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r � T <br /> Sec.13.04 RIGHTS OF SUBJECTS OF DATA <br /> Subd.1. Type of data. The rights of individual on w6om the data is stored or to be stored shall be as set fort6 In this section. <br /> Subd.2. Information required to be given(ndividual. ,�1n indi�-idual asked w supply private or confidential data concerning himself shall be <br /> informed o[: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b) <br /> whether he may refuse or ls legally required to supply the requested data;(c)aoy known consequeace arising from his supplying or refusing to supply <br /> private or confidential data;and(d)the identity of other persons or entities aut6orized by state or federal law to receive the data.This reqairement shall <br /> not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdlvision 5,to a law enforcement ofticer. <br /> The commissioner of revenue ma lace the notice r uired under thls subdivision (n the individual inrnme tax or ro e tac refund <br /> instructions instead of on those forms. <br /> Subd.3. Access to data by individual. Upon request to a responsible authority,an Indlvidual shall be informed whet6er 6e is the subjeM of <br /> stored data on Individuals,and whether it is classifed as pubiic,pricate or coniidential. Upon 6is further request,an Individuai who Lt t6e subject of <br /> stored private or publ(c data on Individuals shall be shown the data without aay charge to him and,Ii he desires,shall be(nformed of t6e content and <br /> meaning of that data. After an individual6as beea shown the private data and informed of its meaning,the data need not be disclosed to hIm for slx <br /> mooths thereafter unless a dispute or aMion pursuant to this sectfon is pending or additional data on the individual has been coilected or ereated. The <br /> responslble authority shall provide copies of t6e private or public data upon request b}•the indlvidual subject of the data.The responsible authority may <br /> require the requesting person to pay the actual costs of making,certifyiog,and compiling the copies. <br /> The responsible authority shail compiy immediately,lf pouible,wlth any request made pursuant to t6is subdlvision,or within 6ve days of the <br /> date of the request,excluding Saturdays,Sundays and legai holidays,if immediate compliance is not possible.If he cannot rnmply with the request within <br /> that time,he shall so inform the indlvldual,and may have an additional five days within whic6 to comply with the request,excludine Saturdays,Sundays <br /> and lega16o8days. <br /> Subd.4. Procedure when data is not accurate or complete.An individual may contest the accuracy or completeness of public or private data <br /> concerning himselC. To exercise th(s right,an(nd(vldual shall notify in wrihng the responsible authority describing the nature of the disagreement.The <br /> responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past rectpients of <br /> inaccurate or inrnmplete data,including recipients named by the individual;or(b)nodfy the Individual that he believes the data to be correct. Data in <br /> dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. <br /> The determination of the responsible authority may be appealed pursuant to the provisions of the admiutstrative procedure act relating to <br /> contested cases. <br /> DATA PRIVACY AD�ZSORY <br /> In accordance with M.S.13.04,Subd.2,"Rights of subjects of data",we would like to inform you that�-our 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�•our 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 estent necessarv 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 bI.S.13.04(a�•ailable upon request)to revie�-private data on�ourself. <br /> Your full name is required to process this application or permit. <br /> t ` ,� � , <br /> �� �z/N/f <br /> F rst �fiddle <br /> Last <br /> 1 G�a 4�7 � � I�-�-�(J .. <br /> Address <br /> � `Z / /v '� " / T� 7G 3 Sf'3y/�V� <br /> ��ty � State <br /> Z�P Phone <br /> I u rst d y r' hts as stated above. <br /> Signature / <br />