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a� , r <br /> Sec.13.04 RIGIiTS OF S[TBJECTS OF DaTA <br /> Subd. 1. Type of data. The righcs of individual on whom[he data is stored or to be stored shall be as set forth in this secaon. <br /> Subd.2. Information reqirired to be givea individual. An individual asked W supply private or confidendal dard conceming himself shall <br /> be informed of: (a)the purpose and inuaded use of che iequesred data within the collecting State agency,polidcat subdivision,or statewide rysum; <br /> (b)whe�er he may refuse oY is legally required to supply the requested data;(c)any lrnown consequence arising from his supplying or refusing to supply <br /> privace or confidendal data;and(d)the idendry of ocher persons or enrides authorized by state or federal law to receive the data. This requirement shall <br /> not apply when an individual is asked to suppiy invesdgauve dara,punvant to section 13.82,subdivision 5, to a law enforcement o�cer. <br /> The commissioner of re�•enue mav place the nodce rewircd under this subdivision in the individual income tax or propem tax retund <br /> instcuctions inscead of on�hose forms. <br /> Subd.3. Access to daGz by individual. Upon requesc to a responsible authoriry,an individual shall be informed whether he is the subject <br /> of stored data on individuals,and whecher ic is e(assified as public, priva[e or confidendal. Upon his further requesc,an individuai who is the subjecc <br /> of stored private or public data on individuals shall be shown the data wi[hout any charge to him and;if he desires,shatl be informed of the content <br /> and meaning of chat data. After an individua!has been shown che private dara and informed of its meaning,the data need not be disclosed ro him for <br /> siz months dieceafter unless a dispute or acrion punuanc to this secaon is pending or addidonal data on the individual has been collected or created. <br /> The respoasible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible audioriry <br /> may require the requesdng person to pay the actual cosu of making,cerufying,and compiling the copies. <br /> The responsible authoriry shall comply immediacely,if possible,with any request made pursuant to[his subdivision,or within five days of <br /> the date of che request,excluding Saturdays,Sundays and legal holidays,if immediace compliance is not possible. If he cannot comply with[he request <br /> widtin that time.,he shall so inform the individual,and may have an addidonal five days within which to comply with the request,excludiag Saturdays, <br />. Sundays and legal holidays. <br /> Subd.4. Procedare when data is aot accurate or complete. An individual may contest the accuracy oc completeness of public or privace <br /> data concerning himself. To exercise this righc,an individual shall nodfy in wriring the responsible authoriry describing�he nacure of�e disagreement. <br /> The responsible authoriry shall withia 30 days either: (a)correct[he dara found to be inaccurate or incomplete and attempt to nodfy past recipienss of <br /> inaccurate or incomplete dara, including recipients named by ehe individual;or(b)nodfy the individual that he believes rhe dara to be correcc. Data <br /> in dispute shall be disclosed only if the individual's statemenc of disagreement is included with the disclosed data. <br /> The decerminadon of the responsible au[hority may be appealed punuant to the provisions of the adminisuaive procedure act relating to <br /> contesmd 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 fumish 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 City deny the pemut or license. <br /> 3. The information may be shared with ocher local, state or federal a�encies to the 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 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 /> � ��n� <br /> ;n� M,adle <br /> Address <br /> C��, State Zip Phone <br /> I understand my rights as stated above. <br /> Signa re <br />