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� <br /> Sec.13.04 RIGFiTS OF S[JBdECTS 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 forrh in this secdon. <br /> Subd.2. Information reqirired to be givm indiridual. An individual asked W supply private or co�denaal dara concerning himself <br /> shall be informed of: (a)rhe purpose and intended use of the requested dara wi[hin the collecting state agency,polidcal subdivision,or statewide <br /> rysum;(b)whecher he may refuse or is legally required to supp(y the requested data;(c)any Irnown consequence arising from his supplying or <br /> refusing to suppiy private or confidenaal daa;and(d)the idenary of other persons or entiaes authorized by srate or federal law to receive the data. <br /> T6is requirement shall not apply when an individual is asked ro supply investigative data, pursuant to secdon 13.82, subdivision 5,to a law <br /> enforcement o�cer. <br /> 'Ilie commissioner of revenue mav olace the notice reauired under this a�bdivision in the individual income taz or o ertv x refund <br /> 'Lnstrucaons mstead of on those form . <br /> Subd.3. Access to data by iadividual. Upon request W a responsible authoriry,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 confidenaal. Upon his further tequest,an individual who <br /> is the subject of stored private or public data on individuals shall be shown the data without any charge to him and,if he desires,shall be informed <br /> of rhe content and meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be <br /> disclosed w him for six months thereafter unless a dispute or acaon pursuant W this section is pending or addirional data on the individual has been <br /> collected or created. The responsible authoriry shall provide copies of the private or public dara upon request by the individual subject of the data. <br /> The responsible authority may require the requesring person to pay the actual cosu of making,certifying,and compiling the copies. <br /> The responsible authoriry shall comply immediately,if possible,with any reqaest made pursuant to this subdivision,or within five days <br /> of the dace of the request,ezcluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with <br /> the request wi[hin that time,he shall so inform the individual,and may have an addidonal five days within which to comply with the request, <br /> excluding Saturdays,Sundays and legal holidays. <br /> Subd.4. Procedure when data is aot accurate or complete. An individual may contest the accuracy or completeness of public or <br /> private daa conceming himcelf. To exercise this right,an individual shall notify in writing the responsible authority descdbing the�nature of the <br /> disagreement The responsible audioriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to nodfy <br /> past recipients of inaccurate or incomplete dara,including recipients named by the individual;or(b)nodfy the individual that he believes the data <br /> to be correct. Dara in dispute shall be disclosed only iF the individual's statement of disagreement is included with the disciosed data. <br /> The dererminaaon of the responsible authoriry may be appealed pursuant to the provisions of the administraave procedure act relating <br /> to contested cases. . <br /> DATA PRIVACY ADVI ORY <br /> In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of data", we would like to inform you that your <br /> request for a permit or license from the �ity of Orono or any of its departments may require you to furnish certain <br /> private or confidential information. <br /> You aze 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 /> 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 equired to process this application or permit. <br /> -�l T ����rw <br /> Firsc Middie Last <br /> Address <br /> /�'rrr-a-- <br /> Ciry Srate Zip Phone <br /> I und tand my rights a at above. <br /> Signa <br /> 6 <br />