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_ � � <br /> Sec.13.04 RIGHTS OF S[JBJECTS OF DATA <br /> Subd. 1. Type of data. The righcs of individual on whom[he data is stored or to be stored shall be as set forth in this secdon. <br /> Subd.2. Information reqidred to be givea individual. An individual asked w suppty private or confidendal data concerning himself shall <br /> be informed of: (a)the purpose and inunded use of the requested data within the collecting Ytate agency,polidcal subdivision,or statewide system; <br /> (b)whether he may refuse or is legally roquired to supply the requesud data;(c)any lmown consequence arising from his supplying or nfusing to supply <br /> � private or confidcndal data;and(d)[he idendry of other persons or endties authorized by state or federal law to receive the data. This requirement shall <br /> not apply when an individual is asked to supply invesdgadve data,pursuant to secdon 13.82, subdivision 5,to a law enforcement officer. <br /> The commissioner of revenue mav place the nodce required under this subdivision in the individual income tax or aropertv tax refund <br /> instrucrions instead of on those forms. <br /> Subd.3. Access to data by individual. Upon request to a responsible au[hority,an individual shall be informed whecher he is the subject <br /> of storod data on individuais,and whether it is classified as public,private or confidential. Upon his furrher request,an individual who is the subjecc <br /> of srored private or public data on individuals shall be shown the data wi[hout any charge to him and;if he desires, shall be informed of the content <br /> and meaning of that data. After an individual has been shown the private data and informed of ics meaning,the data need not be disclosed to him for <br /> siz months thereafter unless a dispute or action pursuant to this secdon is pending or addidonal data on the individual has been collected or creaced. <br /> The responsible authority shall provide copies of the private or pubiic data upon request by the individual subject of the data. T'he responsible authoriry <br /> may requiro the requesdng person to pay the actual costs of making,cerdfying,and compiling the copies. <br /> The responsible authoriry shall comply immedia[ely,if possible,with any request made pursuant to this subdivision,or within five days of <br /> the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compiiance is not possible. If he cannot comply with the request <br /> within that time,he shall so inform the individual,and may have an addidonal five days within which to comply with ttte request,excluding Saturdays, <br /> � Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individual may conrest the accuracy or compleuness of public or private <br /> data concerning himself. To exercise this right,an individual shall nocify in writing the rosponsible authoriry describing the naturo of the disagreement. <br /> The responsible authoriry shall within 30 days either: (a)correcc[he data found to be inaccurate or incomplete and attempt to norify past recipienu of <br /> inaccurate or incomplete data, including recipients named by the individual;or(b)noafy the individual that he believes the dara to be correct. Data <br /> in dispute shall be disclosed only if the individual's statemenc of disagreement is included with the disclosed data. <br /> The determinarion of the responsible authoriry may be appealed pursuant to the provisions of the administradve procedure acc relating to <br /> contested cases. <br /> DATA PRIVACY ADVISORY <br /> In accordance with M.S. 13.04,Subd.2, "Rights of subjects of data", we wouid 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 fumish certain private or <br /> confidential information. <br /> You are notified that: <br /> 1. The information you€urnish 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 shazed with other local, state or federal agencies to the extent necessary to process <br /> the permit or license. <br /> 4. If your requested permit or license requires Council action to approve, some information may become <br /> public. <br /> 1 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 /> ���nG��_ <br /> F��� Middle Lasc <br /> Address <br /> Ciry State Zip Phone <br /> I understand my rights as stated above. <br /> Signamre <br />