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�. <br /> Sec.13.04 RIGHTS OF SUBJECTS OF DATA <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 section. <br /> Subd.2. Information required to be given individual. An individual asked m supply private or confidential data conceming himself <br /> shall be informed of: (a)the purpose and intended use of the requested data within the collecting srar�agency,polidcal subdivision,or statewide <br /> system;(b)whether he may refuse or is legally required to supply the requested data;(cl any known consequence arising from his supplying or <br /> refusing to supply private or confidendal data;and(d)the identiry of other persons or endri�,i authorized by state or federal law to receive the data. <br /> This requirement shall not apply when an individual is asked to suppty investigative dara,pursuant to secdon 13.82, subdivision 5, to a law <br /> enforcement officer. <br /> The commissioner of reverwe mav olace the notice reauired under this subdi�ision in the individual income taz or nrocertv tax refund <br /> insauctions instead of on those forms. <br /> Subd.3. Access to data by individual. Upon request to a responsible aurhoriry,an individual shall be informed whether he is the <br /> subject of stored data on individuals,and whether it is classified as public,private or confidential. Upon his further request,an individual who <br /> is the subject of stored private or public data on individuals shall be shown the data withan any charne co him and,if he desires,shall be informed <br /> of the content and meaning of that data. After an individual has been shown the privam data and informed of its meaning,the data need not be <br /> disclosed to him for six months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been <br /> collected or created. The responsible suthority shall provide copies of the private or publi�data upon request by the individual subject of the data. <br /> The responsible authority may require the requesring person to pay the actual cosu of maldng,cerrifying,and compiling the copies. <br /> The responsible authority shall comply immediately,if possible,with any reque z made pursuant to this subdivision,or within five days <br /> of the date of the request,excluding Saturdays,Sundays and legal holidays,if imtnediaL.compliance is not possible. If he cannot comply with <br /> the request within that time,he shall so inform the individual,and may have an addirienal five da}•s within which to comply with the request, <br /> excluding Saturdays,Sundays and legal holidays. <br /> S�bd.4. Procedure when data is not accurate or complete. An individual may conrest the accuracy or completeness of public or <br /> private data conceming himself. To exercise dus right,an individual shall notify in wririag the respoacible authority describing the�nature of the <br /> disagreement. The responsible authoriry shall wid�in 30 days either: (a)correct the data fcimd ro be inaccurate or incomplete and auempt to norify <br /> past recipients of inaccuraoe or i�omplete data,including recipients named by the individual;or(b)norify the individual that he believes the data <br /> to be correct. Data in dispute shall be disclosed only if the individual's statement of disasreement is included with the disclosed data. <br /> The determination of the responsible authoriry may be appealed pursuant to r�:provisions of the administradve procedure act relating <br /> to contested cases. <br /> DATA PRIVACY ADVISORY <br /> In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of data", a-e would like to inform you that your <br /> request for a permit or license from the �ity of Orono or any of its departmenu may require you to fumish certain <br /> private or confidential information. <br /> You are notified that: <br /> 1. The information you fumish will be used to determine ��our qualification for the permit or license <br /> 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 local, state o:federal agencies to the extent necessary to <br /> process 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 /> �Oc��L.� �.a�.�� Cc�?:scr•ti <br /> First Middle Last <br /> �3Gy9 QL, �k,� � �c.vv <br /> Address <br /> �Nti f 4�4� �� .5�'y/�2 E�.�-saa- sr.�a 3 <br /> City State Zip Phone <br /> I understand my rights as st ed above. <br /> 6 <br />