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. <br /> � <br /> Sec.13.04 RIGIiTS OF SUBJECTS OF DATA <br /> Subd.1. Type of data. The rights of individual oa whom the data is stored or to be stored shall be as set forth in this secdoa. <br /> Subd.2. Information required to be given individual. An individual asked W supply private or co�dential data concerning himself shail be <br /> informed of: (a)the purpose and intended use of the requested data within the collecting state agency,palitical subdivision,or statewide system;(b) <br /> whet6er he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply <br /> privam or confidenaal data;and(d)the idenvry of other persons or entities authorized by state or federal law to receive the datsi. This requirement shall <br /> not apply when an individual is asked W supply investigative data,pursuant m section 13.82,subdivision 5,w a law enforcement offica. <br /> The commissioner of revenue mav vlace the notice reauired under this subdivision in the individual income tax or oranertv tax reFund <br /> instauctions instead of on those fortns. <br /> Subd.3. Access to data by individual. Upon request to a rosponsible authority,an individual shall be informed whether he is ttte subject of <br /> stared data on individuals,and whether it is classified as public,private or co�fidential. Upon his furt6er request,an individual who is the subject of <br /> sWrcd privau or public daha on individuals shall be shown the data without any charge ro him and,if he desira,shatl be informed of the content and <br /> meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be disctosed to him for six <br /> months thereafter untess a dispute or action pursuant W this section is pending or addidonal data on the individuai has becn collected or created. The <br /> responsible authoriry shall provide copies of the private or public dara upon request by the individual subject of the data. The responsibie authoriry may <br /> require the requesting person W pay the actual cosrs 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 withio five days oFthe <br /> date of the reques4 exctuding 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 addi6onal five days within which to comply with the request,exciuding Saturdays, <br /> Sundays and legai holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individuai may contest the accuracy or completeness of public or privatedata <br /> conceming himsetf.To exercise this right,an individual shall noafy in wriring the cesponsible authority describing the aature oFthe disagreement.The <br /> responsible authority shall within 30 days either: (a)comct the data found ta be inaccurate or inwmplete and attempt W notify past recipients of <br /> inaccurate or inrnmplete data,including recipients named by the individual;or(b)nodFy the individual that he believes the data ro be correct Data in <br /> dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. <br /> The determinadon of the responsible authority may be appealed pursuant to the provisions of the administrative procedure uct relating W <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 furnish 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 <br /> 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 <br /> process the permit or license. <br /> 4. If your requested permit or license requires Council action to approve,some information rnay 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. Y,our Il name is required to process this applicati o per <br /> :.,�,�'l.��UJ�-�'C._ Ql�' <br /> First Middle Last <br /> Addre� <br /> City State Z[p Phone <br /> I unders y rights as stated abov . <br /> Signature <br /> 10 <br />