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Sec.13.04 RIGH'TS OF SUB.JECTS OF D�T� <br /> Subd. 1. Type of data. The righrs of individual on whom the data is stored or to be stored shall be as set for[h in this section. <br /> Subd.2. Information required to be given individual. An individual asked to supply private or confidendal data concerning himself shall <br /> be informed of: (a)the purpose and intended use of the requested data within the coilecting"statP agency, political subdivision,or sratewide system; <br /> (b)whether he may refuse oY is legally required co supply the requested data;(c)any Irnown consequence arising from his supplying or refusing ro suppty <br /> private or confidendal data;and(d)the idendry of other persons or endaes authorized by state or federal law to receive the data. This requirement shall <br /> not apply when an individual is asked to supply investieadve dara, pursuant ro secdon 13.82, subdivision 5, to a law enforcement o�cer. <br /> The commissioner of revenua mav place the norice reauired under this subdivision in the individual income tax or �ropertv tax refund <br /> instructions instzad 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 subject <br /> of stored data on individuals, and wherher it is classified as public, private or confidenaal. Upon his further request, an individual who is the subjecc <br /> of s[ored 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 contenc <br /> and meaning of[hat data. Afrer an individual has been shown[he privace data and informed of its meaning, the data need not be disclosed to hicn for <br /> six months thereafter unless a dispute or acrion pursuanc to [his section is oending or addidonal dara on the individuai has been collected or crea[ed. <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 the requesting person to pay the actual cosu of making, cerrifying,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 addioonal five days within which to comply with the request,exc!uding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or pri�•ate <br /> data concerning himself. To exercise this rieht,an individual shall nodfy in wridng the responsible authority describing rhe nature of the disagreement. <br /> The responsible authoriry shall within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipienu of <br /> inaccurate or incomp(ere data, including recipients named by the individual; or(b)notify the individual that he believes the data ro be correct. Data <br /> in dispute shall be disclosed only if the individual's statement of disagreement is included with the disc(osed data. <br /> Ttie de�ermina[ion of the rtsponsible authoriry may be appealed pursuant to the provisions of the administrarive procedure act relacing to <br /> contes[ed 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 reauest <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 /> confidentiai 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 pernut or license. <br /> 4. If your requested pernut 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 /> First Middle Las[ <br /> Address <br /> City State Zip Phone <br /> I understand my rights as stated above. <br /> Signature , � <br />