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Sec.13.04 RIGHTS OF SLTB.JECTS OF DaTA <br /> Subd. 1. Type of data. The rights of individual on whom che data is stored or to be stored shall be as set forth in this secdon. <br /> Subd.2. Information reqirired to be given individual. An individual asked to supply priva[e or confidendal data concerning himself shall <br /> be informed of: (a)the purpose and intended use of the requesud data wichin the collecang'stace agency,polirical subdivision,or starewide rystem; <br /> (b)whecher he may refuse or is legally required to supply the requested data:(c)any imown consequence arising from his supplying or refusing to supply <br /> private or confidenoal data;and(d)the idendry of other 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 invesrigadve dara, pursuant to secaon 13.82, subdivision 5, [n a law enforcement officer. <br /> The commissioner of revenue mav D1ace the nodce reouired under this subdivision in the individual income rax or propem tax refund <br /> instruccions instead of on those forms. <br /> Subd. 3. Access to data by individual. Upon request to a responsible auchoriry,an individual shall be informed whether he is the subject <br /> of stored data on individuals,and whe�her it is classified as public, privace or confidenaal. Upon his further request, an individual who is the subjecc <br /> of stored private or public data on individuals shall be shown the dara wi�hout any charge to hicn and, if he desires, shall be informed of the content <br /> and meaning of chat data. Aher an individual has been shown che private data and informed of i[s meaning,the data need not be disclosed to him for <br /> six monrhs[hereaher unless a dispute or acdon pursuanc to this secaon is p�nding or addiaonal data on the individual has been collected or created. <br /> The responsibie authoriry shall provide copies of the private or public data upon request by the individual subjecc of�he data. The responsible authoriry <br /> may require the cequesdng person to pay the acnial cos[s of makine,certifying, and compiling the copies. <br /> The responsible au[horiry shall compiy immediately, if possible,wich any request made pursuant to chis subdivision,or within five days of <br /> the date of the requesc,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request <br /> wi�hin chat time,he shail so inform the individual,and may have an addiaonal five days within which to comply with the request,excluding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of pubiic or private <br /> data conceming himself. To exercise this right,an individual shail nodfy in wridng the rosponsible authoriry describing the nacure of the disagreement. <br /> The responsible authoriry shall within 30 days either: (a)correct[he data found to be inaccurate or incomplece and aaempc to noafy past recipienu of <br /> inaccurate or incomplete data, including recipients named by the individual; or(b)nodfy the individual thac he betieves the data to be correcc. Data <br /> in dispu[e shall be disclosed only if the individual's statement of disagreement is included wirh the disclosed data. <br /> The determinarion of the responsible authoriry may be appealed pursuanc to the provisions of the administrarive 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 would like to inform you that your request <br /> for a permit or license from the Ciry 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 detemune 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 eztent necessary to process <br /> the permit or license. <br /> 4. If your requested permit or license requires Council ac[ion to approve, some information may become <br /> pubiic. <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 �Siddle Last <br /> Address <br /> Ciry Sate Zip Phone <br /> I unde t 3 my hts as state ye <br /> � � <br /> � i - /'� <br /> Signamre <br />