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. <br /> , <br /> Sec.13.04 RIGHTS OF SUBJECTS OF D,�Ta <br /> Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this secdon. <br /> Subd.2. Iaformation reqirired to be given individual. �+.n individual uked to supply private or confidendal dara concerning himself shall <br /> be informed of: (a)the purpose and intended use of the requested dara wichin the colleccing�tate agency, polidcal subdivision,or statewide sysum; <br /> (b)whether he may refuse oY is legaily required to supply the requested data;(c)any imown coasequence arising from his suppiying or refusing to supply <br /> priva[e or confidendal data;and(d)the idenriry of ocher persons or enddes authorized by state or federal law to receive the data. This requirement shall <br /> not apply when an individual is asked to supply invesdgadve dan,pursuant to secaon 13.82, subdivision 5, to a law enforcement o�cer. <br /> The commissioner of revenue mav place the noace rewired 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. Upon requesc to a responsible authoriry,an individual shall be informed whether he is the subjecc <br /> of stored data on individuals,and whe[her it is classified as public,private or confidendal. Upon his further request,an individual who is the subjecc <br /> of stored private or public data on individuals shall be shown[he data without any charge to him and, if he desires, shall be informed of the contenc <br /> and meaning of rhat data. After an individual has been shown the private data and informed of ics meaning, the dara need not be disclosed to hun for <br /> six monchs thereafrer unless a dispute or acdon pursuanc to this section is pending or addidonal data on the individual has been collected or created. <br /> The responsible au[horiry shall provide copies of the private or public data upon request by the individual subjecc of the data. The responsible authoriry <br /> may require the requesring person to pay the actual costs of making,cerrifying, and compiling the copies. <br /> The responsible authoriry shall comply immediately, if possibte, with any request made pursuant to this subdivision, or within five days of <br /> the date of the request,ezcluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he canno[comply with the request <br /> wi[hin that time,he shall so inform the individual,and may have an addirional 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. M individual may contest the accuracy or completeness of public or private <br /> data concerning himself. To exercise[his right,an individual shall noafy in wriang the responsible au[horiry describing[he nacure 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 recipiencs of <br /> inaccunte or incomplete data, inciuding recipien�s named by[he individual;,or(b)nodfy the individual thac he believes the data ro be correct. Data <br /> in dispu[e shall be disclosed only if the individual's statemenc of disagreement is included with the disclosed data. <br /> Tfte determinarion of the respensible authoriry may be appealed pursuant to the provisions of the administrative 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 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 pemut or license. <br /> 3. The information may be shared with other local, state or federal agencies 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 /> 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 perm.it. <br /> First �tiddle Last <br /> Address <br /> Ciry State Zip Phone <br /> I understand my rights as state ove. <br /> ,��i <br /> Signature <br />