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Sec.73.04 RIGIITS OF SUBJECTS OF DATA <br /> Subd.1. Type of'data. The rig.hts of individual on whom the data is stored or to be stored shall be as set forth in this section. <br /> Subd Z.inf'ormadon required[o be given individual.An individual asked to supply private or wnfiden[ial data concerning himself shall be <br /> informed of: (a)the purpose and intended use oCthe requested da[a within the collecting state agency,political subdivision,or statewide system;(b) <br /> whether he may retuse or is legally requued[o supply the requested data;(c)any known consequence arising from his supplying or refusing to supply <br /> priva[e or confiden[ial data;and(d)the identity of other persons or enti[ies authorized by state or federal law to receive the data.This reqtirement shall <br /> no[apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement of6cer. <br /> The comrnissioner of revenue mav vlace the notice reouired under this subdivision in the individual income tax or oroperri tax refund <br /> instrucdons mstead of on[hose forms. <br /> Subd.3. Access to data by individual.Upon request to a responsible authority,an individual shall be informed whe[her he is the subject of <br /> stored data on imiividuals,and whe[her it is class�ed as public,private or wnfidential. Upon his fiirther request,an individual who is the subjec[of <br /> stored priva[e or public data on individuals shall be shown the data without any chazge to him and,if he desires,shall be informed of[he con[ent 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 to him for six <br /> months thereafier unless a dispute or acuon pursuant to this section is pending or additional data on the individual has been collected or created. The <br /> responsible au[horiTy shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority <br /> may requirc the requesting person to pay the acNal costs ufmaking,certifying,and compiling the copies. <br /> The responsible authority shall comply immediately,ifpossible,with any request made pursuan[to this subdivision,or within five days of <br /> [he date of the request,excluding Saturdays,Sundays and legal holidays,if irnmediate compliance is not possible. Ifhe cannot comply with the reyuest <br /> within that time,he shall so inform the individual,and may have an addi[ional fivc days wi[hin which to comply with the request,excluding Sa[urdays, <br /> Sundays and legal holidays. <br /> Subd.4.Procedure when data is not accurate or wmplete.An individual may contes[the accuracy or completeness of public or private data <br /> concerning himself. To eaercise this right,an individual shall notify in writing the responsible authority describin�the nature of the disagreement.1'hc <br /> responsible au[hority shall within 30 days either: (a)eorrect the data found to be inaccurate or incomplete and attempt to notify past recipients of <br /> inaccurate or incomplete data,including recipients named by[he 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 statement of disagreement is included wi[h[he disclosed data. <br /> The de[ermination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relaling[o <br /> contested cases. <br /> DATA PRIVACY ADVISORY <br /> In accordance with M.S. 13.04,Subd.2,"Rights of subjects ofdata",we would like to inform you that your reyuest <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 arc notified that: �� <br /> 1. The information you furnish will be used to determine your yualification far the permit or license <br /> requested. <br /> 2. You may refuse to supply data,but refusal may require that the City deny the pernut 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 ar license. <br /> 4. If your requested permit ar license requires Council action to approve, some information may becoine <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 application or permit. <br /> First Middle <br /> Last <br /> Address <br /> C��� State Zip Phone <br /> I understand my rights as stated above. <br /> ;.�-�-�, <br /> � � <br /> Sig ature <br /> 32 <br />