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e <br /> Sec.13.04 RIGHTS OF SUBJECTS OF DATA <br /> Subd.1. Type of data. The rights ot individual on whom the data is stored or to be stored shall be as set torth in this section. <br /> Subd.2. informatton requtred to be given indivldual. An individual asked to supply private or confldential data concerntng himself shall be <br /> informed of: (a)the purpose and intended use of the 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 trom his supplying or refusing to supply <br /> private or contidential data;and(d)the identity of other persons or entitfes suthorized by state or federal law to receive the data. This requirement shall <br /> not apply when an individual fs asked to supply investfgative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. <br /> The rnmmissioner of revenue mav olace the notice reauired under this subdivision in the individual income tax or orooertv tax refund <br /> instructions(nstead 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 tt is classified ss public,private or contldential. Upon his further request,an indiv[dusl who is the subject of <br /> stored private or publlc 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 privste data and informed of tts meaning,the data need not be disclosed to him for six <br /> months thereafter unless a dfspute or actton 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 pub8c data upon request by the indlvidual subject of the data.The responstbte authortty may <br /> require the requesting person to pay the actuat costs ot making,certitytng,and compiling the copies. <br /> The responsible suthority shall rnmply immediately,if possible,with any request made pursuant to this subdivision,or within flve days ofthe <br /> date otthe request,excluding Ssturdays,Sundays and legal holldays,if immediate compliance is not possible.If he csnnot comply with the requestwithin <br /> that time,he shall so inform the individual,and may have an additional tive days within which to comply with the request,excluding Saturdays,Sundays <br /> and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individusl may contest the accuracy or completeness of public or private data <br /> concerning 61mse1L To exerclse this right,an individuai shall notify in writing the responsible suthority describing the nature of the disagreement.The <br /> responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients ot <br /> inaccurate or incomplete data,including recipients named by the individual;or(b)notify the indlvidual that he believes the dats to be correct. Data in <br /> dispute ahall be disclosed only if the Indlvldual's statement of disagrecment is included with the disclosed data. <br /> The determination of the responsible suthority may be appealed pursuant to the provisions 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 /> �a � � <br /> Address <br /> City State Zip Phone <br /> I understa y rights as stated above. <br /> n <br /> Sign ture <br />