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Sec.13.04 RIGHTS OF SUB.TECTS OF DATA <br /> Subd.1. Type of data. The rigMa of individwl oa whom ihe data E s6otcd or 6o be ato�ed shall be as aet foN�ia thia sectioa <br /> Subd.2.Information required to be given mdividwL An individoal asked b sopply priva�e or coofd�tial data concaning himeelfsLall be <br /> infoimed o£ (a)the purpose and mteaded nae of the r�ted dala wAhin Ibe cdled�6 alale ageaey,political sabdivision,or atatewide system;(b) <br /> whether he may refuse or is legally reqaued to sappty the requesied dad;(c)my{aowa co�equence arieing from his supplyin8 ot refusing to supPly <br /> private or confidmtial d#a;and(d)the id�tity of ottia pexaoes��mthorized by etate or fadaal law�receive tlie data.Tl�is requirement ehall <br /> not apply when an individual ls asked to supply'urveaUgative data,p�usamt to aedion 13.8�mbdivision 5,W a law enforcement officer. <br /> The commffisiona of ievewe mav olace the�tice ieanired mder lhia sidiavioa io ttie mdividwl income tax��overN taY refimd <br /> instructions mstead of on those fmms. <br /> Subd.3. Accesa w data by mdividoaL Upon�eqaeat to a�eapomible aulhority,an individual ahxll be infotmed whetha he B the subject of <br /> atored data on individuals,and whelher it is claas�ied as public,private or coofidentiaL Upoe�ia fart6a re�oeay an mdividual who ia tLe subjed of <br /> stored ptivate or public data on individuals ahall be ahown tbe data withool aey c�aige to A�and,i�be desaes,shall be infoimed of the co�ent and <br /> meaning of tbat data. Atter m individual has baen ahown the private data and'e�orneed of ib man►eig,thc dab need not be discloaed to him for six <br /> months theceaftu unless a dispute or aclion puawidto thig secYion ia pendog or additional dah on U�e mdividual has been collectett or ereated. The <br /> responsible aut6ority slull provide oopies of the priv�e or public d�upon oequest by tlre it�ividwl subject of fhe data. The respotreible authority <br /> may require the requeating pe�son to pay the actual costs of making,certifying,a�c�ompiling We copies. <br /> The respo�reible authority ahall comply immed'utely,if poeable,wih any�qe�t made pmsaant b dris s�division,or within five days of <br /> the date of�e req�t,elccluding Sadudays,Sundays md legal6olidays,if�mnediate awmp&moe is mtpoes�ble_If�caomt compty with tl�c req�st <br /> within that time,he shall so mfocm tlie mdividwl,md mry 6a��e an additioml frve dsys wilhi�which to<•.otttply wilfi the re�uest,eaccluding Sahvdays, <br /> Sundays and legal holidays. <br /> Subd.4.Procedwe when data ia nd acxur�e or conqdde.M mdividwl may contat the aaavracy oroomplda�ess of pubfic or Txivate data <br /> concerning himse}E To eacercise this right,m�individml ahall notify ia writiva 1he respoasible w�orify de�cr�ing fhe nadue of the disagiee�nei►t The <br /> responsible authority shall within 30 days either: (a)coirect the data fomd to be�ate or eoompkte aad atleoq►t to notify past recipi�ts of <br /> inaccurate or mcomplete data,mclad"mg recipi�b named by the mdividuat;or(b)notify We individual tfiat he be6eves the data to be crnrect Data in <br /> dispute shall be disclosed onty if the mdividaaPs statement af diia�t is ncladed with the disclased data. <br /> The deteimination of ffie reaponaibk auffio�ity msy be appealed purauaffi W fhe provisiaos of the sdminiatntive proceduie act relating Yo <br /> contested cases. <br /> DATA PRIVACY ADVLSORY <br /> In accordance with M.S.13.04,Subd.2,"RigMs of subjects of data",we would like to inform you that your request <br /> for a permit or license&om the City of Orano or airy of its depmtmerrts may requine you to fumish certain private or <br /> confidential information_ <br /> You are�tified that: <br /> 1. The information you furrrish will be used to deteimine y�r qualificatian for the permit or license <br /> requested. <br /> 2. You may refuse to supply data,but refusal may require that the City deny the petmit or license. <br /> 3. The infonnation may be shared with other local, state or federal agericies to the extent necessary to <br /> process the pennit or license. <br /> 4. If your requested permit or license requites Council action to approve,sasne information may become <br /> public. <br /> 5. You have certain rights under MS. 13.d4(available upon request)to review private data on yourself. <br /> 6. Your full�mme is required to pcnce.ss this application or pecmit <br /> John p� Bnenneke <br /> First M'iddle Lut <br /> 5625 Dupont Ave South <br /> Address <br /> Minneapolis MN 55419 (612)861-3325 <br /> City State Zip Phone <br /> I understand 'ghts s bove. <br /> V <br /> Signature <br /> Reset Form 32 <br />