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Sec.13.04 RIGHTS OF SUBJECTS OF DATA <br /> Subd.1. Typo of data. The righta of individual on whom the data is stored or tn bo atorad shall be as sot foRh in this sxtion. <br /> Subd 2.Information ra{uirod to be givan individual. An uidividuat aekod to supply pcivabe or confidentis!data concemiitg himeelf alull be <br /> informed of: (a)the pu�pose and intended use of the requested data within the collecting state agency,political subdivision,or statewide systea►;(b) <br /> whether ho may refuso or is tegally roquired to suppty the roque;ated data;(c)any Irnown consa{uence arieing from his supplying or rofue ing to supply <br /> private or confidondal data;and(d)the idetttity of other pdsons or rntities authorized by stale or federal law to raceiva tha date.This tequiremait shall <br /> not apply whrn an individual is esked to supply investigative dats,puBuant to section 13.82,aubdivision S,to a law enfomement officer. <br /> Tha commisaioner of cevanue may pl�ce the notice reauircd under this subdivision in the¢idividusl income tax or p�ope�i y tu�refund <br /> instructions inatead of on thoae fonns. <br /> Subd 3.Accese to data by individusL Upon roquwt co a reaponsiblc suffioriry,an individual ahalt be infamed whether he ia the eubject of <br /> stored data on individuals,and whether it is classified as public,private or confidentiaL Upon his further request,an individual who is the subject of <br /> storod private or public data on individuals shall be shown the dnta without nny chargo to him and,if ho desiros,shall be informed of the content and <br /> meanittg of that data. After an individual has bc�t shown the private data snd informed of its meaning,the daG need not be disclosed to him for six <br /> months theroufter unleea s dispute or action pureuant to tltie saction is petiding or additiona(data on the individual has been cotlected or created. The <br /> rosponaible authority shall provide copies of tha private a public data upon request by the individual subject of the data. The responsible authority <br /> may require the requeeting paraoa to pay tho actual costs af maldng,certifying,and compiling the copias. <br /> The responsible authority shall comply immediately,if possible,with any roq�st made pursuantto this subdivision,or within five days of <br /> the date of the roqueat,excluding Saturdays,Sundays and legal holidays,if immod'uto compGance is not posaibla.If he cmttot comply with the roqueat <br /> within that time,ha shall so inform the individual,and may have an additional five days within which to compty with the request,excluding Sabudays, <br /> Sundrys and]cgal holidays. <br /> Subd,4.Procedws when daW is not accurate or oomplete. An individual may contest the accurecy or completenese of pub6c or private data <br /> conceming himaelf.To exerciae this right,mt individual at�ll notify m writing the rosponeibte authority deacnbing tha nature of the disag�exment The <br /> responsible authority shall within 30 days oither: (a)co�rect thc datn found to be inaccurate or incomplete and attempt to notify past recipients of <br /> ineccucate a incomplobe data,including rocipients named by�e individual;or(b)notify the individual that he believea the data to bo co�ct.Data in <br /> dispute shall be disclosed only if the individual's statement of disagreaYnent is included with the disclosed data. <br /> The dete�minarion of the respoasible authority may be nppealed purauant to the provisiona of the administrative procodure set ielating to <br /> contested casea. <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 City of Orono or any of its departments may require you to furnish certain private or <br /> conf'idential information. <br /> You are notif'ied that: <br /> 1. The inforniation you fw�nish will be used to detc7mine your qualification for the permit or license <br /> requested. <br /> 2. You may refuse to supply data,but refusal may require that the City deny the permit or license. <br /> 3. The informadon may be shared with other local, state or federal agencies to the e�ctent necessary to <br /> process the permit or license. <br /> 4. If your requested permit or license requires Council acdon ta approve,some information may become <br /> public. <br /> S. You have certain rights under M.S. 13,04(available upon request)to review private data on yourself. <br /> 6. Yow full name is required to pmcess this application or peimit. <br /> Fint Middle Last <br /> 3405 Crystal Bay Road <br /> Address <br /> Orono MN 55391 (952)471-9233 <br /> City ___7 State Zip Phone <br /> I underst rights as state above. <br /> � ,. <br /> � �Z�L.C�(. <br /> Si <br /> Reset Form 32 <br />