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j I <br /> 1 • I <br /> Sec.13.04 RIGHT$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 /> Subd.2.Information required to be given individual.An individual asked to supply private or confidential data concerning himself sl�all be <br /> informed oE (a)the purpose and intended use of the requested data within the collecting state ageocy,political subdivision,ot statewide sys�;(b) <br /> whether he may refuSe or is legally required to supply the requested data;(c)any lrnown consequence arising from his supplying or refusing to s pply <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 requiremen{shall <br /> not apply when an individual is asked to supply investigative data,pursuant W section 13.82,subdivision 5,to a law enforcement officer. I <br /> The com�issioner of revenue may place the notice reauired under this subdivision in the individual income tax orpronertv tax _rbfund <br /> instructions instead qf on those forms. <br /> Subd.3./�ccess to data by individual.Upon request to a responsible suthority,an individual shall be informed whether he is the subj t of <br /> stored data on indivi�uals,and whether it is classified as publiq private or confidential.Upon his further tequest,an individual who is the subj�t of <br /> stored private or public data on individuais shall be shown the data without any charge to him and,if he desires,shall be inforrrted of the conte t and <br /> meaning of that data.,After an individual has been shown the private data and informed of its meaning,the data need not be disclosed co him f�r si�c <br /> months thereafter unless a dispute or action pwsuant 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. The responsible autt�ority <br /> may require the requgsting person to pay the actual costs of making,certifying,and compiling the copies. <br /> The respa�nsible authority shall comply immediately,ifpossible,with any request made pursuant to this subdivision,or within five ys of <br /> the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible.If he cannot comply with the uest <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 Sa ys, <br /> Sundays and legal halidays. <br /> Subd.4.Procedure when data is not accurate or complete.An individual may contest ihe accuracy or compleceness of public or priva�data <br /> concerning himself.'�o exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disageementJ The <br /> responsible suthority shall wit6in 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipie ts of <br /> inaccurate or incomplete data,including recipieats named by the individuai;ot(b)nodfy the individual that he believes the data to be co►rect.D,ta in <br /> dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. I <br /> The deternvnation of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to <br /> contested cases. <br /> DATA PRIVACY ADVISORY <br /> In accordan�e with M.S.13.04,Subd.2,"Rights of subjects of data",we would like to inform you that your req�est <br /> for a permit or li�ense from the City of Orono or any of its departments may require you to furnish certain privat�or <br /> confidential info�nation. <br /> You are notified that: <br /> 1. The information you furnish will be used to determine your qualification for the permit or lice�se <br /> rec�uested. <br /> 2. Ydu may refuse to supply data,but refusal may require that the City deny the permit or license. <br /> 3. Th� information may be shared with other local, state or federal agencies to the extent necessar}�to <br /> pr cess the permit or license. <br /> 4. If}�our requested permit or license requires Council action to approve,some information may becolme <br /> pul�lic. <br /> 5. Yoµhave certain rights under M.S. 13.04(available upon request)to review private data on yourse f. <br /> 6. Your full name is required to process this application or permit. <br /> �o � <br /> First tddle Lsst <br /> N � <br /> Address <br /> � �t.•t/ �o Z- _� <br /> City State Zip P6one <br /> I understand my'',rights as stated above. <br /> Sig ature <br /> i 32 <br />