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� � � <br /> Sec.13.04 RIGHTS OF SUBJECTS OF DATA <br /> Subd.1. Type of data. The rights of ind'n•idual on w6om the data is stored or to be stored shall be as set fort6 in t6is sectioa <br /> Subd.2. Information required to be givca individual. An indi�idual asked w supply private or rnntidentlal data concerning himtelf shall be <br /> informed of: (a)the purpose and intended use o[the requested data within the colieciing state agency,political subdivis(on,or statewide rystem;(b) <br /> whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from 6is supplying or refusing to supply <br /> pr�vate or rnnfidential data;and(d)the Identity of other persoos or entities authorized by state or federal law to receive the data Thls requirement shall <br /> not apply when an Individual is asked to supply in�•estigative data,pursuant to seccion 13.82,subdlvlsion 5,to a law en[orcement officer. <br /> The commissioner of revenue ma lace the notice r uired under this subdlvision in the individual income tax or ro e tax refund <br /> instrurtions instead of on those forms. <br /> Subd.3. Access to data by Indivldual. i pon request to a responsible authority,an individual shall be informed whether 6e Ls the subject of <br /> stored data on individuals,and whether it is classiBed as public,private or coniidential. Upon his further request,an Individual who ts the subJect of <br /> stored private or pubi(c data on individuals s6a11 be shown the data without any cha se to him and,if he desires,s6ai1 be informed of t6e content and <br /> mean(ng o[that data After an indlvidual has beea s6own the private data and informed of Its meaning,t6e data need aot be disciosed to 6im for sIx <br /> mooths thereafter unless a dispute or action pursuant to this section is pending or addidonal data on the(ndividual has been rnllected or created. The <br /> responsible suthority shail provide copies of t6e prn ate or publlc data upon request b�the Individual subject of the data.Tde responsible autLority may <br /> requlre the requesting person to pay the actual com of making,certifyiog,and compiliag the copies. <br /> The responsible authority shall compiy immed7ately,if possible,w(th any request made pursuant to t6is subdivision,or within frve days of the <br /> date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance(s not possible.If he cannot comply wich t6e request within <br /> that time,he shall so inform the indlvidual,and ma�Lave an addltional five days within which to comply with the request,excluding Saturdays,Sundays <br /> and legal holidays. <br /> Subd.4. Procedure when data is not accunte or complete. An individua!may contest the accuracy or completeoess of public or private data <br /> rnncerning himself. To exercise this right,an Indlvidaal shaU nodfy in writing the respooslble authority describ(ng the nature of the disagreemenG The <br /> responsible authority shail within 30 days elther: (a)correM the data found to be inaccurate or incomplete and attempt to notify past recipieats of <br /> tnaccurate or Incomplete data,including reclpients named by the indivldual;or(b)notify the fndiv(dual that he believes the data to be correct. Data in <br /> dispute shail be disclosed only if the(ndividual's statement of disagreement is iacluded with the disclosed data. <br /> The determination of the responsible suthority may be appealed pursuant to the provisions of the administrative procedure act relating to <br /> rnntested 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 cour 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 eztent 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 /> 5. You have certain rights under NI.S.13.04(a�•ailable upon request)to review private data on�ourself. <br /> 6. Your full name is required to process this application or permit. <br /> First �Iiddle Last <br /> Address - <br /> City State <br /> Zip Phone <br /> I understand my rights as stated above. <br /> Sigoature <br />