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Sec.13.0�RIGHTS OF SUBJECTS OF DaTa <br /> Subd. 1. Type of data. The ri¢h�s of individua!on whom[he data is stored or[o be stored shall be as set forth in this secdon. <br /> Subd.3. Informatioo reqirired to be given indiridual. An individual asked to supply private or confidenaal dara concerning himself shall <br /> be informed of: (a) [he purpose and in�ended use of the requested data wichin the collecting'state agency,poliacai subdivision,or sratewide system; <br /> (b)whecher he may refuse oY is legaily required to supply che requested data:(c)any}�own consequence arising from his supplying or refusing to supply <br /> private or conndendai data;and(d)[he idenriry of o�her perso�s or enrides auchorized by state or federal law to receive the dara. This requirement shall <br /> not apply when an individual is asked to supply invesrieadve dara, pursuan[to secdon 13.82, subdivision 5, to a law enforeaent ofFicer. <br /> The commissioner of re�enue mav place the norice reouired under this subdivision in the individual income taz or orooertv tax refund <br /> instructions instead of on those forms. <br /> Subd. 3. Access to data b�indi�ldual. Upon requesc to a responsible auchoriry,an individual shall be informed whe[her he is the subject <br /> of stored data on individuals, and whether it is classified as pubiic, priva[e or confidendal. Upon lvs further request, an individual who is the subject <br /> of scored private or public data on individuals shall be shown[he data wiehout any charge to him and;if he desires, shall be iruormed of the contenc <br /> and meaning of chac dara. Aftzr an individual has been shown[he private data and informed of ics meaning, the data need not be disclosed to him for <br /> six mon�hs[hereaiter unless a dispute or acrion pursuanc to �his secdon is pending or addidonal data on the individual has been collected or crea�ed. <br /> The responsible authoriry shall provide copies of the private or public data upon requesc by the individual subject of che data. 'Ihe responsible authoriry <br /> may require[he requesring person to pay the acnial costs of making,cerrifying,and compiling the copies. <br /> The responsible authoriry shall comply immedia[ely, if possible,wi�h any request made pursuant to this subdivision, or wi[hin five days of <br /> the date of the requesc,excluding Saeurdays,Sundays and legal holidays,if immediace compiiance is not possib(e. If he cannot comp(y with the requesc <br /> wichin thac rime,he shall so inform the individual,and may have an addirional five days within which to comply with[he requ�st,ezcluding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or comple�eaess of pubtic or pri��ate <br /> data conceming himself. To exercise chis riehc,an individual shall nodfy in writing the responsible authoriry describing�he nacure of the disagreemeac. <br /> The responsible auchoriry shall within 30 days either: (a)correct the data found to be inaccurate or incompie�e and attempc to nodfy past recipienu of <br /> inaccurate or incomplete data, including recipients named by the individual;or(b)notify the individual thac he believes the da[a to be correcc. Data <br /> in dispuce shail be disclosed only if�he individual's stacemenc of disagreemenc is included with che disclosed data. <br /> Ttte decerminadon of�he responsible authority may be appealed pursuanc ro the provisions of the adminis[rarive prxedure act reladng 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 reauest <br /> for a permit or license from the City of Orono or any of its depanments 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 perm.it or license. <br /> 3, The information may be shared with other local, state or federal a,encies to the extent ��:.essary 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 /> j. You have certain ri�hts under M.S. 13.04 (available upon reques[) to review private data on yourself. <br /> (. Your full name is required to process this application or permi[. <br /> �� '� C l� ��} t� � l � '� <_ �� �� <br /> J ` <br /> First tifiddle ^ Last � <br /> �� ��, C �i � ,��l� �,'�( l` I� - <br /> Address � � i�,y /f ( � � j� � � �F—� — �C�� � <br /> � � � � � �� <br /> Ciry State Zip � Phor,e <br /> I understand my ri�hts as stated above. l <br /> �� LL � (�� _ J'.l�Z�.- ' � <br /> Signacure <br /> J. <br />