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Sec.13.04 RIGHTS OF SUBJECTS OF DATA <br /> � Subd. 1. Type of data. The righ[s of individual on whom the data is stored or to be storod shall be as set forth in this secdon. <br /> Subd.2. InformaUon nquired to be given indiv{dual. M individual uked to supply private or confidendal data conceming himseif shall <br /> be informcd of: (a)the pu�pose and intcndcd use of the roquested data withur the coUecting State agcacy, political subdivision,or s[atewide rystem; <br /> (b)whether he may retuu or is legally required to supply the'rcquested data;(c)any known consequence arising frotn 6is supp(ying or reCusing�o,;upp►y <br /> � private or confidential data;and(d)the identiry of other persons or endaes'authorized by stace or fcde�al law to rcceive the data. 'I1�is iequirement shall <br /> not apply when an individual is asked to supply invesdgative data,pursuant to secuon 13.82,subdivuion S, to a law enforcemenf officec. <br /> The commissioner of rsvenue ma lace the noace re uircd under this subdivisioa in the individual incoma tax or ro taz refund <br /> inswcrions instead of on those focros. <br /> Subd.3. Access to data by individual. Upon request W a respocuiblo auchoriry,an individual s6all be iaformed whether he is the subjece <br /> of storcd data on individuals,and whether it is classified as public,private or confidential. Upon his furrher request,an individual who is the svbject <br /> , of storcd private or public data on individuals shall be shown[he data without,any charge to him u�d, if hc desires, shall be informed of the content <br /> and meaning of[hat data. Afu�'an individual has been shown�he priva[e daq and informed of its meaning,the data need aot be disclosed ro him for <br /> siz monehs chereafter unless a dispute or acdoa pucsuant to this secrion is pending or addirional data on the i�ividual 6as been collected or creaced. <br /> The responsible authority shall provide copies of the private or public data upon requese by che individual subject of the data. 'Ihe responsiblc auchoriry <br /> may require the requesdng person to pay the actua!costs of making,cerrifying,and compiling che copies. <br /> Thc rosponsible sud�ority shall comply immediately, if possible, with any request made pursuant to this subdivision,or within five days of <br /> �he date of thc request,excluding Saardays,Sundays and legal holidays,if immediace compliance is not possible. If he cannot comply with the requcsc <br /> wiehin that time,he shall so inform the individual,and tnay have an additional five days within which to comply with the requesc,excluding Saturdays, <br /> Sundays and Icgal holidays. � <br /> Subd.4. Procedure whea data Ls aot accurate or complete. Aa individual may contest the accuracy or completeness of public or priva[c <br /> data conceming himulf. To exer�cise this right,an individual shall notify in writing the responsible authoriry des�ribing the oatute of tho disagoeemen�. <br /> The responsible authoriry shall within 30 days either: (a)correct rhe data found to be inaccurate or incomplete and aaempt to notify pasc recipienu of <br /> inaccurate or incomplete data, including recipients named by the individual;or(b)notify the indi�•idual that he believes the data to be correct. Data <br /> in dispuce shall be disclosed only if thc individual's statement of disagreement is included with the disclosed data. <br /> The determinaaon of the responsible authority may be appealed pursuant to the provisions of che administradve procedure act«ladng �o <br /> contestcd cases. <br /> DATA PRNACY ADVISORY <br /> [n 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 requested. <br /> 2. You may refuse to supply data, but refusal may require that the City deny the pemut br 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 M.S. 13.04 (available upon request) to review private data on youcself. <br /> 6. Your full name is required to process this application or permit. <br /> � S r� � <br /> Firsc Middle� �t ; <br /> ) S'�b ) Z � �. � _ <br /> Address <br /> Y� �' .� � an ��� rv�nJ SS'� �12-�3 z2s 3 <br /> C�ry State ZiP Phone <br /> [ understand rights as stated above. <br /> Signa�ure <br />