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+ _ . <br /> Sec.13.04 RIGHTS OF SUBJECTS OF DATA <br /> Subd.1. Type of data. Thc rights af individuai on rvhom the data is stored or to be stored shall be as set foMh in this section. <br /> Subd.2. Information required to be given individual. An individual asked to supph�private or confidential data concerning himsclf shall be <br /> intormed of: (a)the purpose and intended use of the requcsted data within the collecting state agency,political subdivision,or statewide system;(b) <br /> whether he maV refuse or is Icgally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply <br /> private or conCdential data;and(d)the identity of other persons or entities authorized by state or federal law to receive the data. This 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 of(icer. <br /> The commissioner of revenue mav nlace the notice required under thic subdivision in the individual income ta�or propertv tax refund <br /> instructions instead ot 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 of <br /> stored data on individuals,and whether it is classified as public,private or confidentiaL Upon his further requcst,an individual who is the subject of <br /> stored private or public datu on individuals shall be sho�rn the data without any charge to him and,if he desires,shall be informed of the content and <br /> meaning of that data. After an individual has been shown the private data and intormed of its mcaning,the data need not be disclosed to him Tor 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 b,y the individual subject of the data. The responsible 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 possib(e,with any requcst made pursuant to this subdivision,or within five days o(the <br /> date of the request,excluding Saturdays,Sundays and legal holidays,iC immediate compliance is not possiblc. If he cannot comply with the requestwithin <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 Icgal holidays. <br /> Subd.4. Procedure when da[a is not accurate or complete. An individual may contest the accuracy or completeness of public or private data <br /> concerning himself. To exercisc this right,an individual shall notify in writing the responsible authority describing thc nature oCthe disagrcement. Thc <br /> responsiblc authority shall within 30 days eithe�: (a)correct the data found to be inaccurate or incomplete and 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 the data to be correct. Data in <br /> dispute shall bc disclosed only i(thc individual's statement of disagrecment is included rvith the disclosed data. <br /> Thc determination of thc responsible authority may bc appcaled 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 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 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 /> 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 a lication or permit. <br /> �� ��� ; , � <br /> First Middle Last <br /> ��32� � l� � c��v� 1�r� 'l�4 <br /> Addmss <br /> �.�v,��v�-\ Uvv� �`� ''��' � i a- R bS-- e�� �a- <br /> City State Zip Phonc <br /> I understand my rights as stated above. <br /> � <br /> igna� <br />