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1 <br /> l <br /> Sec.13.04 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. Information required to be given individual. An individual asked to supply private or confidential data concernir.g himself shall be <br /> informed of: (a) the purpose and intended use of the requested data within the collecting state agency, political subdi�ision, or statzKide system; (b) <br /> whether he may refuse or is legally required to suppiy 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 shali <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 place the notice required under this subdivision in the individual income tax or erccerty 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 in(ormed whether he is the subject <br /> of stored data on individuals, and whether it is classified as public, private or confidential. Upon his further request, an individual ��ho is the subject of <br /> stored pri��ate or public data on individuals shall be shown the data without any charge to him and, if he desires, shall be informed of the content and <br /> meaning o( that data. After an individual has been shown the private data and intormed of its meaning, the data need not be disclo�r� to him for six <br /> months 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 authority shall provide copies of the private or public data upon request by the individual subject of the data. The respom;�le authority may <br /> require the requesting person to pay the actual costs 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 fn•e days of the <br /> date of the request, excluding Saturdays, Sundays and legal holidays, if immediate compliance is not possible. If he cannot comply w7th the request within <br /> that time, he shall so inform the individual, and may have an additional five days within which to comply with the request, excluding Saturdays, Sundays <br /> 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 private <br /> data concerning himsel(. To exercise this right, an individual shall notify in writing the responsible authority describing the 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 notif�� past recipients of <br /> inaccurate or incomplete data, including recipients named by the 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 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 }�our 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 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 necessan• to process <br /> the permit or license. <br /> 4. If your requested permit or license requires Council action to approve, some information may lxcome public. <br /> 5. You have certain rights under M.S. 13.04 (available upon request)to revie�v private data on yourself. <br /> 6. Your full name is required to process this application or permit. <br /> �.�. C��ic� ���<<��C �Vi.�.�� <br /> Fust Mid Last <br /> '�'z L(� C���c�'' '`�� <br /> Address ., <br /> _��..c ti..��. /�'lN' SS�l�-, Gj�� _r� �� -!S� <br /> City State Zip Phone <br /> I unders my rights as st t ove. <br /> T � <br /> ���° <br /> Signature <br />