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. � <br /> Sec.13.04 RIGHTS OF S[IBJECTS OF D�T� <br /> Subd. 1. Type of data. The righ[s of individual on whom the data is stored or to be stored shall be as set forth in this secaon. <br /> Subd.2. Information reqirired to be given individual. An individual asked to supply private or confidendal dara concerning himself shall <br /> be informed of: (a)the purpose and intended use of the requesttd data within the collecting'statt agency, polidcal subdivision,or statewide rysum; <br /> (b)whether he may refuse or is legally required to supply the requesced data;(c)any frnown consequence arising from his supplying or refusing to supply <br /> private or confidenrial data;and(d)the idenriry of other persons or enades authorized by state or federal law to receive the data. This requirement shall <br /> not apply when an individual is asked to supply invesrieadve da[a, pursuant to secaon 13.82, subdivision 5, to a law enforcement o�cer. <br /> The commissioner of revenue r-iav plac� the noace reauired under this subdivision in the individual income tax or oropercv rax refund <br /> instructions instzad of on those forms. <br /> Subd. 3. Access to data by individual. Upon reques[to a responsible authority,an individual shall be informed whether he is the subject <br /> of stored data on individuals,and whecher it is classiFied as public, private or confidendal. Upon his further request,an individual who is the subject <br /> of stored private or public data on individuals shall be shown the dara wi�hout any charge to him and, if he desires, shall be informed of the contenc <br /> and meaning of that data. Ahzr an individual has been shown the private data and informed of its meaning, the data need not be disclosed to him for <br /> six monchs thereafter unless a dispute or acaon pursuan[to this secrion is oending or addidonal data on the individual has been collected or creaced. <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 requesring person to pay the actual cosu of making, certifying,and compiling the copies. <br /> The responsible authority shall comply immediately, if possible, with any request made pursuant co 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 reques[ <br /> within that time,he shall so inform the individual,and may have an addidonal five days within which to comply with the request,excluding 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[his righ[,an individual shall norify in wridng the responsible au[horiry describing rhe narure of the disagreemeot. <br /> The responsible authoriry shall within 30 days either: (a)correct che data found to be inaccurate or incomplete and attempt to nodfy past recipients of <br /> inaccunte or incomplete data, including recipiencs named by che individual;,or(b)notify the individual that he believes the dara to be correct. Data <br /> in dispuce shall be disc(osed orily if the individual's sta[ement of disa;reement is included with the disclosed data. <br /> The de[erminarion of the respensible authoriry may be appealed pursuanc to 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 reauest <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 deternune your qualification for the permit or license requested. <br /> 2. You may refuse [o 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 agencies to the extent necessary to process <br /> the pernut or license. <br /> 4. If your requested pemut or license requires Councii action to approve, some information may become <br /> public. <br /> j. You have certain ri�hts 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 /> F�n� �fiddle Last <br /> Addtess <br /> Ciry State Zip Phone <br /> I under 'ghts as stat ab ve. <br /> Signacure <br />