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. .�'T <br /> ' <br /> ' Sec.13.04 RIGHTS OF SU$JECTS 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.Infortnation required to be given individual.M individual asked to supply private or confidential data conceming himself shall be <br /> informed of: (a)the purpose and intended use of the requested data witivn the collecting state agency,political subdivisioq or statewide system;(b) <br /> whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply <br /> private or confidential data;and(d)the identity of other persons or entities authorized by state or federal law to receive the data.This requirement shall <br /> not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. <br /> The commissioner of revenue may.place the notia required under ihis subdivision in the individual income tax or plocertv tax refund <br /> instructions instead of on those fomu. <br /> Subd.3. Access to data by individual..Upon request to aresponsible authority,an individual shall be informed whed�er he is die subjeotof <br /> stored data on individuals,and wheU�er it is classified as public,private or confidenGaL Upon his further request,an individual who is the subject of <br /> stored private or public data on individuals shall be shown the data without any charge to him and,if he desires,shall be infortned ofthe content and <br /> meaning of that data. After an individual has been shown the privabe data and infortned of its meaning,the data need not be disclosed to him for six <br /> �inonths thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created.The <br /> responsible authority shall provide copies of the private or public data upon request by the individual subject of the data 'fhe responsible authority <br /> may require the requesting person to pay the actual costs of making,ce�tifying and compiling the copies. <br /> Tt►e responsible authority shall comply immediately,if possible,with any request made pursuant to tlus subdivision,or within five days of <br /> the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliancc is not possible.If he cannot comply with the request <br /> within that time,he shall so inform the individual,and may have an additional five days within which to comply with the request,excluding Saturdays, <br /> • Sundays and legal holidays. <br /> Subd.4.Procedure when data is not accurate or complete.An individua!may contest the accuracy or completeness of public or private data <br /> conceming himself.To exercise this right,an individual stial I notify in writing the responsible suthority describing the naUue of the disagreement'Fhe <br /> responsible authority shall within 30 days either: (a)correct the daCa found to be inaccurate or incomplete and attempt to norify past recipient5 of <br /> inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data to be correct. DafBi in <br /> dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data . <br /> The detennination of the responsible authority may be appe�led pursuant to the provisions of the administrative procedure act relating 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 furnish 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 <br /> 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 <br /> process the permit or license. <br /> 4. If your requested permit or license requires Council action to approve,some information may become <br /> pub(ic. <br /> 5. You have certain rights under M.S. 13.04(available upon request)to review private data on ygurself. <br /> 6. Your full name is required to process this application or permit. <br /> �Y►IfZ 1 8 C.V?�.��, �.e�v.�v»o.r�G � �v�DS �N1�S <br /> First Middle Last <br /> �S��� ��u , <br /> Address <br /> h-llnvie�onlc..� Mv, SS3�� CtSa=t46-�'zf,� <br /> C�tY State Zip P6one <br /> I und rstand my rights as stated above. <br /> � ature <br /> ������ 32 <br />