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Sec.13.Od 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. Infonnation required to be given individual. An individual asked to supply private or confidential data concerning himselfshall be <br /> infonned of. (a)the purpose and intended use of the requested data within die 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 kno�vn 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 la�v ro receive the data. 7'his requirement shal I <br /> not apply when an individual is askcd to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. <br /> The commissioner of revenue mav olace the notice required under this subdivision in the individual income tax or properri tax refund <br /> instructions instead of on those Ponns. <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�vhether it is classitied as public,private or contidential. Upon his YLrther request,an individual who is the subject of <br /> stored private or public data on individuals shall be shown d�e data without any charee ro him and,if he desires,shall be informed of the content and <br /> meanin�of tl�at data. After an individual has been shown the private data and infonned of its meaning,the data need not be disclosed ro him for six <br /> mon[hs thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The <br /> responsible authoriry shalf provide copies of the private or public data upon request by d�e individual subject of the data. The responsible aufhority <br /> may require d�e requesting person to pay the actual costs of making,certifyine,and compiling the copies. <br /> The responsible authority shal I comply immediately,if possible,with anp request inade pursuant to this subdivision,or�vithin tive days of <br /> the date ofthe request,escluding Saturdays,Swidays and legal holidays,ifimmediate compliance is not possiUle. [f he cannot comply with the request <br /> within that time,he shall so intorm the individual,and ma}�have an additional tive days within which to comply�vith the request,excluding Saturdays, <br /> Sundays and legal holidays. <br /> 5ubd.4. Procedure�vhen data is not accurate or complete. An individual may con[es[the accuracy or coinpieteness of public or private data <br /> concerning himself. To esercise this right,an individual shal I notih�in writing the responsible authority describing the nature of d1e disagreement. The <br /> responsible authority shall within 30 days either. (a)correct the dlta found to be inaccurate or incomplete and attempt to notify past recipients of <br /> inaccurate or incomplete data,induding recipients named by the individual;or(b)notify the individual that hc believes the data to be correct. Data in <br /> dispute shall be disclosed only if die individual's stafement of disagreement is included with 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 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 furnish certain private or <br /> confidential information. <br /> You are notified that: <br /> 1. The information you furnish �vill 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 locaf, state or federal agencies to the extent necessary to <br /> process the pennit or license. <br /> 4. If your requested permit or license requires Council action to approve, some information may become <br /> public. <br /> 5. You l�ave certain rights under.�I.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 �iiddle Last <br /> ��C�u�►� L—�./��, J [��jn,0.'i <br /> Address /- <br /> Z�S�S� �o�� ��y �� f w'rn,�5 t?-�� I'1'1 /V S3�'z y <br /> City / Sh�tc 7.,ip Phonc (�l Z-8'/�- 33 j/ <br /> I understand my ri�hts as stated abo <br /> � �� <br /> Signaturc <br /> Resef Forn� 32 <br />