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Sec.13.04 RIGH'TS OF S[TBJECTS OF DATA <br /> Subd. i. Type of data. The rights of individual on whom the data is stoced or to be stored shall be as set farth in this section. <br /> Subd.2. Information reqiared to be given iadividual. An individual asked to supply private or confidential data concerning himself shall <br /> be informed of: (a)the purpose and intended nse of the requesred dara within the collecang§tate agency,political subdivision,or statewide sysum; <br /> (b)whether he may refuse oY is legaily required to supply the mquested data;(c)aay known coasequence arising from his supplying or refusing to supply <br /> priva[e or confidenual data;and(d)the idenriry of other persons or enaties authorized by state or federel law to receive the data. This requirement shall <br /> not apply when an individuai is asked to supply invesrigaave data,pursuant to secrion 13.82,subdivision 5,to a law enforeement officer. <br /> The commissioner of re�enue mav alace the nodce rewired under this subdivision in the individual income rax or Droperc�+tax refund <br /> instmctions instead of on those forms. <br /> Subd.3. Aecess to data by individual. Upon requesc co a rospoasible authority,an individual shall be informed whether he is the subject <br /> of swred data on individuals,and whe[her it is ciass�ed as public, private or co�dential. Upon his further request,an individual who is the subject <br /> of stored private or public data on individuats shall be shown the data without any charge to him and;if he desires,shall be informed of the content <br /> and meaning of chat data. After an individual has been shown[he private 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 co this secdon is pending or addidonal data on the iadividual has been coltected or created. <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 requesang person to pay the actual cos[s of making,certifying,and compIling the copies. <br /> The responsible authority shall comply immediately, if possible,wi[h any request made pursuant to this subdivision,or within five days of <br /> the date of the request,exciuding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request <br /> within that time,he shall so inform the individual,and may have an addidonal five days within which to comply with the request,exctuding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An mdividuai may contest the accuracy or completeness of public or private <br /> data conceming himsetf. To exercise this right,an individual shall nodfy in wridng the responsible authority describing ct►e nature of the disagreement. <br /> The responsible authoriry shall within 30 days either: (a)correct the dara found to be inaccurate or incomplete and attempt to noafy past recipienu of <br /> inaccurate or incomplete data, including recipients named by the individual;or(b)notify the individual that he believes the data to be correcc. Data <br /> in dispute shall be disclosed only if the individual's statement of disagreement is included with the disc(osed dara. <br /> The determinarion of the responsible authoriry may be appealed pursuant to the provisions of the administradve procedure act relating 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 Ciry 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 fumish 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 /> �/,�'� �a�,�./ �/1S.�-�-g <br /> First �--, n' I Middle � � Last <br /> �6 n ��x� }'f� � � <br /> Add ss � � �� j� � C,p�` /�/� l <br /> C� <br /> Clty State Zip Phone <br /> I unde d my rigl�ts ated abo . <br /> . � <br />