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Sec,13,04 RIGHTS OF SUBJECTS OF DATA <br /> Subd. 1. Type of data. The righ[s of individual 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 confidential data conceming hin�self shall be <br /> informed of: (a)the purpose and intended use of the requesced data within the collecting state agency,political subdivision,or statewide syscem;(b) <br /> whether he may refitse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusino to supply <br /> private or confidzntial daca;and(d)the identity of other persons or entities authorized by state or federal law to receive the daia.This requi�ement shall <br /> not apply when an individual is asked to supp(y investigative da[a,pursuant to section 13.32,subdivision 5,to a law enforcement officer, <br /> The commissioner of revenue mav�11ce the notice required under this subdivision in the individual income ta�or pronertv ta�refund <br /> instn!ctions instead of on those ferms. <br /> Subd.3. Access[o data by individual. Upon reques[to a responsible authority,an individuzl shall be informed whether he is the subject of <br /> stored data on individuals,.and whether it is classified as public,private or confidential, Upon his fur[her request,an individua(who is the subject oi <br /> � stored private or public data on individuals shall be shown the data witllout any charge to him and,if he desires,shall be informed of[he conten[and <br /> meaning of that data. After an individua]has been shown the pnvate data and informed of its meaning,the data need not be disclosed to him for sis <br /> months thereafter unless a dispute or action pursuant co this section is pending or addicional data on the individua!has been collected or created. The <br /> responsible auchority shal!provide copies of the private or pubGc data upon request by the individual subject of the d2ta. The responsible authority <br /> may require the requesting person to pay the actval coscs of makiag,certirying,and compiling the copies. <br /> The responsible authonty shail comply immediately,ifpossi6le,wifh any request made pursuant to this subdivision,OC Wl:IIIR fi`.'c"�3V5 OF <br /> the date of the request,e�cluding Sa[urdays,5undays and legal holidays,if immediate compliance is not possible. If he cannot comp!y with the request <br /> within that[ime,he shall so iniorm the individual,and may have an addi[ional five days widlin which to complywith che request,excluding Sacurdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedurewhen daca is not accurate or comp!ete. An individua!may contest the accuracy or comple[eness ofpublic orprivate da[a <br /> conceming himsel£ To exercise this right,an individual shall notify in wiiting the responsible authonty descnbing the nature of the disagreement.The <br /> responsible au[honry shall within 30 days either: (a)con•ect the data found to be inaccurate or incomplete and at[empt to notify past recipients o` <br /> inaccuratc or incomplete data,including recipients named by the individual;or(b)notify the individual!hat he believes the datz to be correct. Da[a in <br /> dispute shall be disclosed only if the individual's siatement of disagceeme�[is includzd with the disclosed data. <br /> The determinat;on of the responsible authority may be appealed pursuanc to thz provisions of the administrative procedure act relacing to <br /> contested cases. <br /> DATA PRIVACY AD�'ISORY <br /> In accordance with M.S. 13.04,5ubd.2;"Rights of subjects of data",we would like to infoim you that your request <br /> for a permit or license from the City of Orono or any of its departments may require you to fumish 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 pemzit or Iicense <br /> requested. <br /> 2. You may refuse to supply data,but refusal may require that the City deny the pe:mit or license. <br /> 3. The infor.nation may be sha-ed with other 1oca1, state or federal agencies to the extent necessary to <br /> process the pemiit or license. <br /> 4. If��our requested permit or license requires Council action to approve, some infornlation may become <br /> public. <br /> �. You have certain rights under M.S. 13.04(available upon request) to:eview private data on yourself. <br /> 6. Y our full name is required to process this applicatien or permit. <br /> �� � �n�. � � <br /> c � ;��,_� �,r,,�,, ,� <br /> First t�Iiddle Last <br /> �O � � L-L,���J v� C_�-uvV►-- — <br /> Address <br /> Z��� ��� 5�3��`( i�:� - �� � 1 , �5'`� <br /> C�ty State Zip Phone ��_�- r 3,(��.-� �J� <br /> i understand m`�rights as stac� bove�:,, � ��! <br /> „`=R �--�_ <br /> Si�nature ` <br /> 32 <br />