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i <br /> Sec.13.04 RIGHTS OF SLIB.TECTS OF D�TA <br /> Subd. i. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth ia this secdon. <br /> Subd.2. Information reqwred to be given individual. An individual asked to supply private or confidendal data concerning himself shall <br /> be informed of: (a)�he purpose and intended use of the requested data within the collecting"state agency, poliacal subdivision,or statewide sysum; <br /> (b)whether he may refuse oY is legally required to supply che requested data;(c)any Imown consequence arising from his supplying or refusing[o supply <br /> private or confidendal data;and(d)the idenriry of other persoas or enddes autborized by state or federal law to receive the data. This requirement shall <br /> not apply when an individual is asked to supply invesrigadve dara,pursuan[to secaon 13.82, subdivision 5, to a law enforcement o�cer. <br /> The commissioner of revenue mav piace the noace reauired under this subdivision in the individual income tax or propertv raz refund <br /> instructions ins[ead of on those forms. <br /> Subd.3. Access to data by individual. Upon request to a respoasible authoriry,an individual shall be informed whether he is the subject <br /> of stored data on individuals,and whether it is classified as public,private or confidendal. Upon his further request,an individual who is the subject <br /> of stored private or pubfic data on individuals shall be shown the data wi�hout any charge to him and,-if he desires, shall be informed of the content <br /> and meaning of chat data. Aftzr an individual has been shown the privace dara and informed of its meaning,the data need not be disclosed to him for <br /> six months thereafter unless a dispute or acrion pursuant to this section is pending or addidonal data on the individual has been coilected or created. <br /> The responsible au[horiry shall provide copies of che private or public data upon request by the individual subject of the data. The responsible authoriry <br /> may require the requesdng person to pay the actual costs of makinc, cerafying,and compiling the copies. <br /> The responsible authority shail comply immediately, if possible,with any request made pursuant to this subdivision,or within five days of <br /> the date of the requesc,excluding Sacurdays,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 addidonal five days within wtuch to comply with the request,excluding Sacurdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An mdividual may contest the accuracy or completeness of public or private <br /> data concerning himself. To exercise this right,an individual shall nodfy in writing the responsible authoriry describing[he nature of the disagreemeut. <br /> The responsible authoriry shali within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipienu of <br /> inaccurate or incomplete data, including recipients named by the individual; or(b)nodfy the individual that he believes the data to be correct. Data <br /> in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. <br /> The decerminacion of the responsible authoriry may be appealed pursuant to the provisions of the adminisaarive 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 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 determine your qualification for the permit 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. Ihe information may be shared with ocher local, state or federal a�encies to the extent necessary to process <br /> the pemut 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 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 applica[ion or permit. <br /> First ;�liddle Last <br /> Address <br /> Ci�y Srate Zip Phone <br /> I understand my rights as stated above. <br /> Signature <br />