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Sec.13.04 RIGHTS OF SUB.TECTS OF DATA <br /> Subd. 1. Type of data. The rights of individual on whom the data is scored or co be stored shall be as set for[h in this secrion: „ <br /> Subd.2. Information required to be given individual. r1n individual asked to supply private or confidenrial data concerning trimself shall <br /> be informed of: (a)the purpose and intended use of the requested data within the collecting"state agency, polidcal subdivision,or sratewide system; <br /> (b)whether he may refuse or is legally required to supply the reques[ed data;(c)any frnown consequence arising from his supplying or refusing to supply <br /> priva[e or confidential data;and(d)the identiry of o[her persons or enriaes authorized by state or federal law to receive the data. This requirement shall <br /> no[apply when an individual is asked to suppty invesdeadve dara, pursuanc ro secrion 13.82, subdivision 5, to a law enforcement ofFicer. <br /> The commissioner of re enue mav place che nonce reauired under this subdivision in the individual income tax or propem tax refund <br /> instructions ins[ead of on those forms. <br /> Subd. 3. Access to data b�individual. Upon request to a responsible authoriry,an individual shall be informed whe[her he is the subject <br /> of stored dara on individuals, and whe[her it is cfassified as public, private or confidenaal. Upon his fur[t�er request, an individual who is che subject <br /> of stored private or public data on individuals shall be shown the data wichout any charge to hirn and,'if he desires, shall be informed of the content <br /> and meaning uf�hat data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for <br /> six months thereafter unless a dispute o�acrion pursuan[to [his secaon is oending or addidonal data on the individual has been collected or created. <br /> The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry <br /> may require the req�esting person to pay the actual cosu of makine, cerafying, and compiling the copies. <br /> The responsibfe authoriry shall compiy immediately, if possible, with any request made pursuant to this subdivision, or within five days of <br /> the date of the request,exduding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he 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 the request,exciuding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individual may contest thz accuracy or completeness of public or pri�•ate <br /> data conceming himself. To exercise this rieht,an individual shall nodfy in wridng the responsible authority describing�he namre of the disagreement. <br /> The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomple[e and attempt to norify past recipients of <br /> inaccurate or incomplete data, including recipienrs named by the individual; or(b)notify the individual that he believes the data to be correct. Data <br /> in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. <br /> Ttie derermination of the responsible authoriry may be appealed pursuant to the provisions of the administrarive procedare act relacing to <br /> contested cases. <br /> DATA PRIVACY ADVISORY <br /> In accordance with M.S. 13.04, Subd.2, "Ri�hts of subjects of data", we would like to inform you that your request <br /> for a permi[ 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 pemut or license. <br /> 4. If your requested pernut or license requires Council action to approve, some information may become <br /> public. <br /> �. You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself. <br /> 6. Your fuli name is required to process this application or permit. <br /> � J . <br /> �/��, ;� �.�.�Y��s � 1.v� <br /> First Middle Las[ <br /> r ���� CG��f�C� �.��� Sr <br /> Address �, .� ����� <br /> � �Z c�� ���rt- 5 5 ��i ( �5 - `l 7f <br /> City State Z�p Phone <br /> I understand my rights as 5ia above. <br /> ,� <br /> / C <br /> Signature � <br />