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Scc.13.0�1 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. [nformation required to be given individual. An individual asked to supply private or contidential data conceming himselfshall be <br /> infonned of: (a)the purpose and intended use ofthe requested data wi[hin the collecting state agency,political subdivision,or statewide system;(b) <br /> whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply <br /> private or confidential data;and(d)the identity of other persons or entities authorized by state or federal law to receive the data. This requirement shal I <br /> not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision�,to a law enforcement officer. <br /> The commissioner of revenue may place the notice required under this subdivision in the individual income tax or prooerty taz retiind <br /> instructions 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 of <br /> stored data on individuals,and whether it is classitied as public,private or contidentiaL Upon his furtller request,an individual who is die subject of <br /> stored private or public data on individuals shall be sho�wi the data without any charge to him and,if he desires,shall be informed of the content and <br /> meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for six <br /> mondis thereafter unless a dispute or action pursuant to this section is pending or additional daca on che individual has been collected or created. The <br /> responsible authoriry shall provide copies ofthe private or public data upon request by the individual subject ofthe data. The responsible auchority <br /> may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. <br /> The responsible authority shal I comply immediately,if possible,with any request made pursuant to this subdivision,or within tive days of <br /> the date ofthe request,esduding Saturdays,Sundays and legal holidays,ifimmediate 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 additional tive days within which to comply�vith the request,escluding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complece. An individual may contest the accuracy or completeness of public or private data <br /> concerning himselt. To e�ercise this right,an individual shall notify in writing the responsible authority describing the nature ofthe disagreement. The <br /> responsible authority shall within 30 days either (a)correct the data tound to be inaccurate or incomplete and attempt to notify past recipients of <br /> inaccurate or incomplete dafa,induding recipients named by che individual;or(b)notify the individual that he believes the data to be correct. Data in <br /> dispute shall be disclosed only if the individual's statement of disagreement is included�vith the disclosed data, <br /> The determination of the responsible authority may be appealed pursuant to the provisions of the administrative 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 inforn�you that your request <br /> for a pennit or license from the City of Orono or any of its departments may require you to furnish certain private or <br /> confidentia( infortnation. <br /> You are notified that: <br /> 1. The information you furnish will be used to detennine 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 pernlit 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 permit or license requires Council action to approve, some information may become <br /> public. <br /> 5. You have certain rights under NLS. 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 /> � Cs�uh�c.� � . W 'c.�.C'��J�,.Q�. <br /> First �tiddlc Lnst <br /> I`� Z O �u��h.S Q O �!' � �� <br /> .add���ss <br /> ��� ►'`�N , qSi-�g� -13y o <br /> Cify S�ate 7_ip nhoz�e <br /> I understand m rights as stated above. <br /> � "�� <br /> Signaturc � <br /> a � Q <br /> Reset Form 32 <br />