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. _ ' <br /> . . . , <br /> Sec.13.04 R[CHTS OF SUBJECTS OF DATA <br /> Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set fo h in this section. <br /> Subd.2. Infonnation requu•ed to be given individual. An individual asked to supply private or confidential da concerning himself shall be <br /> informed of: (a)the purpose and intended use of the requested data within the coliecting state agency,political subdid ion,or statewide system;(b) <br /> whether he may refuse or is legally required to supply the requested data;(c)any lmown consequence arising from his s pplying or refusing to supply <br /> private or confidential data;and(d)the identity of other persons or rntities authorized by state or fede�al law to receive th data. This requirement shall <br /> not apply wh�n an individual is asked to suppiy investigative data,pursuant to section 13.82,subdivision 5,to a law en rcement officer. <br /> e mmi i ne f r v ue lac e n tice uire n er h' u 'v' ' n in the'ndivid 1 i r e efund <br /> inswctions instead of on those forms. <br /> Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be inform whethc•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' ividual 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 e info�med of the content and <br /> meaning of that data. After an individual has been shown the private data and infortned of its meaning,the data need ot 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 een collected or created. The <br /> responsible authority shall provide copies of the private or public data uponrequest by the individual subject of the data. e responsible authority may <br /> require the requesting person to pay the actual costs of making,ceRifying,and compiling the copies. <br /> The responsible authority shall comply immediately,if possible,with any rrquest made pw•suant to this subdi ision,or within five days of the <br /> date of the raquest,excluding Saturdays,Sundays�nd legal holidays,if immediate compliance is not possible. If he not comply with the request <br /> within that time,he shall so infonn the individual,and may have an additional five days within which to comply with th request,excluding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or compl teness of public or private data <br /> conceming himself. To exercise this right,an individual shall notify in writing the responsible authority describing the ture of the disagreement. 'Ihe <br /> responsible authority shaU within 30 days either: (a)correct the data found to be inaccurate or incomplete and atte pt to notify past recipients of <br /> inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that ha believ the data to be wrrect. Data in <br /> dispute shall be disclosed only if the individual's statement of disagree�nent is included with the disclosed data. <br /> The deteimination of the responsibte authority may be appealed pursuant to the provisions of the adminis tive procedure act relating to <br /> contested cases. <br /> DATA PRIVACY ADVISORY <br /> In accordance with M.S. 13.04,Subd.2,"Rights of subjects of data",we would like to in orm you that your request <br /> for a permit or license from the City of Orono or any of its departments may require you to rnish certain private or <br /> confidential information. <br /> You are notified that: <br /> 1. The information you furnish will be used to determine your qualification or the permit or license <br /> requested. <br /> 2. You may refuse to supply data,but refusal may require that the City deny the pernut or license. <br /> 3. The information may be shared with other local, state or federal agencies the extent necessary to <br /> process the pernut 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 rivate data on yourself. <br /> 6. Y r full name 's quired to p c ,sa'�t�s�lication o`.ge� <br /> r�� � <br /> First i dle Last <br /> fS J�. , , <br /> Address � <br /> � ti � � -�ac'� <br /> City St�tc Zip hone <br /> I understand my ri;hts as stated above. <br /> b <br /> Signature <br /> �� <br />