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• <br /> • f <br /> Sec.13.04 RIGHTS OFSUBJECTS OFDAT�I � <br /> Subdrvision 1. Type ojdata. The rights of individual on whom the data is stored or to be stored shal!be as set jorth in this section. <br /> Subd.2. Injormatian required to be given individuaG An indivrdua!asked to supply private or confrdentia!data concerning himselj <br /> shall be informed of. (a)the purpose and intended:�se ofthe requested data within the collectingstate agency,politicalsubdivision,or statetivide <br /> system;(bJ whether he may refuse or rs legally required to supply the requested data;(c)any knotivn consequence arising from his supplying or <br /> refusing to supply private or confidentia!data;and(d)the identity of other persons or entities au[horrzed by state or federal law to receive the dala. <br /> This requirement shall not apply when an individual is asked to supply investrgalive data,pursuant to section 13.82, subdivision S, to a Imv <br /> enforcement o�cer. <br /> The commrssioner of revenue may place the notice required under this subdivrsron rn the individual income tax or property 1ax refund <br /> instructions rnstead of on those forms. <br /> Subd.3. Access to data by individual. Upon request to a responsrble authority,an rndivid:�al shall be informed whether he is the subject <br /> of stored data on individuals, and whether it rs classified as public,private or confrdential. Upon hrs further request,an indlvidua!who is the <br /> subject of sfored private or public data on rndividuafs shal!be shown the data without any charge to him and, if he desires,shall be informed oJ <br /> the content and meaning oJthat data. Afier an indivrdua!has been shotivn the private data and informed of its meaning, the data need not be <br /> disclosed to him for srx months thereafter unless a dispute or actron pursuant to this section is pending or additronal data on the rndividttal has <br /> been collected or created. The responsrble authority shal!provide copies ojthe prrvate or public data:rpon request by the individual subject of <br /> the data. The responsible authoriry may require the requesting person to pay the actual costs of making,cert�ing,and compiling the copies. <br /> The responsible authority shall comply immediately,rf possible,with any reqt�est made pursuant to thrs subdivision,or within ftve days <br /> ojthe date oJthe request,excluding Saturdays,Sundays and lega!holidays,if immediate compliance is not possi6le. Ifhe cannot comply with the <br /> request within that time,he shall so inform the indivrdual,and may have an additional five days within tivhich to comply with the req:�est,excluding <br /> Saturdays,Sundays and lega!holidays. <br /> Subd.4. Procedure when data is not accurate or complete.An individual may contest the accuracy or completeness ofpublic or private <br /> data concernrng himself. To exercise this righi, an individual shal!notrfy in writing the responsrble authoriry describing the nature ojthe <br /> disagreement. The responsrble aulhoriry shal!ivithin 30 days either: (a)correci ihe data found to be inaccurate or incomplete and altempt to notify <br /> past recrpients of inaccurate or incomplete data,including recipients named by the individual;or(b)not�the individual that he believes the data <br /> to be correct. Data in drspute shall be disclosed on/y rf the rndivrdual's statement oJdrsagreement is included wrth the disclosed data. <br /> The determination of the responsible authoriry may 6e appealed pursuant ta the provisions of the admrnistrative procedure act re[ating <br /> to cantested cases. <br /> DATA PRIVACYADVISORY <br /> In accordance ivith M.S.13.04,Subd.2,'Rights ofsubjecls ofdata",tive would like to inform you that your requestfor a permit or license <br /> from the City of Orono or any of its departments may require you to jurnish certain private or conftdential information. <br /> You are notified tfiat: <br /> I. The informatron you furnrsh will be trsed to determine your qualifica�ion for the permrt or license reguested. <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 ivith other local,state or federal agencres to the extent necessary to process the permit or <br /> license. <br /> 4. I,f your requested permit or license requires Council action to approve,some injormafron may become public. <br /> 5. You have certain righ[s under M S. 13.04(see followrng pageJ to revie�v prrvate data on yourselj. <br /> 6. Your full name is reguired to process this application or permit. <br /> PLEASE PRINT <br /> First Middle Last <br /> Address <br /> City Sta1e Zip Phone <br /> I understand my rights as stated above. <br /> �' <br /> gnature <br /> /0 <br />