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�j 1 <br /> � <br /> �� <br /> Sec.13.04 RIGHTS OF SUB.TECTS OF D?�TA <br /> Subd. 1. Type of data. The righcs of individual on whom the data is stored or to be stored shall be as set forth in this secdon. <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 iatended use of the requcsied dara within the collecting'state agency,poliacal subdivision,or statewide rystem; <br /> (b)whether he may refuse oY is legally required to supply the requested data;(c)any known consequence arising from his supplying or refitsing to supply <br /> private or confidendal data;and(d)the identiry of other persoas or enrides authorized by state or federal law to receive the data. This requirement shall <br /> not apply when an individual is asked to suppiy invesrigadve dara,pursuant to secrion 13.82, subdivision 5, to a law enforcement officer. <br /> The commissioner of revenue mav place the nodce reauired under this subdivision in the individual income tax or property taz refund <br /> instructions instead 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 class�ed as public,private or confidenaal. Upon ivs further request,an individual who is the subject <br /> of stored pri�ate or public dara on individuals shall be shown the dara wi�hout any charge to him and,'if he desires, shall be informed of the content <br /> and meaning of�hat data. Ahzr an individual has been shown the private data and informed of its meaning,the dara need not be disclosed to him for <br /> six months thereafter unless a dispute or acdon pursuant to this secdon is pending or addidonal data on the individual has been coilected or created. <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 ro pay the actual costs of making, cerrifying, and compiling the copies. <br /> The responsible au[horiry shall compiy 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 addiaonal five days within wtuch to comply with the request,exctuding 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 pricate <br /> data concerning himself. To exercise chis right,an individual shall noafy in wricing che responsible authoriry describing�he nature of the disagreement. <br /> The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomp(ete and attempt to nodfy past recipiencs of <br /> inaccurate or incomplete data, including recipiencs named by the individual;or(b)noafy the individual tha[he believes the data to be correct. Data <br /> in dispute shall be disctosed only if the individual's stacemenc of disagreement is included with the disclosed data. <br /> The decerminarion of the responsible authoriry may be appealed pursuant to the provisions of the administrarive procedure act relating to <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 permit 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 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 informa[ion may be shared wich other local, state or federal a�encies to the extent necessary to process <br /> the pernut or license. <br /> 4. If your requested permit or license requires Council action to approve, some information may become <br /> public. <br /> 5. 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 /> ��,�rz�. ��.,,(� ���C-�S�'� <br /> Fi t Lliddle Last <br /> ��� �� �' 1� � <br /> A�¢ress <br /> (%�Zy�t'A�,� ,Y�1v.' �S � ��j �' � n <br /> Ciry Srate Ztp Phone <br /> I understand my rights as ated abo e. <br /> . <br /> Signatuce <br />