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Sec.13.04 RIGHTS OF SUBJECTS OF DATA <br /> Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stor�'.shall be as set forth in this section. • <br /> Subd. 2. Information required to be given individual. An individual asked to sup�;�prna:2 or confidential data concerning himseU shail be <br /> informed of: (a) the purpose and intended use of the requested data within the collecting sta:e agenc�, political subdivision, or statewide system; (b) <br /> whether he may refuse or is legally required to supply the requested data; (c) an}� known con��ence arising from his supplying or refusing to supply <br /> private or confidential data; and (d) the identity of other persons or entities authorized by state or`edera: law to recei�•e the data. This requirement shall <br /> not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdi�isica�,to a law enforcement officer. <br /> The commissioner of revenue mav place the notice required under this subdivisio� in thc mdi�7duai income tax or propertv tax refund <br /> instructions instead of on those(orms. <br /> Subd. 3. Access to data by individual. Upon request to a responsible authority, z: indi��nal shall be informed whether he is the subject <br /> of stored data on individuals, and whether it is classified as public, private or confidential. Upoe iis fur.her request, an individual who is the subject of <br /> stored private or public data on individuais shall be shown the data without any charge to him :�:d, if � desires, shail be in(ormed of the content and <br /> meaning of that data. Aker an individual has been shown the private data and informed of its -eanin� the data need not be disclosed to hun for six <br /> months thereaher unless a dispute or action pursuant to this section is pending or additional das on tF.2 indi�idual has been collected or created. The <br /> responsible authority shall provide copies of the private or public data upon request by the indi�ic_al sut�ct of the data. The responsibie authority may <br /> require the requesting person to pay the actual costs of making,certifying,and compiling the copies. <br /> The responsible authority shall comply immediately, if possible, with any request made �ursu:�.t to this subdivision, or within five da�s of the <br /> date of the request, excluding Saturdays, Sundays and legal holidays, if immediate compliance is r,ct poss3ie. If he cannot comply with the request within <br /> that time, he shall so inform the individual, and may have an additionai five days ��ithin which to .ompl� xith the request, excluding Saturda}s, Sundays <br /> and legal holidays. <br /> Subd. 4. Procedure when data is not accurate or complete. An indi��iduai ma� c_ntest ;� accuracy or completeness o( pubGc or private <br /> data concerning himself. To exercise this right, an individual shall notify in writing the respons�ie auth�rih• describing the nature of the disagreement. <br /> The responsible authority shall within 30 days either. (a) correct the data found to be inaccura:e or in.�mplete and attempt to notify past recipients of <br /> inaccurate or incomplete data, including recipients named by the individual; or (b) notify the ind:.ival t�at he believes the data to be correct. Data in <br /> dispute shall be disclosed only if the individual's statement oi disagreement is included«ith the disclo�:data. <br /> The determination of the responsible authority may be appealed pursuant to the pr^sions of the administrative 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", ��-� �voc::d like to inform you that your request <br /> for a permit or license from the City of Orono or any of its departments m?v ret,-uire you to furnish certain prnate or <br /> confidential information. <br /> You are notified that: <br /> 1. The information you furnish will be used to determine your qua::.'icatic�n for the permit or license requested. <br /> 2. You may refuse to supply data, but refusal may require that the Cin�dem-the permit or license. <br /> 3. The information may be shared with other local, state or federa! a�en�es to the extent necessary to process <br /> the permit or license. <br /> 4. If your requested permit or license requires Council action to aFrro��e, some information may become public. <br /> 5. You have certain rights under M.S. 13.04 (available upon request):o re�;z„•private data on yourself. <br /> 6. Your full name is required to process this application or permit. <br /> �� � A �'" <br /> � )�7r� , \ ��r .1'� �ti r�-=�'�' /:�,e'"�l�f°�' <br /> First Niiddle �st <br /> �G1��� 7�� �C."�.'�...���'��::.,./�`w 7 ��,L��r�S�L� <br /> A dd ress <br /> �_ ;� �. ; � <br /> C� ��`�_ ,��- J/y,+ ,���, �� ���_ = � _ � �. ,���, _ � <br /> City State Z p Phone <br /> 1 understand my ri ts as stated abov ` <br /> �_ , <br /> �----��--,,,. , � <br /> � ,,. � � <br /> �_ � c., -' ,� <br /> ,1 � .f e �•g. <br /> Signature / <br /> ,' ��� <br />