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� <br /> ' � <br /> Sec.13.04 RIGHTS OF SUBJECTS OF DATA <br /> Subd.1. Type o(data. The rights of indicidual on w hom the data is stored or to be stored shall be as set(orth in this section. <br /> Subd.2. Information required to be given individual. An individual asked to supply private or confidential data concerning himself shall be , <br /> informed of: (a)the purpose and intended use of the requested data within the colleuing state agency,political subdivision,or statewide system;(b) <br /> whether he may refuse or is legally required to supply the requested data;(c)any know n consequence arising from his supplying or refusing to supply <br /> private or confldential data;and(d)the identity of other persons or entities authorized b}•state or federal law to receive the data. This requirement shali <br /> not apply when an individual is asked to supply in�estigatice data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. <br /> The commissioner of recenue mav olace the notice reauired under this subdivision in the individual income tax or oropertv tax refund <br /> instructions instead of on those forms. <br /> Subd.3. Access to data by individuaL L�pon request to a responsible authority,an individual shall be informed whether he is the subject of <br /> stored data on individuals,and whether it is classified as public,private or confidendal. lipon his further request,an individual who is the subject of <br /> stored private or public data on individuals shall be shown the data without any charge to him and,if he desires,shall be informed oCthe content and <br /> meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for six <br /> months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The <br /> responsible authority shall pro�ide copies of the pri�ate or public data upon request b}�the individual subject of the data. The responsible authority may <br /> require the requesting person to pay the actual cosu of making,certifying,and compiling the copies. <br /> The responsible authority shall comply immediately,if possible,with any reqoest made pursuant to this subdivision,or within five days of the <br /> date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible.If he cannot comply with the request within <br /> that time,he shall so inform the individual,and may have an additional five days within which to comply with the request,excluding Saturdays,Sundays <br /> and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individual ma�•contest the accuracy or completeness of public or private data <br /> concerning himself. To exercise this right,an indi�idual shall notify in writing the responsible authority describing the nature of the disagreement. 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 data,induding recipients named by the individual;or(b)no[if} the individual that he believes the data to be correct. Data in <br /> dispute shall be disclosed only if the individual's statement of disagreement is included�ith the disclosed data. <br /> The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to <br /> contested cases. <br /> DATA PRIVACY AD`ZSORY <br /> In accordance with�I.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 determine��our 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��our requested permit or license requires Cou�cil actio� 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 yourself. <br /> 6. Your full name is required to process this application or permit. <br /> First �iiddle Last <br /> Address <br /> C�h' State Zip Phone <br /> I understand m�y rights as stated�bove. . <br /> � '' �----� <br /> --,. <br /> � <br /> �i)�.�� �� � �.�-��1 I-1�1 � �-� <br /> � <br /> Signature <br />