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Sec.13.04 RIGIiTS OF SLJBJECTS OF DATA , <br /> Subd. I. Type of data. The rights of individual oa whom the data is stored or to be swred shall be as set forth in this secaon. ` <br /> Subd.2. Information required to be given individual, pn i�ividual asked to supply private or confidential data concerning himself <br /> shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or sratewide <br /> system;(b)whether he may refuse or is legally required to supply the requesud data;(c)any lmown consequence arising from his supplying or <br /> refusing w supply private or confidendal dara;and(d)the identiry of other persons or enaties aurhorized by sate or federal law to receive die data. <br /> This requirement shall not apply when an individual is asked to supply investigadve data,pursuant to secdon 13.82, subdivision 5, to a law <br /> enforcement officer. <br /> The commissioner of revern�e mav�lace the notice rewired under this��bdivision in the individual income taz or r ertv qx refund <br /> instrucrions mstead of on those forms. <br /> Subd.3. Access to data by indiridual. Upon request to a responsible authoriry,an individual shall be informed whether he is the <br /> subject of stored data on individuals,and whether it is class�ed as public,private or co�dendat. Upon his further request,an individual who <br /> is the subject of stored private or public data on individuals sha11 tk shown the data without any charge to him and,if he desires,shall be informed <br /> of the content and meaning of that data. Aher an individual has been shown the private data and informed of its meaning,the data need not be <br /> disclosed to him for six months thereafter unless a dispute or acaon pursuant w this secaon is pending or addidonal data on the individual has been <br /> collected or creared. The responsible authoriry shall provide copies of the private or public dara upon request by the individual subject of the data. <br /> The responsible au[hority may require[he requesting person to pay the actual cosu of making,certifying,and compiling the copies. <br /> Tha responsible authoriry shall comply imcnediacely,if possible,with any request made pursuant to this subdivision,or within five days <br /> of the dau of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with <br /> the request wichin that time,he shall so inform the individual,and may have an addiaonal five days within which to comply with the request, <br /> excluding Saturdays,Sundays 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 <br /> private data concerning himself. To exercise this right,an individual shall notify in writing the responsible authoriry describing the flature of the <br /> disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and aaempt to notify <br /> past recipie►us of inaccurate or incomplete data,including recipients named by the individual;or(b)noafy the individual that he believes the data <br /> [o be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. <br /> The determina6on of the responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act relating <br /> W 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 <br /> request for a permit or license from the �ity of Orono or any of its departments may require you to fumish certain <br /> private or confidential information. <br /> You are notified that: , <br /> 1. The information you fiimish 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 perm.it or license. <br /> 4. If your requested permit or licease 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 /> First Middle <br /> Last <br /> Address <br /> C�ry Srdte Zip Phone <br /> I understand my rights as stated above. <br /> . <br /> Signature <br /> 6 . , <br />