disagreement <br /> The responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipients of <br /> inaccurate or incomplete data,including recipients named by the individual;or(b)noafy die 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 determinadon of the responsible authoriry may be appealed pursuant w the provisions of die adminisuaave procedure act relating 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 /> 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 other 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 /> 5, You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself. <br /> 6, Your full nazne is required to process this application or permit. <br /> First Middle �t <br /> Address . <br /> C� Srate Zip Phone <br /> I understand my rights as stated above. <br /> ��� <br /> Signatuce <br />