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� <br /> Sec.l3.04 RlGHTSOFSUBJECTSOFDATA <br /> Subdrvision 1. Type of data. The rights of individual on whom the data rs s�ored or ro be stored shall be as set forth in this section. <br /> Subd.2. Information required to be given individuaL An indivrdual asked to supply private or confidentral data concerning himself <br /> shall be rnjormed of. (aJ the purpose and intended use ojthe requested data wrthin the collecting state agency,political subdivision,or statewide <br /> system;(b)whether he may refuse or is legally requrred to supply the requested data;(c)any known consequence arising from his supplying ar <br /> refusing to supply prrvate or confidential data;and(d)the identiry ojother persons or entities authorized by state or federal law to receive Jhe data. <br /> This requirement shal!not apply when an individual is asked to supply investigative data,pursuant to sectian 13.82, subdivision S, to a law <br /> enforcement o�cer. <br /> The commissioner of revenue may place the notice required under thrs subdivision in the indrvidual income tax or property tax rejund <br /> rnstructions rnstead ofon those forms. <br /> Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall6e informed whether he is the subject <br /> of stored data on individuals, and whelher it is classified as public,private or confrdential. Upon his further request,an individua!who is the <br /> subject of stored private or public data on indivrduals shall be shoivn the data ivithout any charge to him and, if he desires,shal!be informed of <br /> the content and meanrng of that data. After an individual has been shotivn the private data and rnjormed of rts meanrng, the data need not be <br /> disclosed!o him for six months thereafter unless a dispute or actron pursuant to this sectron is pending or additiona!data on the individual has <br /> been co!lected or created. The responsible authoriry shall provide copres oJthe private or public data upon request by the individual subject of <br /> the data. The responsible authoriry may require the requesting person to pay the actua!costs of making,certifying,and compiling the copies. <br /> The responsible authorrty shall camply immediately,ifpossible,with any request made pursuant ta this subdivision,or withinftve days <br /> of the date ojthe request,excluding Saturdays,Sundays and lega!holidays,rf immediate compliance is not possible. If he cannot comply with the <br /> request within that time,he shallso inform the individual,and may have an additional five days withrn tivhich to comply wrth the request,excluding <br /> Saturdays,Sundays and legal holydays. <br /> Subd.4. Procedure when data is not accurate or complete.An individual may contest the accuracy or completeness ofpublrc or private <br /> dala concernrng himself. Ta exercise this right, an individua!shall not�in writing the responsible authorrty describrng the nature of the <br /> disagreement. The responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempf to notify <br /> past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)not�the individua!that he believes the data <br /> to be correct. Data rn dispute shall be disclosed only if the rndividua!'s sratement of drsagreement is included tivith the disclosed data. <br /> The determination of the responsible authorrty may be appealed pursu4nt to!he provisions oJthe adminrstrative procedure act relating <br /> to confested cases. <br /> DATA PRIVACYADV7SORY <br /> InaccordancewithM.S.13.04,Subd.2, "Rrghtsofsubjectsofdata",wewouldliketoinformyouthatyourrequestforapermitorlicense <br /> from the City ojOrono or any ojrts departments may require you to furnish certain private or confidential informatron. <br /> You are notified that: <br /> 1. The rnformation you furnrsh will be used to determine your qualifrcation for the permit or license requested. <br /> 2. Yau may refuse to supply data, but refusa!may require that the City deny the permit or license. <br /> 3. The information may be shared with other local,state or jedera/agencies to the extent necessary to process the permit or <br /> lrcense. <br /> 4. If your requested permit or license requires Council action 10 approve,some rnformatron may 6ecome public. <br /> S. You have certain rrghts under M.S. 13.04(see followrng pageJ to revrew private data on yourself. <br /> 6. Your ful!name rs required to process this application or permit. <br /> PLEASE PR1NT <br /> � -� <br /> First Middle Last <br /> � 1 �_ <br /> Ad ress <br /> � / <br /> iry State Zip Phone �sa��,/^�3Z� <br /> Ct" rstand my rights q.�s�ated ab ve. <br /> �' �����' ;� . ` �` L� <br /> Srgnature <br /> 10 <br />