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! ` <br /> Sec.13.04 RIGHTS OF SUBJECTS OF DaTA <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 secrion. <br /> Subd.'_. Information required to be given individual. An individual asked to supply privace or confidenrial data conceming hirnself shall <br /> be informed of: (a)the purpose and intended use of the requested data within the collecang"state agency, political subdivision,or statewide system; <br /> (b)whe[her he may refuse oY is legally required ro supply the requested data;(c)any frnown consequence arising fmm his supplying or refusing ro supply <br /> private or confidenaal data;and(d)the identity of other persons or entiaes authorized by state or federal law to receive the data. This requirement shall <br /> no[apply when an individual is asked to supply invesrieaave dara, pursuant to seccion 13.82, subdivision 5, to a law enforcement ofFicer. <br /> The commissioner of re�enue mav place the noace reauired under this subdivision in the individual income tax or propertv tax refund <br /> inscructions insrezd of on those forms. <br /> Subd. 3. Access to data by indi�idual. Upon request ro a responsible 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 public data on individuals shall be shown[he data without any charge to him and, if he desires, shall be informed of the content <br /> and meaning of rhat data. After an individual has been shown the private data and informed of irs meaning, the data need not be disclosed to him for <br /> six months thereafter unless a dispute or acaon pursuant to this section is pending or addiaonal data on the individual has been collected or created. <br /> The responsibie auchoriry shall provide copies of the private or public data upon request by[he individual subject of the data. The responsible authoriry <br /> may require the requesting person to pay the actual costs of makine, certifying, and compiling the copies. <br /> The responsible authoriry 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 Sa[urdays,Sundays and leeal holidays,if immediate compliance is not possible. If he cannot comply with the request <br /> within that time,he shall so inform[he individual,and may have an addicional 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 conceming himself. To exercise�his rieht,an individuai shall nonfy in writing che responsible authority describing[he nature of the disagreement. <br /> The responsible authoriry shall wi[hin 30 days either: (a)correct the data found ro be inaccurate or incomplete and attempt to norify past recipients of <br /> inaccurate or incomplete data, including recipients named by the individual; or(b)notify the individual that he believes the data to be correct. Data <br /> in dispute shall be disclosed only if the individual's statemen[of disagreement is included with the disclosed data. <br /> Tfie determination of the responsible authority may be appealed pursuant to the provisions of the administrarive procedure act reladng to <br /> contested cases. <br /> DATA PRIVACY ADVISORY <br /> In accordance with M.S. 13.04, Subd. 2, "RiQhts 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 pemut or license. <br /> 3, The information may be shared with other local, state or federal agencies to the extent necessary to process <br /> the permit or license. <br /> 4. If your requested permit or license requires Council action to approve, some information may become <br /> public. <br /> j. You have cenain rights under M.S. 13.04 (available upon request) to review private data on yourself. <br /> (. Your full name is required to process this application or permit. <br /> ��s R �-mKn/s on/ <br /> First �fiddle Las[ <br /> 22Yo Fox 5n2E,�T <br /> Address <br /> l,�.wlr G.�c►E- m N s's3sCo <br /> City State Zip Phone <br /> I understand my rights as sta[ed above. <br /> � <br /> l� --�1 oa <br /> Si a re <br />