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� <br /> Sec.13.04 RIGHTS OF SLJB.IECTS OF DATa <br /> Subd. 1. Type of data. 'Ihe righcs of individual on whom the data is stored or to be scored shall be as set fotth ia chis secaon. <br /> Subd.2. Information reqirired to be givea individual. An individual asked to supply private or confidendal data concerning himself shall <br /> be informed of: (a)the purpose and inunded use of che requested data wirhin the collecang 3tate agency,polidcal subdivision,oc sratewide system; <br /> �b)whether he may refuse oY is legally requirod to supply the requested data:(c)any imown constqueace arising from his supplying or refusing to supply <br /> priva�e or conndendal data;and(d)the idendry of o�her peaons or entides authorized by srace or federa!law to receive the dara. This requirement s6a11 <br /> not apply when an individual is asked to supply iavesdgadve dara,punuanc[o secdon 13.82,subdivision 5, to a law enforcement o�cer. <br /> The commissioner of re�enue mav pta- the nodce reauired under[his subdivision in the individual income rax or propettv rex refund <br /> instrucaons instead of on those forms. <br /> Subd. 3. Access to data by individual. Upon rcquest to a responsible authoriry,an individual shall be informed whether he is the subject <br /> of stored dan on individuals,and whecher it is ciassified as pubiic, privace or confidenaal. lipon his fur[her request,an individual who is the subjecc <br /> of stored private or public dara on individuals shall be shown�he data wichout any charge to him and;if he desires,shall be informed of the contenc <br /> and meaning of chat data. After an individual has been shown the privare data and informed of ics meaniag,the data need not be disclosed to him for <br /> six monchs thereaf[er unless a dispute or acdon pursuan[ta this secaon is pending or addidonal data on the individual has been collected or creaced. <br /> The responsible au[horiry shall provide copies of che private or public data upon requesc by the individual subject of the dara. The responsible authoriry <br /> may require the requesting person to pay the acnlal cosu of making.certifying,and compiling[he copies. <br /> The responsible au[horiry shall comply immediately, if possible,with any request made putsuant to this subdivision,or within five days of <br /> the date of the request,excluding Samrdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with ihe request <br /> wirhin d�at tuae,he shall so inform the individual,and may have an addidonal five days wirhin which to comply with[he request,excluding Saturdays, <br /> Sundays and lega!holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or pri�•ate <br /> data conceming himself. To exercise this right,an individual shall nodfy in writing[he responsibie authoriry describing the nature of the disagreement. <br /> The responsibte au�horicy shall within 30 days eid:er: (a)correct the data found m be inaccurate or incomplete and aaempt to norify past recipienrs of <br /> inaccurate or incompiete data, including recipiencs named by che individual;or(b)nodfy[he individual that he believes rhe data to be correct. Dara <br /> in dispuce shall be disclosed only if the individual's sratement of disagreement is included wi[h the disclosed data. <br /> The decerminadon of the responsible auehority may be appealed pursuanc to the provisions of the adminisnadve procedure act reladng 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 fumish certain private or <br /> confidentiai 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 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 your requested permit or license requires Council action to approve, some information may become <br /> public. <br /> �, You have certai.n rights under M.S. 13.04 (available upon request) to review private data on yourself. <br /> (, Your full name is required to process this application or permit. <br /> �N��� <br /> Last <br /> 1q74o ��"���e ���� <br /> Add ss �(/�/U 5��'p�,�, � 3 3 `�J� <br /> �o�Ob t nS d d��..- — <br /> Ciry Scace Zip Phone <br /> I unders d my ri� s tated above. <br /> Signamre <br />