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�� <br /> Sec.13.04 RIGHTS OF SUBJECTS OF DATA <br /> Subd.1. Type of data. The rights oC individual on whom the data is stured or to be stored shail be as set forth in this section. <br /> Subd.2. Information required to be given individual. An individual asl-ed to supply pri�•ate or con£dential data rnncerning himself shall be <br /> informed of: (a)the purpose and intended use of the requested data within the collectia,g state agency,political subdivision,or statewide system;(b) <br /> whether he may refuse or is legally required to supply the requested data;(c)an��l-nowa consequence arising from his suppl�iog or re(using to supply <br /> private or confidential data;and(d)the identity otother persons or entities authoraed b}-state or federal law to receive the data. This requirement shall <br /> not apply when an individual is asked to supply investigative data,pursuant to semon 1��2,subdivision 5,to a law enforcement officer. <br /> The commissioner of revenue mav nlace the notice reaaired under this sub�isision in the individual income tat or orooertv ta�c refund <br /> instructions mstead of on those forms. <br /> Subd.3. Access to data by individual. Upon request to a responsible aothoritc,an individual shall be informed N hether he is the subject of <br /> stored data on individuals,and whether it is classified as public,prn ate or confdential. L-pon his further request,an indicidual who is the subject of <br /> stored private or public data an individuals shall be shown the data withaut an}-charge�o him and,if he desires,shail be inCormed o(the content and <br /> meaning oC that data. Atter an individual has been shown the pri�ate data and informed of its meaning,the data need not be disclosed to him for sIx <br /> months therea[ter unless a dispute or action pursuant to this section is pending or additional data on the Individual has been coilected or created. The <br /> responsible authority shall provide copies o[the private or pub(ic data upon request by the individual subject of the data.T6e responsible authority may <br /> require the requesting person to pay the actual costs of mal:ing,cerq[ying,and compilin�tbe copies. <br /> The responsible authority shall comply immediately,i[possibie,with an�-requtst made pursuant to this subdivision,or within five days of the <br /> date of the request,excluding Saturdnys,Sundays and legal holida�s if immediate mmplixnce is not possible.If he cannot comply with the request within <br /> that time,he shall so intorm the individual,and may have an additiooal five days h ichin w hich to comply with the request,excluding Saturdays,Sundays <br /> and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individual may-contest the accuracy or completeness of public or private data <br /> concerning himselC. To ezercise this right,an individual shall notif�in writing the respoav'ble authority describing the nature of the disagreement.The <br /> responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of <br /> inaccurate or incomplete data,including recipients named by the individual;or(b)notif�-the individual that he believes the data to be correcL Data in <br /> dispute shall be disclosed only if the individual's statement of disaereement is(nduded�.ith the disclosed data. <br /> The determination of the responsible authority may be appealed pursuant to the provisions of the administratice procedure act relating to <br /> contested cases. <br /> DATA PRIVACY AD�ZSORY <br /> In accordance�vith M.S.13.04,Subd.2,"Rights oisubjects of data",we would like to inform}-ou that your request <br /> for a permit or license from the City of Orono or an}�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 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 eatent necessary to process <br /> the permit or license. <br /> 4. If your requested permit or license requires Council acuon to approve, some information may become <br /> public. <br /> 5. You have certain rights under M.S. 13.0-3(available upon request)to review private data on yourself. <br /> 6. Your full name is required to process this app(ication or permit. <br /> � <br /> :��� � . <br /> First Middle Last <br /> Address <br /> C�ty State Zip Phone <br /> I understa as tated above. . <br /> �,�,,_..._ <br /> � � v.__�_ _�_______�� . <br /> Signa[ure <br />