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� <br /> Sec.13.04 RIGHTS OF SiTB.TECTS OF DATA <br /> Subd. 1. Type of data. The righcs of individual on whom the 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 private or confidenaal data concerning himself shall <br /> be informed of: (a)the purpose and in[ended use of the requested data within the collecang'state agency,poliacal subdivision,or sratewide system; <br /> (b)whether he may refuse ot is legally required to supply che requested dara;(c)any known consequence arising from his supplying or refusing to supply <br /> private or confidential data;and(d)the idenriry of other persoas or endcies authorized by state or federal law to receive the data. This requirement shall <br /> not apply when an individual is asked to supply invesdgadve dara, pursuant to secdon 13.82, subdivision 5, to a law enforcement officer. <br /> The commissioner of revenue mav place the noace reauired under this subdivision in the individual income tax or propem taz refund <br /> instrucdons inscead of on those forms. <br /> Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subjecc <br /> of stored data on individuals,and wherher it is classified as public,private or co�denaal. Upon his further request,an individual who is the subjecc <br /> of stored private or public data on individuals shall be shown the data withouc any charge to him and,�if he desires, shall be informed of the content <br /> and meaning of that data. Aher an individual has been shown the privace data and informed of iu meaaing,che data need not be disclosed to him for <br /> six mon[hs thereafter unless a dispuu or acdon pursuant to this section is pending or addiaonal data on the individual has been collected or created. <br /> The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority <br /> may require the requesting person to pay the accual costs of making, certifying,and compiling the copies. <br /> The responsible authoriry shall comply immediately, if possible,with any request made pursuant to this subdivision,or within five days of <br /> the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request <br /> within that time,he shall so inform the individual,and may have an addiaonal five days wirhin which to comply with the request,exciuding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individual may contest[he accuracy or completeness of public or pri��ate <br /> data concerning himself. To exercise this righc,an individual shall nodfy in wridng che responsible authoriry describing the nature of the disagreemeoc. <br /> The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to noafy past recipienrs of <br /> inaccurate or incomplete data, inciuding recipien[s named by the individual;or(b)nodfy the individual that he believes the data to be correct. Data <br /> in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. <br /> The decerminarion of the responsible authoriry may be appealed pursuant to the provisions of the adminisaadve procedure act reladng 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 City of Orono or any of its departments may require you to furnish certain priva[e or <br /> confidential information. <br /> You are notified that: <br /> 1. T'he information you fumish 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 shazed with other local, state or federal a�encies to the extent necessary to process <br /> the permit or license. <br /> 4. If your requesterl permit or license requires Council action to approve, some information may become <br /> public. <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 /> �� �. <br /> !'�1ti?� ,�,L G:%y.c '� r ,�7 C.Z%�'l <br /> First� - Middle Last <br /> -�� � <br /> � " `C"�r �;L�'� ���� <br /> Addr�,ss � � - � / 3/i � <br /> �J r',l"1G C� � ���/L"' �.��C�`"� �( � 7� � <br /> CityY State Zip Phone <br /> I understand m ' hts as stated above. <br /> � � <br /> Signa �e � <br />