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i <br /> Sec.13.04 RIGHTS OF SUB.TECTS OF DaT� <br /> Subd. 1. Type of data. "Ihe righ�s of individual on whom[he data is stored or co be scored shall be as set forth in this secaon. <br /> Subd.�. Information reqirired to be given individual. An individual asked to supply privare or confidenrial dara concerniag himself shall <br /> be informed of: (a)the purpose and intended use of the requesud dara within the collecting"state agency, polidcal subdivision,or sracewide system; <br /> (b)whe[her he may refuse oY is legal(y required to supply the requested data;(c)any lmown coasequence arising fmm lvs supplying or refusing to supply <br /> privace or confidendal data;and(d)the idenriry of other penoas or enrides authorized by state or federal law to receive the data. This requiremenc stiall <br /> not apply when an individual is asked to supply invesrigadve dara,pursuant co secdon 13.82, subdivision 5, to a law enforcement o�cer. <br /> The commissioner of revenue mav place the norice reauired under this subdivision in the individual income tax or properrv tax refund <br /> instiucvons instead of on those forms. <br /> Subd. 3. Access to data by individual. Upon reques[to a responsible authoriry,an individual shall be informed whether he is the subject <br /> of stored data on individuals,and whecher ic is class�ed as public, private or confidendal. Upon his further request, an individual who is the subjecc <br /> of stored private or public dara on individuals shall be shown the data without any charge to hicn and,"if he desires, shall be informed of rhe content <br /> and meaning of�hat data. Aftzr an individual has been shown the private data and informed of ics meaning,che data need not be disclosed to hirn for <br /> six months thereafter unless a dispute or acrion pursuant to this secrion is o�nding or addidonal data on the individual has been collected or creared. <br /> The responsible auchoriry shall provide copies of the private or public data upon request by the individual subject of the da[a. The responsible authoriry <br /> may require[he requesring person to pay the acnial cosrs of makine, certifying, and compiling the copies. <br /> The responsiblz authoriry shall comply immediately, if possible, with any request made pursuant to this subdivision,or within five days of <br /> the da[e of[he request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the reques[ <br /> within rhat time,he shall so inform the individual,and may have an addiaonal five days within which to comply with the request,excIuding 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 this right,an individual shall noafy in wriang the responsible authoriry dzscribing[he nature of the disagreement. <br /> The responsibte authoriry shall within 30 days either: (a)correcc the data found to be inaccurate or incomplete and aaempc to nodfy past recipients of <br /> inaccurate or incomplete data, including recipients named by ehe individual; or(b)nodfy the individual that he believes rhe data to be correct. Data <br /> in dispute shall be disclosed only if the individual's statement of disagreement is included wi[h the disclosed data. <br /> The de[erminaaon of the rzsponsible authoriry may be appealed pursuant to the provisions of the administrzdve procedure act relaang [o <br /> contested cases. <br /> DATA PRIVACY ADVISORY <br /> In accordance with M.S. 13.04, Subd. 2, "Riahts of subjects of data", we would like to inform you that your reauest <br /> for a permi[ or license from the City of Orono or any of its departments may require you to fumish 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 suppiy data, but refusal may require that the City deny the permit or license. <br /> 3. The information may be shared with ocher 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 /> j. You have certain rights under h1.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 /> Firsc Middle Last <br /> Address <br /> Ciry State Zip Phone <br /> I understand my ri;hts as stated above. <br /> i� � <br /> ' �� ,. <br /> / Y`.� <br /> � ignaorte <br />