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Sec.13.04 RIGHTS OF SUBJECTS OF DATA <br /> Subd. 1. Type of data. The righcs of individual oa whom the data is stored or to be stored shall be as se[for[h in this secdon. <br /> Subd.2. Information required to be given individual. An individual asked to supply private or confdenual data concerning himself shall <br /> be informed of: (a)the purpose and intended use of the requested data wi[hin the collecring'state agency, polidcal subdivision, or statewide system; <br /> (b)whether he may refuse or is leeally required to supply the requested data;(c)any lmown consequence arising from his supplying or refusing to supply <br /> private or co�dential data;and(d)[he idenary of o[her persons or enriaes authorized by state or federal law to receive the data. This requirement shall <br /> not apply when an individual is asked to supply invesrigaave dan, pursuant to secrion 13.82, subdivision 5, to a law enforcement o�cer. <br /> The commissioner of revenue mav place the nodce required under this subdivision in the individual income tax or propertv tax refund <br /> instrucrions instead of on those forms. <br /> Subd. 3. Access to data by individual. Upon request to a responsibte authority,an individual shall be informed whether he is the subject <br /> of stored data on individuals, and whecher it is classified as public, private or co�dential. Upon his further request, an individual who is the subject <br /> of stored 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 <br /> and meaning of that data. After an individuai 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 or ac[ion pursuant to this section is pending or addidonal data on the individual has been collected or created. <br /> The responsible authoriry shali provide copies of the privace or public data upon request by the individual subject of the data. The responsible authoriry <br /> may require the requesting person to pay the actual costs of making, cerafying, and compiling the copies. <br /> The responsib(e authoriry shall comply immedia[ely, 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 possible. If he cannot comply with the request <br /> within that tirne,he shall so inform the individual,and may have an addidonal five days within which to comply wi[h the request,excluding Saturdays, <br /> Sundays and legai holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or comple[eness of public or private <br /> data concerning himself. To exercise this right,an individual shall notify in writing the responsible authoriry describing the nature of the disagreemen[. <br /> The responsible authoriry shall within 30 days either. (a)correc[the data found to be inaccurate or incomplete and attempt to nodfy past recipients of <br /> inaccurate o�incomplete data, including recipients named by the individual; or(b) nodfy the individual that he belizves 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 /> Tne determination of the responsible authoriry may be appealed pursuant to the provisions of the administracive 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 wouid 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 deternune your qualification for the pemut 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 eetent necessary to process <br /> the pernut or license. <br /> 4. If your requested pernut 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 pr ss this application or permit. <br /> ! �� <br /> �tst <br /> . iddly�' Lasc <br /> i <br /> ,��.� a <br /> C� Ad �� `� ��,_ <br /> `�� <br /> iry State Zip Phone <br /> -� .�3���a�� <br /> I understan�/m �ghts as stated above. <br /> Si — <br />