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r , . <br /> Scc.13.04 RIGHTS OF SUBJGCTS OE DATA <br /> Subd. L 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. Infonna[ion required to be given individual. An individual asked to supply piivate or confidential data concerning himself shall be <br /> infoimed of: (a)the purpose and intended use of the reyuested data within the collecting state agency,political subdivision,or statewide system;(b) <br /> whether he may refuse or is legally required to supply the rcquested datn;(c)any known consequence arisin�from his supplying or retLsing to supply <br /> I private or confidential data;and(d)the identity of other persons or entities authotized by state or federal law to receive the data. Tliis requirement shall <br /> not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. <br /> The commissioner of revenue mav nlace the notice required under this subdivision in thc individual income tar or propertv t�x refund <br /> instructions instead of on those fonns. <br /> Subd.3. Access[o data by individual. Upon request to a responsible authority,an individual shall be infonned whether he is the subject of <br /> stored data on individuals,and whether it is classified as public,private or confidenlial. Upon his further request,an individual who is lhe subject of <br /> stored private or public data on individuals shall be sho�vn the data�vithout any charge to him and,if he desires,shall be infonned of the content and <br /> meaning of that data. After an individual has been shrnvn the private data and inPonned of its meaning,the dlta need not be disclosed to him for six <br /> months tllereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been coilected or created. Tlie <br /> responsible authority shall provide copies of the private or puUlic data upon.request by the individual subject of the data. The responsible autho�ify may <br /> require Ihe requesling person to pay the actual costs of making,certifying,and compiling the copies. <br /> The responsible authority shall compiy immediately,if possible,with any request made pwsuant to this subdivision,or within fivedays ofthe <br /> date oY the request,excluding SaWrdays,Sundays and legal holidays,if immediale compiiance is not possible. If he cannot comply with the request <br /> within that time,he shall so infonn lhe individual,and may liave an additional tive days within which to comply with lhe reques4 excluding Saturdays, <br /> 5undays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or ptivate data <br /> concerning himsell'. To exercise this right,an individual shall notify in writing the responsible authority describine the nature oFthe disa�eement. Tlie <br /> responsible authority shall within 30 days either: (a)con�ect the data found to be inaccurate or incompiete�nd attempt to notify past recipients oF <br /> inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes[he da[a to be correct. Data in <br /> dispu[e shall be disclosed only if[he individual's statement of disagreement is included with the disclosed data. <br /> The detennination of the responsible authority may be appealed pursuant to tlie provisions oP the adminislrative procedure act relating to <br /> coutested cases. <br /> DATA PRIVACY A.DVISORY <br /> � In accordance with M.S. 13.04,Subd.2,"Rights of subjects of data",we would like to inforni you that your request <br /> for a pennit or license fi�om ttie City of Oroiio or any of its departinents inay require you to furnish certain pi�ivate or <br /> �� confidential information. <br /> I <br /> You are notified that <br /> ; L The infornlation you funiish will be used to detei7nine your qualification for the pennit or liceuse <br /> �! i•equested. <br /> 2. You may refuse to supply data,but i-efusal may requii-e tl�at the City deny the permit or license. <br /> 3. The inforniation may be shared with other local, state or federal agencies to the extent necessary to <br /> � process the penliit or license. <br /> � 4. If your requested peimit or license requires Council action to approve, some infoimation may become <br /> i public. <br /> 'I 5. You have certain rights under M.S. 13.04 (available upon request)to review pi-ivate data on yourself. <br /> ��i 6. Yo r full name is required to process this application or permit. <br /> First Nliddle Last <br /> � �ll � <br /> ' Address <br /> I �� � " l.J�+�..JaC <br /> �I ��dy Stat Zip Phmi� <br /> 1 understand my rigllt as st ` a v / <br /> � �� � <br /> �,�� <br /> , <br /> Signature <br /> ;� <br />