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f . � <br /> Sec.13.04 RIGHTS OF SUBJECTS OF DATA <br /> Subd.1. Type of data. Thc rights of individuat 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 coniidential data concerning himself shall be <br /> informed of: (a)the purpose and intended use of thc requested data within the collecting state agency,political subdivlsion,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 data;and(d)the identity of other persons or entitles authorized by state or federal law to recelve the data.This requirement shall <br /> not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a Iaw enforcement otCcer. <br /> The rnmmissioner of revenue mav ulace the notice reauired under thls subdivision in the individual income tax or oropertv tax refund <br /> instructions instead of on those forms. <br /> Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject of <br /> stored data on individuals,and whether it is classified as public,private or conTidential. 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,it he desires,shall be informed of the content and <br /> meaoing of that data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to hIm for six <br /> months thereaftcr 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 provlde copies o[the private or public data upon request by the individual subject of the data.The responsible authorlty may <br /> require the requesting person to pay the actual costs of making,certifying,and complling the copies. <br /> The responsible authorlty shall comply immediately,if possible,with any request made pursuant to this subdivision,or within eve days ofthe <br /> date of the 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 inform the individual,and may have an additional Tive days wlthin which to comply with the request,excluding Saturdays,Sundays <br /> and legal holidays. <br /> Subd.4. Procedure when datu is not accurate or complete. An individuai may contest the accuracy or completeness of public or private data <br /> concerning himself. To exercise this right,an individual shall notify in writing the responsible suthority describtng the nature o(the disagreemenG The <br /> responsible authority shall within 30 days either: (a)correct the data found to bc lnaccuratc or incomplete and attempt to notity past recipients of <br /> inaccurate or inwmplete data,including recipients named by the individual;or(b)notity the individual that he believes the data to be rnrrect. Data in <br /> dispute sha0 be disclosed only if the individual's statement of disagreement is included with the disclosed data. <br /> The determination of thc responsiblc authority may be appealed pursuant to the provisio�s of the administrative 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 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 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 M.S.13.04(available upon request)to review private data on yourself. <br /> 6. Your full name is required to process this application or permit. <br /> First Middle Last <br /> Address <br /> City State Zip Phone <br /> I understand my rights as stated above. <br /> Signature . <br />