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s <br /> Sec.13.04 RIGFiTS OF SUB.TECTS OF DATA <br /> Subd. 1. Type oP data. The righGs of individual on whom the data is stored or w be siored shall be as set forth in tfus section. <br /> Subd.2. Information required to be given individual. An individual asked to supply private or confidenda2 dara conceming himself shall <br /> be infotmed of: (a)the purpose and intended use of the requested data within the collecang§rate agency,political subdivision,or statewide system; <br /> (b)whether he may refuse or is legally required to supgiy the requested data;(c)any Imown consequence arising from his supglyiag or refusing to supply <br /> privaie or confidenaal data;and(d)rhe idendty of othec persons or entides authorized by state or federa!law to receive the data. Tfris requirement shall <br /> not aQply when an individual is asked to suppiy invesugaava data,pursuanc to secdon 13.82, subdivision 5, to a law enforcement o�cer. <br /> The commissioner of revenue mav olace the nodce required under this subdivision in che individual income rax or prooercv tax refund <br /> instructions instead of on those forms. <br /> Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject <br /> of stored data on i�dividuals,and whether it is classified as public,private or confidendal. Upon his furthec request,an individual who is the subjecc <br /> of stored private or pubtic data on individuals shall be shown the data without any charge to him and, if he desires, shall be informed of the content <br /> and meaning of that data..After an individual has been shown the private data and informed of iu meaning,the data need not be disclosed to him for <br /> six months itiereafter unless a dispute or acrion purs�.uit w this secrion is pending or addidonal data on the individual has been collected or creaced. <br /> The responsible authority 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 requestin�person to pay the acuial cosu of making,certifying, and compilin;the copies. <br /> The responsible authoriry shall compiy immediately,if possible,with any request made pursuant to this subdivision, or wirhin five days of <br /> the date of the requesc,exctudin�Saturdays,Sundays and Iegal holidays,if immediate compliance is not possible. If he cannot comply with the requesc <br /> within that time,he shail so inform the individuai,and may have an additional five days wirhin which to comply with the request,excluding 3atardays, <br /> 5undays and legal holidays. ' . <br /> Subd.4. Procedure when data is not accurate or compiete. An individuat may contest the accuracy or compieteness of public or private <br /> data concerning himself. To exercise chis right,an individual shall notify in writing the responsible au�horiry dzscribing the nature of die disagreemeat. <br /> The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurace or incomplete and attempt to notify past recipients of <br /> inaccarace or incomplece data, includin; 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 statement of disagreement is included wich the disdosed data. <br /> The detarmination of che resgonsible authoriry may be appealed pursuant to the provisions of the administncive procedure acc relaring co <br /> contesied cases. ` <br /> `t <br /> DATA PRNACY ADVISORY <br /> In accordance with M.S. 13.04, Subd.2, "Rights of subjects of data", we would Iike.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 certa.in private or <br /> confidential information. <br /> . <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 Ciry deny the permit or license. <br /> 3. The information may.be shared with other Iocal, state or federal a;encies to ihe 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 /> ,5.. You have certa'in riohts undez M.S. 13.04 (available:upon reg�sest);�to review �ri�ate data on yourself. <br /> � 6. � `Your full name is rzquired to proceas tfiis'application oz permit,;�„ . , . <br /> . - . , _ . ,..,. <br /> ��.�-,i�v r►��r�� t fc�r <br /> - Fi;st . . Iviiddle , ", , • �: Last ' . <br /> a�c -�-rc� itiie.rrit�'� � <br /> . . ..�E�t"�"�r',� -T-r.a . �is r � i i.--i-. , � . � . <br /> Address . - . � . . <br /> - �. . <br /> ' M I N n! �.i4��f,.1� {`'''�h�' .. • �.�`t"�S ��— 3��" �d L� <br /> City_ . , :- ; State: : '::.. Z�p Phone . <br /> .. •,-: - - , . - <br /> -: • •.,� ., <br /> �-_ <br /> .. .,. . � �.. ,_ <br /> I understand my rights as stated above. : .f t. <br /> - _ ��.•��t,�` <br />