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� <br /> r <br /> Sec.13.04 RIGHTS OF SLJB.fECTS OF DATA � <br /> Subd. 1. Type of data. The righ[s of individual on whom[he data is stored or to be stored shall be as set forth in this secrion. <br /> Subd.2. Information reqirired to be given individual. An individual asked to supply private or co�denrial data conceming himseif shall <br /> be informed of: (a)the purpose and iatended use of the cequested data wichia the collecang�tate agency,polidcai subdivision,or statewide sysum; <br /> (b)whether he may refuse oY is legally required to supply the requested data;(c)any irnown consequence arising from his supplying or refusing to supply <br /> privace or confidendal data;and(d)the idenriry of other penons or enriaes au[horized by state or federal taw to receive the data. This requiremenc s6a11 <br /> noc apply when an individual is asked to supply invesdgadve dara, pursuant to section 13.82,subdivision 5, to a law enforcement o�cer. <br /> The commissioner of revenue mav place the notice reauired under this subdivision in the individual income tax or propem tax refund <br /> insttucdons inscead of on those forms. <br /> Subd.3. Access to data by individual. Upon requesc to a responsible authority,an individual shall be informed whether he is the subject <br /> of stored data on individuals,and whe[her it is classified as public,private or confidendal. Upon lus further request,an individual who is the subjecc <br /> of stored private or pub(ic data on individuals shall be shown rhe data wi[hout any charge to him and,-if he desires, shall be informed of the content <br /> and meaning of�hat data. Aher an individual has been shown the privace data and informed of its meaning,the data need not be disclosed to him for <br /> six months thereafter unless a dispute or acdon pursuant to chis secdon is pending or addidonal data on the individual has been collected or created. <br /> The rosponsibie authoriry shall provide copies of the private or public data upon request by the individual subjecc of the data. The responsible au[horiry <br /> may require the requesting person to pay[he actual costs of making,certifying,and compiling the copies. <br /> The responsible authoriry shall comply immediately,if possible, with any request made pursuant to this subdivision,or within five days of <br /> the date of che request,exctuding Saturdays,Sundays and legal holidays,if immediate compliance is noc possible. If he cannoc comply with the requesc <br /> within that time,he shall so inform che individual,and may have an addidonal five days within which to comply with the request,excluding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or compiete. An individual may contest the accuracy or completeness of public or private <br /> data concerning himself. To exercise this right,an individual shal!nodfy in writing the responsible authority describing the nature of the disagreement. <br /> The responsibte authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomp(ete and attempt to nodfy past recipienu of <br /> inaccurate or incomptete data, including recipients named by[he individual;or(b)noafy the individual thac he believes the data to be correct. Data <br /> in dispute shali be disclosed only if the individual's statemenc of disagreement is inciuded wich[he disclosed data. <br /> The determinadon of the responsible au[hority may be appealed pursuanc to the provisions of the administradve procedure act relaring 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 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 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 extent necessary to process <br /> the percnit 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 /> X,�377�,P�11 7"l ,�h ifD�� <br /> Firsc Middie Lasc <br /> Address �� / /� v <br /> ��. L/ Z/ .1/ � <br /> Ciry State Zip hone <br /> I understand my rights as scated above. <br /> Signam <br />