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L � <br /> Sec.13.04 RIGHTS OF SUBJECTS OF DATA " <br /> Subdivision 1. Type ojdata. The rrghts of indrvrdua(on whom the data is stored or to be stored shall be as set jorth in this section. <br /> Subd.2. Injormation required to be given individuaL An indrvidual asked to supply private or confrdential data concerning hrmselj <br /> shal!be rnformed of.� (aJ the purpose and rntended use oJthe requested dala withrn�he collecting state agency,politica!subdivision,or statewide <br /> system;(bJ whether he may refuse or is legally required to supply the requested data;(c)any known consequence a�ising from his supplying or <br /> refustng to supply private or conftdential data;and(d)the identity of other persons or entities authorized by state or federal!aw to receive the data. <br /> This requrrement shall not apply when an indrvidual is asked to supply investigative data,pursuant to sectron 13.82, subdrvrsion 5, to a law <br /> enforcement o�cer. <br /> The commissioner o(revenue may place the notice required under this subdivision in the individual income tax or property tax re/'und <br /> instructions instead ajon those jorms. <br /> Subd.3. Access to data by individuaL Upon request to a responsible authoriry,an indrvidual sha!!be injormed whether he is the subject <br /> of stored data on individuals, and whether it is classified as public,private or conftdential. Upon his further request,an individual who is the <br /> subject of stored private or publrc data on indivrduals shall be shoivn the data without any charge to him and, rf he desires,shall be informed of <br /> the content and meaning of that data. After an individual has been shotivn the private data and injormed ojits meaning, the data need not be <br /> disclosed fo him for srx months thereafter unless a dispute or action pursuant to lhis section is pending or additiona!data on the individual has <br /> been collected or created. The responsible authoriry shal!provide copres of the private or public data upan request by the individual subject oj <br /> 1he data. The responsible authority may require the requesting person to pay the actual costs of makrng,cert�ing,and compiling the copres. <br /> The responsible authority sha/1 comply rmmediately,ifpossrble,with any request made pursuant to thrs subdivisron,or within five days <br /> of the date of the request,excluding Saturdays,Sundays and legal holidays,if rmmedia[e complrance is not possrble. IJhe cannot comply�vrth the <br /> request tivithrn that time,he shall so injorm the rndivrdual,and may have an additional frve days tivithin whrch to comply ivilh the request,excluding <br /> Saturdays,Sundays and lega!holidays. <br /> Subd.4. Pracedure when data is not accurate or complete An individual may contest the accuracy or completeness ojp:iblic or private <br /> data concerning himself. To exercise thrs righl, an individua!shall not�in writing the responsible authorrty describing the nature ojthe <br /> disagreement. The responsible authorrty sha!!within 30 days either.• (a)correc!Ihe datafound to be inaccurate or incomplete and attempt to notrfy <br /> past recrpients of rnaccurate or incomplete data,includrng recrpients named by the individual;or(6)not�the indivrdual that he believes the data <br /> to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with rhe disclosed data. <br /> The determrnation of the responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act relating <br /> to contested cases. <br /> DATA PRIVACYADVISORY <br /> In accordance with M.S.13.04,Subd.2, 'Rights ofsubjects ofdata",we would like to rnform you that your request for a permrt or license <br /> from the City oJOrono or any of its departments may require you to furnrsh certain private or confrdentral information. <br /> You are notified thal: <br /> 1. The injormation you furnish wrll be used to determine your qualification for the permit or/icense requested. <br /> 2. You may refuse to supply data, but refusa!may require that the City deny the permit or license. <br /> 3. The information may be shared with ather local,state or federal agencres to the extent necessary to process the permit or <br /> license. <br /> 4. If your requested permi!or license requires Councr!action to approve,some informatron may become public. <br /> S. You have certarn rights under M.S. 13.0�1(see fo!lowing page)to review prrvate data on yourselj. <br /> 6. Your ful!name is requrred to process thrs applrcatron or permit. <br /> PLEASE PRINT <br /> First Middle Last <br /> Address <br /> City State Zip Phone <br /> I under t¢nd my ri�hts as sta abov . '1 <br /> � ,*1, % <br /> (�C. <br /> Signature <br /> /0 <br />