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Sec13.04 RIGHTS OF SUBJECTS OF DATA <br /> Subd. 1. Type of data. The rights of individual on whom the data is stored or to be storod shall be as set forth in this section. <br /> Subd.2. Information rcquircd to be givcn individuaL An individual askcd to supply pnvatc or contidcntial data conccming himsclfshall bc <br /> informed of: (a)the purpose and intended use of thc requcsted data within the collecting state agency,political subdivision,or statewide system;(b) <br /> whether he may refuse or is Iegally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply <br /> privatc or confidential data;and(d)thc identity of othcr persons or cntities authorizcd by state or fcdcral law to rcccivc the data. This rcquircmcnt shall <br /> not apply whcn an individual is askcd to supply invcstigativc data,pursuant to scction 13.82,subdivision 5,to a law enforccmcnt officcr. <br /> Thc commissioncr of rcvcnuc mav placc thc noticc rcquircd undcr this subdivision in thc individual incomc tax or propertv tax rcfund <br /> instructions instcad of on thosc forms. <br /> Subd.3. Access to data by individual. Upon rcqucst to a responsible authority,an individual shall bc informcd whethcn c�is thc subjcct of <br /> stored data on individuals,and whcthcr it is classified as public,private or confidential. Upon his further requcst,an individual who is thc subjcct of <br /> stared private 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 /> mcaning of that data. After an individual has becn shown thc private data and informcd of its mcaning,the data nccd not bc disclosed to him for six <br /> months thcrcaftcr unlcss a disputc or action pursuant to this scction is pcnding or additional data on thc individual has bccn collcctcd or crcatcd. Thc <br /> responsible authority shall provide copics of thc private or public data upon request by the individual subject of the data. Thc responsible authority <br /> may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. <br /> The responsible authority shall comply immediatdy,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 possibla Ifhe cannot comply with the request <br /> within that time,he shall so inform the individual,and may have an additional five days within which to comply with thc request,excluding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public orprivate data <br /> concerning himself. To exercise this right,an individual shall notify in writing thc responsible authority describing the nature of the disagreement.Thc <br /> responsible authority shall within 30 days cither. (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of <br /> inaccurate or incompletc data,including recipients namcd by the individual;or(b)notify the individual that hc believes the data to bc correct. Data in <br /> disputc shall be disdoscd only if thc individual's statcmcnt of disagrccmcnt is includcd with thc discloscd data. <br /> The detcrmination of thc responsible authority may bc appcalcd pursuant ro thc provisions of thc administrativc proccdurc act rclating to <br /> contcstcd cases. <br /> DATA PRIVACY ADVISORY <br /> In accordance with M.S. 13.04,Subd.2,"Rights of subjects ofdata",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 fumish will 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 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 M.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 /> ���1� '� � ��'�CII�G�Y`�Cl i <br /> First Yliddle Last <br /> C'`? �... <br /> 3� � �1�1'�01 y � ti'� � -_ <br /> �aaress <br /> ��\t'�L5 N`r�� ������`� � a �;-- �3 7'1— �C�7 � <br /> City Statc Zip Phone <br /> I understand my rights as stated above. <br /> �—���� �\ l� �- <br /> � <br /> Signature <br /> Rcset Form 32 <br /> � <br /> „,,., .... . .. .. mk6s".-�.ag a. . „ <br />