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. <br /> Sec.13,04 RIGHTS OF SUBJECTS OF DATA <br /> Subd. l. 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 /> 5ubd.2. Information required to be given individual.An 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 within the collecting state agency,political subdivision,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 daca;and(d)the identity of other persons or entities authorized by state or federai law to receive the data.This requirement shall <br /> not apply when an individual is asked to supply investigative data,pursuant to section 13.32,subdivision 5,to a law enforcement officer. <br /> The commissioner of revenue mav nlace the notice required under this subdivision in the individual income taY o�ro�ertv tax refund <br /> instn.tetions instead of on those forms. <br /> Subd.3. Access to data by individuaL Upon request to a responsi6le authority,an individuzl shall be informed n�hether he is the subject of <br /> stored data on individuals,.and whether it is classified as public,private or confidential. 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 informed of the content and <br /> meaning of that data. After an individual has been shown the privafe data and informed of its meaning,the data need not be disclosed to him for six <br /> months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collec[ed or created. The <br /> responsible authority shall provide copies of the pnvate or public data upon request by the individual subject of the data. The responsible authonty <br /> may require the requesting person to pay[he actual costs of making,certifying,and compiling the copies. <br /> The responsiole au[hority shall comply immediately,if possible,with any request made pursuant to[his subdivision,onvithin five days of <br /> the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible.If he cannot comply wi[h the request <br /> within that time,he shall so inform the individual,and may have an additional five days wi[hin which to compty with the request,exctuding Sacucdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure�vhen data is noc accurate or complete. An individual may contest che accuracy or completeness of public or piivate data <br /> conceming himsel£To exercise this right,an individual shall no:ify in wiiting the respon;ible authonty describing the nature of the disagreement. The <br /> responsible authoriry shall within 30 days eithec (a)con�ect the data found to be inaccurate or incomple[e and attempt to notify past recipients of <br /> inaccuratc or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data to be correct. Data ie <br /> dispute shall be disclosed onfy if the indiv;dual's statement of disagreement is included with the disclosed data. <br /> The determination of[he responsible authority may be appealed pursuant to the provisions of the administrative procedure act rela[ing to <br /> contested cases. <br /> DATA PRIVACY'ADVISORY <br /> In accordance with M.S. 13.04,5ubd.2,"Rights of subj ects 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 deternune your qualification for the pem�i; or license <br /> requested. <br /> 2. You may refuse to supply data,but refusal may require that the City deny the permit or Iicense. <br /> 3. The information may be shared with other local, state or federal agencies to the extent necessary to <br /> process the pernlit or license. <br /> 4. If your requested permit o:license requires Council action to approve, some infomiation may become <br /> public. <br /> 5. You have certain rights under M.S. 13.04(available upon request)to revie`v private data on yourself. <br /> 6. Your full name is required to process this application or p�nnit. <br /> �' �o��—l�il�,� ��� �1.��� <br /> First Middle Last <br /> 3�a-�� �1�c�l�s G1it�-Cl ���. <br /> Address <br /> c����u z 1�L1,� ,��3��r� ��a- �7��l�i <br /> C�ty State Zip Phone <br /> I understand my rights as stated above. <br /> Signature <br /> 32 <br />