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_ _� <br /> Sea13.04 RIGH'I'S OF SUBJECTS OF DATA � ' <br /> Subd.1. Type of data. The rights of(ndlv(dual oo whom t6e data is stored or to be stored shall be as set forth in t6is section. <br /> Subd.2. Information requlred to be givea Individual. An indi�idual asked to supply private or confidential data conceming himgelf shall be <br /> Informed oL• (a)the purpose and intended use oi t6e requested data wit6in the co0ecting state agency,polltical subdivision,or statewide system;(b) <br /> wdether he may refuse or is legally reqeired to supply the requested data;(c)any known consequence arising from 6is supplying or refusing to suPp�v <br /> private or contidential data;and(d)the(dentity of other persons or eotities authorized by state or federal law to rece(�•e t6e data.This requirement shall <br /> not apply when an indlvidual is asked to supply investigative data,pursuant to sectioo 13.82,subdivision 5,to a law enforcement officer. <br /> The commissioner of revenue ma lace the notice re uired under this subdivision in the lndividual inrnme taz or ro ertv tas reCund <br /> instructions instead of on those forms. <br /> Subd.3. Access to data by individual. Upon request to a responsibie authority,an Individual shaU be inCormed whether he is the subject of <br /> stored data on individuals,and whether it Is classitied as public,private or rnnPdential. Upon 6is further request,an Individual who is the subject of <br /> stored private or pubilc data on Indivlduals 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 indlvidual has beeo shown the private data and in[ormed of Its meaning,t6e data need not be disclosed to him for stz <br /> months thereafter unless a dispute or action pursuant to thls section Is pending or additional data on the individual 6as been collected or created. The <br /> responsible suthority shall provide copies of the private or public data upoo request by the Iodlvidual subject of the data. T6e responsible authorhy may <br /> requlre t6e requesting person to pay the actual costs of making,certifying,and compiling the copies. <br /> The responsible authority shall rnmply immediately,if possibie,w�ith any request made pursuant to t6ls subdivision,or Hithin five da}�s of the <br /> date of the request,excluding Saturdays,Sundays and legal holldays,if immediate compllance Is not possible.If 6e annot compi}•wit6 the request within <br /> that time,he shall so inform the individual,and may have an additional five days within whic6 to rnmply with the request,excluding Saturdays,Sundays <br /> 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 /> rnncerning himself. To exercise this right,an 1ndlvidual shall notify in wridng the responstble authorlty describing the nature of the disagreemeo�The <br /> responsible authority shall within 30 days e(ther: (a)correct the data found to be inaccurate or incomplete and attempt to notify put recipients of <br /> inaccurate or Incomplete data,including reciptents named by the ind(vldual;or(b)noafy t6e individual that he beUeves the data to be correct Data in <br /> dlspute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. <br /> The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to <br /> contested cases. <br /> DATA PRIVACY AD�ZSORY <br /> In accordance with NI.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 suppiy 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 necessarn 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 /> pubiic. <br /> 5. You have certain rights under NI.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 /> Flrst �Iiddle Last <br /> Address <br /> C�ty State <br /> ZjP Phone <br /> I understa my rights as stated above. <br /> Si nature <br />