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, ' <br /> Sec13.04 RIGHTS OF SUBJECTS OF llATA <br /> Subd.l. Type of data. The rights of individual on whom the daLa is stored or to be stored shall be as set forth in this section. <br /> Subd.2. Infortnation required to be given individual. An individual asked to supply private or confidential data conceming himself shall be <br /> informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b) <br /> whetherhe may refuse or is legally tequired to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply <br /> private or confidential data;and(d)the identity of other peisons or entities authorized by state orfederal law to receive the data.This requirement shall <br /> not apply when an individual is asked to supply invesGgative data,puisuant to section 13.82,subdivision 5,to a law enforcement officer. <br /> The commissioner of revenue mav nlace the notice required under this subdivision in the individual income tax or property t�icfund <br /> ineWctions mstead of on those forms. <br /> Subd.3. Access to data by individual. Upon request to a responsible authority,an indivi�al shall be informed whdher he is the subject of <br /> stored data on individuals,and whether it is classified as public,private or confidential. Upon his further request,an individual who is the subject of <br /> stored private or public da[a on individuals shall be shown the data without any chazge to him and,if he desires,shall be informed of the content and <br /> meaning of that data. After an individual has been shown the private data and informed of ita meaning,the data need not be disclosed to hun for six <br /> months thereafter unless a dispute or action putsuant to this section is pending or additional data on the individual has been collected or c�ated The <br /> responsible authority shall provide copies of the private or publie data upon request by the individual subject of the data. The responsible authority <br /> may require[he requesting person[o pay the actual costs of making,cettifying,and compiling the copies. <br /> The responsible authority shall comply immediately,if possible,with any request made pursuant[o 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. Ifhe cannot comply with the request <br /> within that time,he shall so infortn the individual,and may have an additional 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 pubGc orprivate data <br /> concetning himself. To exercise this right,an individual shall notify in writing Hte responsible authority describing ihe nature of the disagreetnent.The <br /> responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of <br /> inaccurate or incomplete da[a,including recipients named by the individual;or(b)notify the individual that he believes the data[o be cmrect Data in <br /> dispute shall be disclosed only if the individual's statecnent of disagreement is included with the disclosed data. <br /> The determination of the responsible authority may be appealed putsuant to the provisions of the adminiabative procedure ac[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 infom�ation. <br /> You are notified that: <br /> 1. The inforcnation you fiunish will be used to deternune your qualification for the pemut or license <br /> requested. <br /> 2. You may refuse to supply data,but refusal may requue that the City deny the pernut or license. <br /> 3. The infonnation may be shared with other local, state or federal agencies to the extent necessary to <br /> process the pemut or license. <br /> 4. If your requested pernut 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 yotuself. <br /> 6. Your full name is required to process this application or pemut. <br /> K�uu ��-4 .�aw.�s �I-��rv,� <br /> N��t Middle I,ast <br /> �/Ls�/ ��P S�• �k- /oS' <br /> Address <br /> �zxc�(s��or ✓h��( SS331 ciS2- �/7'�-�l�o <br /> City state Zip phone <br /> I understand my rights as stated above. <br /> Signature <br /> Reset Form 32 <br />