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Sec.13.04 RIGHTS OF SUBJECTS OF DATA <br /> Subd. 1. '1'ype of data. "fhe rights of individual on whom the data is stored or to be stored shall be ai set forth in this section. <br /> Subd.2. Infonnation required to be given individuaL An individual asked to supply private or contidential dataconcerning himselfshall be <br /> informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b) <br /> whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply <br /> private or conYidential data;and(d)the identity of other persons or entities authorized by state or federal Iaw to receive the data. This requirement shall <br /> not apply�vhen an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enCorcement officer. <br /> The commissioner of revenue mav place the notice required under this subdivision in the individual income tax or propertv ta�refimd <br /> instructions instead of on those fonns. <br /> Subd.3. Access to data by individual. Upon reyuest to a responsible authority,an individual shall be infonned whether he is the subject of <br /> stored data on individuals,and whether it is classitied as public,private or contidential. Upon his further request,an individual who is thc subject of <br /> stored private or publ ic data on individuals shal I be shown the data without any charge ro him and,if he desires,shall be informed of dic content and <br /> meaning of that data. After an individual has been sho�vn the privale data and infonned of its meaning,the data need not be disclosed to him for six <br /> months thercafter unless a dispute or action pursuant to this section is pending or add itional data on the individual has been col Iected or created. The <br /> responsible authority shall provide copies of the private or public data upon requesl by die individual subject of the data. The responsible authority <br /> may require the reyuesting person to pay the actual costs of making certifying and compiling the copies. <br /> The responsible authority shall comply immedialely,if possiblc,with any request made pursuant to this subdivision,or widiin tive days of <br /> the date oY the request,e�:cluding Saturdays,Sundays and legal hol idays,if immediate compl iance is not possible. If he ca�mot comply with the request <br /> �vidiin that timc,he shall so inform the individual,and may have an additional tive days�vithin which to comply�vith dic rcquest,excluding Saturdays, <br /> Sundays and Icgal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individual may contest lhe accuracy or completeness of public or private data <br /> concerning himself. To exercise this right,an individuai shall notily in writing the responsible authority describing the nawre ot�the disagreement.The <br /> responsible autliority shall within 30 days either. (a)correct the data found lo bc inaccurate or incomplete and attempl to notify past recipients of <br /> inaccurate or incomptete data,including recipients named by the individual;or(b)notify the individual that he believes the data to be cocrect. Data in <br /> dispute shall be disclosed only if the individual's statement of disagrcement is included with the disclosed data. <br /> "The determination of the responsible authority may be appealed pursuant fo the provisions of the administrative procedure act relating[o <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 pei7nit or license from the City of Orono or any of its departments may rec�uire you to furnish certain private or <br /> confidential inforniation. <br /> You are notified that: <br /> l. The infonnation you furnish will be used to detennine your qualification for the permit or license <br /> 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 agencics to the extent necessary to <br /> process the permit or license. <br /> 4. If your requested permit or license requires Cowicil 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 111iddlc Last <br /> Address <br /> Cit,y St:�tc 7.ip Phone <br /> I understand my rights as stated above. <br /> Signature <br /> 32 <br />