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� � � <br /> Sec13.04 RICHTS OF SUBJECTS OF DATA <br /> Subd.1. Type of data. The rights of(ndlvidual on whom t6e data Is stored or to be stored shall be as set fort6 in this section. <br /> Subd.2. Informatlon required to be given individual. An indt�idual asked w supply private or confidential data concerning 6lmseif shall be <br /> informed of: (a)the purpose and intended use of the requested data wtthin the coUecting state agency,pollc;cal subdivision,or statewide rystem;(b) <br /> �shether 6e may refuse or Is legally required to supply the requested data;(c)any knowa consequence arising from his supplying or refusing to supply <br /> private or confidential dats;and(d)the identity of other persons or entities authorized by state or federal law to receive the data This requirement shall <br /> not apply w6en an individual is asked to supply Investigative data,pursuant to section 13.82,subdlvision 5,to a law enforcement officer. <br /> The commissioner of revenue ma lace the notice r utred under this subdivision in the indlvidual income tax or ro e taa refund <br /> instruMions instesd of on those forms. <br /> Subd.3. Access to data by individual. Upon request to a respoasible authority,an individual shall be informed w6ether he is the subjeM of <br /> stored data on(ndividuals,and whether It fs classifted as public,private or confidendal. 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 htm and,if he desires,shall be Informed of the cootent and <br /> maning o[that data. After an individual has been shown the private data aad in[ormed of its meaning,the data need not be disclosed W him for six <br /> mont6s thereafter unless a dispute or action pursuant to this seMion(s pending or additional data on the individual has been collected or created. The <br /> responsible authority shall provide rnpies of the prtvate or publlc data upoo request by the individual subject o[the data.T6e responsible authorlty may <br /> require t6e requestlng person to pay the actual costs of making,certifying,and compiling the copies. <br /> The responsible authority shall comply immediately,if possible,w�ith any request made pursuant to t6is subdivision,or within five days ofthe <br /> date of the request,excluding Saturdays,Sundays and legal holidays,if Immediate rnmpliance is not possible.If 6e cannot comply with the request within <br /> that time,6e shall so inform the individual,and may have an additional five days wit6in whlch to comply with the request,excluding Saturdays,Sundays <br /> and legal holidays. <br /> Subd.4. Procedure w6en data is not accurate or complete. An Indivldual may contest t6e accuracy or compieteness of public or pr(vate data <br /> conceroing himself. To exercise this right,an individual shall notlfy ln writing the responsible aut6orlty describiug the uature of the disagreement. The <br /> rcsponsible authority shaU w(thin 30 days elther: (a)correct the data fouad to be(aaccurate or incomplete and attempt to notify past recipients of <br /> Inaccurate or incomplete data,including reciplents named by the indlvidual;or(b)nodfy t6e iadivtdual that he believes the data to be correct, Data in <br /> dispute shall be disclosed only if the individual's statement of disagreement is included with the dlsclosed data. <br /> T6e determination of t6e responsibie suthority may be appealed pursuant to the provistons of the admialstrative procedure act relating to <br /> rnotested cases. <br /> DATA PRIVACY AD�ZSORY <br /> In accordance with 1�I.S.13.04,Subd.2,"Rights of subjects of data",we would like to inform you that�-our 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�our 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 estent 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�ourself. <br /> 6. Your full name is required to process this application or permit. <br /> First biiddle <br /> Last <br /> Address � <br /> City State <br /> Zip P6one <br /> I understand rpy ights stated a e. <br /> \ <br /> Signature i <br />