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: , , <br /> Sec.13.04 RIGHTS OF SUBJECTS OF DATA <br /> Subd. 1. Type of data. The rights of individual on whom the data is stored or m be stored shall be as set fo�th in this secdon. <br /> Subd.2. Information req�rired to be givm individual. An individual asked to supply private or confidenaal dars concerning himself shall <br /> be informed of: (a)the purpose and imm�ded use of the requesred data within the collecdng State agency,poGtical subdivision,or statewide system; <br /> (b)wherher he may refuse oY is legatly required to supply rhe requesud data:(c)any irnown consequence arising from his supplying or refusing to supplY <br /> privau or confidential data:and(d)the idendty of other penons or entiaes authorized by state or federai law to receive the data. This requirement s6a11 <br /> not appty when an individual is asked to supply invesrigadve data,pursuant ro secuon 13.82,subdivision 5, to a law enforcement officer. <br /> The commissioner of revenue mav alace the nodce rewired under this subdivision in the individual income tax or urooem taz refund <br /> instructions instead of on those forms. <br /> Subd.3. Access to data by iadividual. Upon request to a responsible authority,an individual shall be informed whether he is the subject <br /> of stored data on individuals,and whether it is classitied as public,private or co�dendal. Upon his further request,an individual who is the subject <br /> of stored private or public data on individuals shall be shown the data without any charge to him and;if he desires,shall be informed of the content <br /> and meaning of that data. After an individual has been shown the privare data and informed of its meaaing,the data need not be disclosed to him for <br /> six months thereafter unless a dispute or acaon punvant to this secdon is pending or addidonal data on the individual has been collecud or crea[ed. <br /> The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority <br /> may require the requesting person ro pay the actual costs of making,certifying,and compiling the copies. <br /> The responsible authoriry shall comply immediately,if possible,with any roquest made pursuant to this subdivision,or within five days of <br /> the date of the request,excluding Saturdays,Sundays and legal holidays,if immediace compliance is not possible. If he cannoc comply with the request <br /> within that time,he shall so inform the individual,and may have an addidonal five days withia which to compiy with the request,excluding Satucdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or compteteness of public or private <br /> data concerning himself. To exercise this right,an individua!shall noafy in writing the responsible authoriry describing the nature of the disagreement. <br /> 'fhe responsibte authoriry shall within 30 days either: (a)correct the data found ro be inaccurate or incomplete and auempt to nodfy past recipienu of <br /> inaccunte or incomplete data,inciuding recipients named by the individual;or(b)notify the individual thae he believes the daca to be correcG Data <br /> in dispute shall be disclosed only if the individual's statemenc of disagreement is included with the disclosed data. <br /> The determinadon of the responsible authoriry may be appealed pursuant w the provisions of the administradve procedure act reladng 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 aze 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 eztent 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 /> Ci a r�l �� M � ✓� l l c�'�-s� � <br /> Fint Middle Last <br /> y� i i `�r �1.� . <br /> Address <br /> (�;,� � �`�- �/�� S� 3� I �o��-�-f 7 ( �Sa- 7 <br /> City State Ztp Phone <br /> I understand my rights as stated above. , <br /> � I /' <br /> -4�-� � � ''�--- <br /> s;g��� � <br />