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, ► <br /> Sec.13.04 RIGHTS OF SLJBJECTS OF D2�TA <br /> Subd. 1. Type of data. "Ihe righ[s of individual on whom the data is stored or to be stored shall be as set forth in this secaon. <br /> Subd.'_. Information reqirired to be given individual. An individual asked to suppiy private or co�dendal data concerning himself shall <br /> be informed of: (a) the purpose and intended use of the requested data within the collecting"state agency, political subdivision,or statewide system; <br /> (b)whether he may refuse oY is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supp(y <br /> private or conndencial data;and(d)[he iden[iry of o[her persons or enrities authorized by state or federal law ro receive the data. This requirement shall <br /> not apply when an individual is asked to supply invesrieadve da[a, punuant ro secdon 13.82, subdivision 5, to a law enforcement officer. <br /> The commissioner of re�enue mav place the nodce reauired under this subdivision in the individual income tax or propertv_tax refund <br /> instructions ins[e2d of on those forms. <br /> Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whe[her he is the subject <br /> of scored dara on individuals,and whe[her it is classified as public, private or confidendal. Upon his further request, an individual who is the subjec[ <br /> of stored private or public data on individuals shall be shown the data without any charge to him and, if he desires, shall be informed of the content <br /> and meaning of[hat data. Afrer an individual has been shown the privace data and informed of its meaning, che data need not be disclosed to him for <br /> six months thereaiter unless a dispute or acaon pursuant to this secaon is oending or addidonal 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 authoriry <br /> may require �he requesting person to pay the acnial costs of making, certifying, and compiling the copies. <br /> The responsible au[horiry 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 lega]holidays,if immediate compliance is not possible. If he cannot comply wi[h the request <br /> within[ha[time,he shall so inform the individual,and may have an addidonal five days within which to comply with the request,exctuding Saturdays, <br /> Sundays and le2al holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individuat may contest the accuracy or completeness of public or pri�•ate <br /> data concerning himself. To exercise this rieht,an individual shall nodfy in wricing the responsible authority describing�he nature of the disagreement. <br /> The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccutate or incomplete and aaempt to nodfy pas[recipiencs of <br /> inaccurate or incomplete data, including recipients named by the individual; or(b) notify the individual that he believes rhe data to be correct. Data <br /> in dispuce shall be disclosed only if the individual's statement of disa;reement is included with the disclosed data. <br /> The de[erminadon of the rasponsible authoriry may be appealed pursuant ro the provisions of the administrarive procedure act relacing to <br /> contested cases. <br /> DATA PRIVACY ADVISORY <br /> In accordance with M.S. 13.04, Subd. 2, "Ri;hts of subjects of data", we would like to inform you that your request <br /> for a pemut or license from the City of Orono or any of its departments may require you to furnish certain private or <br /> confidential information. <br /> You are notified that: <br /> 1, The information you furnish will be used to determine your qualification for the pemut 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 shared with other local, state or federal a�encies to the extent necessary to process <br /> the pemut or license. <br /> 4. If your requested pernut or license requires Council action to approve, some information may become <br /> public. <br /> j. You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself. <br /> 6. Your fuli name is required to process this application or permit. <br /> Firsc �Iiddle Last <br /> Address <br /> Citv State Zip Phone <br /> I understand my rights as stated above. <br /> Signature f <br />