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� <br /> ' . <br /> Sec.13.04 RIGHTS OF SUB.TECTS 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 fonh in this secaon. <br /> Subd.2. Information reqirired to be given individual. An individual asked to supply private or confidenrial data concerning himself shall <br /> be informed of: (a)the purpose and inteaded use of the requested dara within the collecting'state agency,poliacal subdivision,or sratewide system; <br /> (b)whethet he may refuse oY is legally required to supply the requested data;(c)any Irnown consequence arising from his supplying or refusing to supply <br /> private or confidendal data;and(d)the identiry of ofher persons or enrities authorized by state or federal law ro receive the data. This requirement shall <br /> not apply when an individual is asked to supply invesrieadve dara, pursuanc to secdon 13.82, subdivision 5, to a law enforcement officer. <br /> The commissioner of revenue mav place the nodce recruired under this subdivision in the individual income tax or propertv tax refund <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 <br /> of stored data on individuals,and whether it is classiFied as public, private or co�denaal. Upon 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 hun and, if he desires, shall be informed of the content <br /> and meaning of that data. After an individual has been shown the private data and infoaned of iu meaning,the data need not be disclosed to him for <br /> six months thereafter unless a dispute or acdon pursuanc to this secdon is pending or addidonal data on the indivi�.�al has been collected or created. <br /> The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority <br /> may require the requesting person to pay the actual coscs of making, certifying,and compiling the copies. <br /> The responsible authoriry 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 the request <br /> within that time,he shall so inform the individual,and may have an addiaonal five days within which to comply with the request,exciuding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuncy or completeness of pubiic or private <br /> data concerning himself. To exercise this right,an individual shall nodfy in writing the responsible authoriry describing the nature of the disagreement. <br /> The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccucate or incomplete and attempt to nodfy past recipienu of <br /> inaccurate or incompiete data, inciuding recipients named by the individual; or(b)notify the individual thac 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 authority may be appealed pursuant to the provisions of the adaunistradve 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 Ciry of Orono or any of its departments may require you to furnish 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 exteirt 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 /> $. You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself. <br /> (, Your full name is required to process this application or e� <br /> L �1i�.� ��. ��'�-�'�--� � -�€iL-S� <br /> First Middle Last <br /> �� C% ��c�li:"�2o��� �� <br /> Addr ss / ��7 ���� _ ���� <br /> � ������ �l� ���1� 1 <br /> City State Zip Phone <br /> I understand my ri�hts s ated above. <br /> � <br /> / r <br /> � <br /> Signamre <br />