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� . • <br /> Sec.13.04 RIGHTS OF SUBJEC"CS OF llATA <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 indi��idual asked to supply private or contidential data conceming himself shall be <br /> infortned of: (a)ffie putpose and intended use of the requested data within[he collec[ing state agency,political subdivision,or statewide system;(b) <br /> whether he may reluse or is legall_y required[o supply the requested data;(c)any known consequence arising from his supplying or refusing[o supply <br /> private or confidential data;and(d)the iden[ity of other persons or entities authorized by state or federal law to receive the data.1'his requiremen[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 mayplace the notice required under this subdivision in[he individual income tax or property[ax refund <br /> instrvctions instead of on those fortns. <br /> Subd.3. Access to data by individual. Upon reques[to a responsible authorit}',an individual shall be infoRned whether he is the subject of <br /> stored data on individuals,and whether it is classified as public,priva[e or confidenlial. lJpon his fur[her request,an individual who is the subject of <br /> stored private or public data on individuals shall be shown the data without any charge to hvn and,if he desires,shall be infotmed of the content and <br /> meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed[o 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 reynes[by the individual subject of the data. The responsible authority <br /> may require the requesting person to pay[he actual costs of making,cer[ifying,and compiling the copies. <br /> The responsible authority shall comply immediately,if possible,with any request made pursuant[o this subdivision,or within five days of <br /> [he date ofthe request,excludin�Saturdays,Sundays and legal holidays,if immediate compliance is not possible.Ifhe cannot comply with the request <br /> within that time,he shall so inform the individual,and mav have an additional five days within which to comply with the request,excluding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Yrocedure when data is not accurate or complete. .1n individual may contest the accuracy or completeness of public or private data <br /> conceming himself. 'I o cxercise this right,an individual sha11 notify in writing the responsible authority describing the nature ofthe disag�eement.The <br /> responsible authority shall within 30 days either: (a)co�rect 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 be disclosed only if the individual's s[atement of disagreement is included with the disclosed data. <br /> The dctermination of the responsible authority may be appealed pursuant to the provisions of the adminisVative procedure act relating to <br /> contested cases. <br /> DATA PRIVACY ADVISORY <br /> In accordance with M.S. 13.04,Subd.2,"Rights of subj ects of data",we would like to inform you that yotu request <br /> for a pennit or license from the City of Orono or any of its departments may require you to fumish certain private or <br /> confidential infoirnation. <br /> You are notiYied that: <br /> 1. The information you fiunish will be used to determine your qualification for the permit or license <br /> requested. <br /> 2. You ma_y 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}�our 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 Yull name is required to process this application or pennit. <br /> �(��1 ��h�-�� Gt(�.��ill� IVP iLL� � vtk;�DQ� <br /> First Middle � Last <br /> Z�us� Cv,�o.�r ►�i r c.� �2� �'� <br /> Address <br /> C1�Dl`y�,� /nn� �.5.,� � �S����1"�1 �1 y��� <br /> City State Zip Phone <br /> I un tand my rights as stated above. <br /> �� T�i� <br /> Signature <br /> Reset Forru 32 <br />