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Sec.13.04 RIGHTS OF SUBJECTS OF DATA <br /> Subd.1. T}pe of data. The rights o[individual on whom the data is stored or to be stored shall be as set forth in this section. <br /> Subd.2. Informatioo required to be given individual. An iodi�idual asked to supply private or confidential data concerning himself shall be <br /> informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b) <br /> whether he may re[use or is legally required to suppiy the requested data;(c)any known consequence 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 federal law to receive the data. This requirement shall <br /> not apply when an indi�idual is asked to supply investigative data,pursvant to section 13.82,subdivision 5,to a law enforcement officer. <br /> The commissioner of revenue mav olace the notice reouired under this subdivision in the individual income taY or orooertv tax refund <br /> instructions instead of on those forms. <br /> Subd.3. Access to data by individuaL Upon request to a responsible authority,an individual shall be informed whether he is the subject of <br /> stored data on individuals,and whether it is classified as public,pri�ate or rnnfidentiaL Upon his further request,an individual who is the subject of <br /> stored private or public data on individuals shali be shown the data w ithout any charge to him and,if he desires,shall be informed of the content 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 sis <br /> months thereaRer unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The <br /> responsible authorih shall pro�ide copies of the private or public data upon request by the individual subject of the data. The responsible authority may <br /> require the requestin;person to pay the actual costs of making,certif�-ing,and compiling the copies. <br /> The responsible authority shall comply immediately,i[possible,with any request made pursuant to this subdivision,or within five days of the <br /> date of the request,ezcluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request within <br /> that time,he shall so ioform the individual,and may have an additional fi�e days within which to comply with the request,excluding Saturdays,Sundays <br /> and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. :�n individual may contest the accuracy or completeness of public or private data <br /> concerning himself. To esercise this right,an individual shall notify in w ritiog the responsible authority describing the nature of the disagreement. The <br /> responsible authoriri shall within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of <br /> inaccurate or incomplete data,including recipients named by the indicidual;or(b)notify the individual that he believes the data to be correct. Data in ' <br /> dispute shall be disclosed only�it the individual's statement of disagreement is included with the disclosed data. <br /> The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to <br /> contested cases. '�I <br /> DATA PRI�:-�CY ADVISORY � <br /> In accordance with�i.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 /> confidential information. I'4 <br /> I <br /> You are notified that: <br /> � <br /> 1. The information you furnish will be used to determine your qualification for the permit or license requested. <br /> 2. You ma`� 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 extent necessary to process ' <br /> the permit or license. <br /> 4. If�-our requested permit or license requires Council action to approve, some information may become <br /> public. <br /> 5. You have certain rights under M.S. 13.0-� (a�-ailable upon request)to review private data on yourself. <br /> 6. Your full name is required to process this application or permit. <br /> First Middle Last <br /> Address <br /> C�h� State Zip Phone <br /> I understand my�rights as stated aboce. <br /> � <br /> Signature � <br /> 4 <br />