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� <br /> r <br /> Sec.13.04 RIGH'TS OF S[1BJECTS OF D�TA <br /> Subd. 1. Type of data. The righrs of individual on whom the data is stored or to be stored shall be as set forth in this secaon. <br /> Subd.2. Information req�rired to be given individual. An individual asked to supply private or confidendal data concerning himself shall <br /> be informed of: (a)the purpose and intended use of the requested data within the colleccing'state agency,polidcal subdivision,or sratewide system; <br /> (b)whether he may refuse or is legaliy required to supply the requested data;(c)any lmown consequence arising from his suppiying or refusing to supply <br /> priva[e or confidendal data;and(d)the idenriry of o[her persoas or enoaes authorized by state or federal law to receive the data. This requiremenc shall <br /> not apply when an individuai is asked to supply invesrigarive data, pursuant to secaon 13.82, subdivision 5, to a law enforcement officer. <br /> The commissioner of re:•enue mav place the nocice rewired under this subdivision in the individual income tax or oropertv tax refund <br /> instrsctions ins[ead of on chose forms. <br /> Subd. 3. Access to data by indi�idual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject <br /> of stored data on individuals, and whecher ic 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 che data wichout any charge to him and, if he desires, shall be informed of the content <br /> and meaning of chat data. Aher an individual has been shown�he private data and informed of its meaning,the data need no[be disclosed[o him for <br /> six mon[hs thereafrer unless a dispute or acrion pursuant to this secrion is pending or addiaonal data on the individual has been collectPd or created. <br /> The responsible auchoriry 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 cosrs of making, certifying, and compiling the copies. <br /> The responsible authoriry shall comply immediate(y, if possibfe, with any request made pursuant to[his subdivision,or within five days of <br /> the date of the request,exctuding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request <br /> within rhat cime,he shall so inform the individual,and may have an addirional five days within which to comply with the request,excl�ding 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 right,an individual shall noafy in wridng the responsible authoriry describing[he nature of the disagreement. <br /> The responsible auchoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to noafy past recipienu of <br /> inaccurate or incomplete data, including recipien[s named by the individual;,or(b)nodfy the individual thac he believes the daca to be correcc. Data <br /> in dispuce shall be disclosed only if the individual's statemenc of disagreement is included with the disclosed data. <br /> Tlie determinarion of the r�spensible authoriry may be appealed pursuant 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, "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 c;etemune 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. 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 permi[ or license requires Council action to approve, some information may become <br /> public. <br /> 5. You have certain rights under N1.S. 13.04 �available upon request) to review private data on yourself. <br /> 6. Your fuil name is required to process this application or permit. <br /> i' <br /> � <br /> � <br /> First �fiddlz ,��' J Lasc/ <br /> . . f ` <br /> Address , . ! <br /> ; , .' � <br /> ,` - i�' ` , � ��� � ! . �_/�f �; - �,r��. <br /> Ciry State Zip Phone <br /> I understand my rights as stated above. <br /> �/,'� <br /> � � � _ -�,�,�. _, <br /> Signan.t�e <br /> �; <br />