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t <br /> Sec.13.04 RIGHTS OF SUBJECTS OF DATA <br /> Subd. 1. Type of data. The rights of individual oa whom the data i3 stored or to be stored shall be as set forth in this secrion. <br /> Subd.2. Informadon reqirired to btgivm iadividual. An individual asiced co suPPly private or confidendal data conce�ning himself shall <br /> be informed of: (a)the purpose and iacec�ded use of the cequested data wi@iin the collecdng rtate agency,potidcal subdivision,or stauwide rysum: <br /> (b)whether he may refu;e ot is legally required to supply the requesoed data;(c)any laiown consequence arising from his supplying or retusing to supply <br /> privace or confidential data;and(d)ehe idendry of o[her persons oc enades auchorized by state or fedecal law to roceive the data. This requirement shall <br /> not apply when an individual is uked to supply invesdgadve daa,pursuant to ucdon 13.82, subdivision S, to a law enforcement o�cer. <br /> The commissioner of re�enue mav olace the nodce rewirsd under chis subdivision in the individual income rax or nrovem taz refund <br /> instmctions inscead of on those fomu. � ' <br /> Subd.3. Aceess to data by individual. Upon requesc to a respoasible authority,an individual shall be informed whether he is the subject <br /> of stored daq on individuals,and whe[her it is class�ed as public,private or conflslendal. Upon his further request,an individual who is the subjecc <br /> of stored private or public data on individuals shall be shown the dara wichout any charge to him and;if he desires,shall be informed of the content <br /> and meaning of rhat data. Afur an individual hu been shown che private data and informed of its meaniag,the data need not be disclosed to him for <br /> six months thereafur unless a dispute or action pursuanc w ehis secdon is pending or addiaonal data on the individual has been collecud or croaced. <br /> The respoasible auihoriry shall provide copies of the privarc or public data upon request by the individual subjecc of tiu data. The rosponsible authoriry <br /> may require the requesting person w pay the actual cosu of malcing.cerafying.and cOmP��B��,�pies. . <br /> The responsible aurhoriry shaU comply immediately,if possible,wich any rcque3t made pursuant to this subdivision,or widiin ftve days of <br /> the date of the request,excluding Saairdays.Sundays and legal holidays,if immediace compliance is�t possible. If he cannot comply with the request <br /> wi�hin that time,he shall so inform che individual,and may have an addidoaal 8ve days within which to comply with the request,excluding Saturdays, <br /> Sundays and legal holidays. , <br /> Subd.4. Procedure whea data is not accurate or complete. M individual may contest the accuncy or completeness of public or private <br /> data concerning hirtuelf. To exercise rhis right,an individual shall notify in wridag the respoatible authoriry describing rhe naaire of the disagnement. <br /> The responsibie authoriry shall within 30 days either: (a)correct the data found to be inaccucate or i�omplea and aaempt W nodfy past ncipienu of <br /> inaccurdte or incomplete data, including recipients named by the individual;or(b)notify the iadividual that he believes the data to be correcG Data <br /> in dispute shall be disclosed only if the individual's statemenc of disagreemenc is included with[he disclosed data. <br /> The decerminadon of the responsible auehoriry may be appealed pursuant to[he provisions of the adminisaadve 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 iu departments may require you to furnish certain private or <br /> confidential inforcnation. <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 permit or license. <br /> 4. If your requested pe�mit 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 /> Firsc _ Middle . ' �� <br /> Address _ <br /> City ;:.Sta�e Zip Phone <br /> I e tand my rights as stated above. <br /> � <br /> Signaare <br />