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. l I <br /> Sec.13.04 RIGHTS OF SUBJECTS OE DATA <br /> Subd.1. Type of data. Thc rights of individual on whom thc data is stored or to bc stored shall be as set forth in this sectidn. <br /> Subd.2. Information required to be given individual. An individual asked to supply private or confidential data concerning qimselCshall be <br /> informed oL• (a)the purpose and intended use of the requested data within the coliccting state agency,political subdivision,or statewide system;(b) <br /> whether he may refuse or is Iegally requircd to supply the requcsted data;(c)any known consequcnce arising from his supplying or refusing to supply <br /> private or confidential data;and(d)the identity of other persons or entities authorized by state or federal larv to receive the data. This requirement shali <br /> not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law entorcement ofecer. <br /> The commissioner of revenuc mav nlacc the notice repuired under this subdivision in the individual income tax or oropertv tax reFund <br /> instructions instead of on thosc forms. <br /> Subd.3. Access to data b}�individual. Upon request to a responsible authority,an individual shall be informed whether he is the subjcct o( <br /> stored data on individuals,and whether it is dassified as public,private or contidentiaL Upon his turther 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 thc content and <br /> mcaning of that data. ACter an individual has becn shown thc private data and informed o[its meaning,thc 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 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. Thc responsible authority may <br /> require the requesting person to pay the actual costs of making,certi[ying,and compiling the copies. <br /> Thc responsiblc authority shall comply immediatcly,i!possible,with any request made pursuant to this suUdivision,or within fivc days of the <br /> date otthe request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request within <br /> that time,he shall so inCorm the individual,and may have an additional five days within which to compl}'with the request,excluding Saturdays,Sundays <br /> and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private data <br /> concerning himselL To ezercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement. Thc <br /> responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of <br /> inaccurate or incomplete data,including recipients named by the individual;or(b)noti(y the individual that he belicves the data to be correct. Aata in <br /> dispute shall be disclosed only if the individual's statement o(disagreement is included with the disclosed data. <br /> The determination of the responsible authority may bc appealed pursuant to thc provisions of the administrative procedure act relating to <br /> contested cnses. <br /> DATA PRIVACY ADVISORY <br /> In accordance���ith 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 /> confdential information. <br /> You are notified that: <br /> 1. The information you furnish�vill be used to deternune your qualitication for tlie 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 extent 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 1VI.S. 13.04 (available upon request)to review private data on yourself. <br /> 6. our full name is required to rocess tl�is ap li ion or ernut. <br /> r <br /> First N iddlc Last <br /> � � ��. <br /> Address^� <br /> ��J �' <br /> City State Zip Phone <br /> I understand my rights as stated a ove. � � -� <br /> Signature <br />