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� � <br /> , � <br /> Sec.13.04 RIGHTSOFSUBJECTSOFDATA <br /> Subdivrsion 1. Type ojdatra The rights of individual on whom the data is stored or to be stored shall be as set forth in this section. <br /> Subd.2. InjarmaHon requlred to be given individuaL An individual asked to supply privaJe or conftdentia!data concerning himselj <br /> shal!be informed of. (a)the purpose and intended use of the requested dara within the collecting state agency,political subdivision,or statewide <br /> system;(6J whether he may refuse or is legally required to supply!he requested data;(c)arry/rnown consequence arising from his supplyrng or <br /> refusing to supplyprrvate or confulextial data;and(d)the identity of other persorrs or entities authorized by state or federal law to receive the data. <br /> This�equirement shal!not apply ivhen an individual is asked to supply imestigative data,pursuant to sectiox/3.82, subdivrston S, to a law <br /> enforcement offrcen <br /> The commrssioner ofrevenue mav nlace the notice reouired under this subdivision in lhe individual income tax or nronertv tax refund <br /> instructions instead of on those forms. <br /> Subd.3. Access to data by individuaL Upon request to a responsible authority,an individual shall be injormed whether he is the subject <br /> of stored data on indrviduals,and whether it rs classified as public,private or confidential. Upon his further request,an individual who rs the <br /> subject of stored private or public data on individuals shall be shown the data without arry charge to him and,if he desires,shall be informed of <br /> the content and meanrng of that data. After an individual has been shown the private dala and rnformed af its meaning, the data need not be <br /> disclosed to him jor six months thereafter unless a dispute or action pursuant to this section is pending or additiona[dctta on the individual has <br /> been collected or created. The responsible authority sha11 provide copies ojthe private or public data upon request by the individual subject of <br /> the data. The responsible authority may require the requesting person to pay the actual costs of making,cert�ing,and compi[ing the copies. <br /> The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days <br /> of�he date oJthe request,excluding Saturdays,Sundays and lega!holydays,rf immediale compliance is not possible. 1,f he cannot comply with!he <br /> request within that time,he shall so rnform the indrvidual,and rr�ay have an additronal five days within whrch to comply with the request,excluding <br /> Saturdays,Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accutate or complete An individua!may contest the accuracy or completexess ofpublic or private <br /> data concerning himselJ. To exercise lhis right, an individual shal[not�in writing!he responsible authority describrng the nature of the <br /> disagreement. The responsible authority shall within 30 days either: (a)correct the datafound to be inaccurate or incomplete and attempt to not� <br /> past recipients of rnaccurate or incomplete data,includrng recipients named by the individual;or(b)not�the individual that he believes the dala <br /> to be correct. Data in dispute shall be disclosed only rf the individual's statement of disagreement is included with the drsclosed data. <br /> The determination of the responsible authority may be appealed pursuant to the provisions of the administrative proceduse act relating <br /> to contested cases. <br /> DATA PRIVACYADVISORY <br /> InaccordancewithM.S.13.04,Subd.2,"RightsoJsubjectsofdata"wewouldliketoinformyouthatyourrequestforapermitorlicense <br /> from the City of Orono or arry of its departments may require you to furnish certain prrvate or confrdential information. <br /> You me notified that: <br /> 1. The information you furnish wil!be used to determine your qualifecation for the permit or license requested. <br /> 2. You may refuse to se�pply data,but refusal may requrre that the City deny the permit or licerrse. <br /> 3. The information may be shared with other local,state or federal agencies to the extent necessary to process the permit or <br /> license. <br /> 4. If your requested permit or licerrse requires Councrl actron to approve,some infosmation may become public. <br /> 5. You have certain rights under M.S.13.04(see following page)to review private data on yourself. <br /> 6. Your full name is required to process this application or permit. <br /> PLEASE PRINT <br /> First Mrddle Last <br /> Address <br /> City State Zip Phone <br /> I undesstand my rights as stated above. <br /> Signalure <br /> 10 <br />