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Sec.13.04 RIGHTS OF SUBJECTS OF DATA <br /> Subd. l. Type of data. The ri�hts of individual on�vhom the data is stored or to be stored shall be as set forth in this section. <br /> Subd.2. InEonnation required to be given individual. An individual asked to supply private or confidential dataconcerning himselfshall be <br /> informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,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 entities authorized by state or federal law to receive the data TIZis requirement shal I <br /> not apply when an individual is asked to supply investigative data,pursuant ro section 13.82,subdivision 5,to a law enforcement officer. <br /> The commissioner of revenue mayplace the notice required�mder this subdivision in the individual income tax or property tax refiind <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 infonned whether he is the subject of <br /> stored data on individuals,and whether it is classified as public,private or contidential. Upon his fuRher request,an individual who is the subject of <br /> stored private or public data on individuals shall be sho4vn the data withoirt any charge to him and,if he desires,shall be informed ofthe content and <br /> meaning o�tltat�ta.'After an individual has been showsathep rivate+data�nd informed of its meaning,.the data need not be disclosed to him for six <br /> months thereafter unless a dispute or action pursuant to tl`ns se�tion�is pending�r�lditlouaAdata 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 authoriry <br /> may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. <br /> 'fhe responsible authority shal!comply immediately,if possible,with any request made pursuant to this subdivision,or within tive days of <br /> the date of the request,e�cluding Saturdays,Sundays and legal holidays;if immediate compl iance is not possible. If he cannot coinply with the request <br /> �vithin that time,he shal I so inform the individual,and may have an additional tive days within which to comply with the request,exduding Saturdays, <br /> Sundays 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 /> -� •►0oq�erning•hyns�l£•To exercise this right,an indi��l shdll�eti��n writ,ingtla�responsible a�tl�ori�y�le�yn�ii�1�'the nature of the disagreement. The <br /> " responsible authorit'qShall within 30 days eidier: (5)`co'�recL�thedata Coiindto�be i�iacturate or ikcanple�e�and attempt to notify past recipients of <br /> inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data to be correct. Data in <br /> c�seuie rfiall•be el�sclosed only if the:indiXidual's st�tement of disagreeitlCnt;�s'y�ctude �with 4��rli�clos¢d data. <br /> . The determination of the responsible-aud�ority may be appeakd purSttant fo�he proJisio�ls of the administrative procedure act relating to <br /> contested cases. <br /> - �i , 2 � .• ' � . , . , , <br /> .o . , .�! <br /> ' ' ' ` � , . • � • bATfl PR`I�AC�ADVISORY 3 y• • -'- <br /> •� .�� . . . �j t ., t T !. <br /> ! <br /> �•�?�aceordance'lPri�1�.�;;l�:Q�1,`�ubd.2," qt3ofsubj�c�sa�dat''" ' <br /> R'�g � ,�8 tivoald�iil��inform you that your request <br /> for a p�r�nit qr kC�nse�bm the City of Orono or any of its departments tnity reqyir�you to furnish certain private or <br /> confidential infonnation. <br /> You are notified that: <br /> l. The information you furnish will be used to determine your qualification for the permit or license <br /> requested. <br /> 2. You may refuse to supply data,but refusai 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 <br /> process the permit or license. <br /> 4. If your requested permit or license requires Council action to approve, some information may become <br /> � � '�ubKa ' rt y j `� • :�. ' <br /> 5. You have certain rights under M.S. 13.04(available upon request�to�evigw priv.at�d�ta,c�yourself. <br /> 6. Your full name is required to process this application or permit. " �' ' ' <br /> �-:��-�� ' ' �'- C``l t ��-Cr--- . <br /> First Middle LaSt <br /> ^�, <br /> � # '�,..�- <br /> Address <br /> City Statc Zip Phonc <br /> I unders�'an�i mv right�s st�te�Tc above. � �"" .� <br /> '�' ,� �V �t%�.-1C_- � -��✓•'�t..,.� Lt� CL-_ � <br /> ` . <br /> 1 . � <br /> �S gn:�turc <br /> � <br /> Reset Form 32 <br />