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, , , <br /> Sec.13.04 R/GNTS OF SUBJECTS OF DATA <br /> Subd�visron 1. Type ojdata. The rights ojindividual on ivhom the data is stored or to be stored shall be as set forth in this section. <br /> Subd.2. Injormation required to be given individuaL An individual asked to supply private or confidentia[data concerning himselj <br /> shall be informed of.' (aJ the purpose and intended use ojthe requested data within the collecting state agency,political subdivrsion,or statewide <br /> system;(b)whether he may rejuse or is legally requrred to supply the requested data;(cJ any known consequence arisrng from his supplyrng or <br /> refusing to supply private or confrdential data;and(d)the identity of otherpersons or entities authorrzed by state orfedera!laiv to receive the data. <br /> Thrs requirement shall not apply when an indivrdua!is asked to supply investigative data,pursuant to section 13.82, subdivision 5, to a Imv <br /> enforcement officer. <br /> The commissioner ojrevenue mav place the notice required under this subdivision in the individual income tax or propertv tar refund <br /> instructions instead o/on those forms. <br /> Subd.3. Access to data by individuaL Upon request to a responsible aurhority,an indivrdua!shal!be informed whether he rs the subjecr <br /> ojstored data on individuals, and whether it is classrfred as public,prrva[e or confidential. Upon his further request,an rndividua!who is the <br /> subject ojstored private or public data on individuals shal!be shoivn the data without any charge to him and, if he desires,shall be informed oj <br /> the content and meaning of'that data. After an individual has been shoivn the prrvate data and informed of its meaning, the data need not be <br /> disclosed to him for six months thereafter unless a dispute or action pursuant to this•section rs pending or additiona!data on the indrvidua(has <br /> been collected or created. The responsible authority shall provide copres of the prrvate or public data upon request by the indivrdual subject oj <br /> the dafa. The responsrble authority may require the requesting person to pay the actual costs ojmaking,certifying,and compiling the copies. <br /> The responsible authoriry shall comply immediately,iJpossible,with any request made pursuant to this subdivisron,or within five days <br /> of the date of the request,exck�drng Saturdays,Sundays and legal holidays,rf immediate compliance rs not possrble. /f he cannot comply ivrth the <br /> request wrthin that time,he shall so inj'orm the indivrdual,and may have an additional ftve days tivrthrn which to comply tivrth the request,excluding <br /> Saturdays,Sundays and lega!holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An indrviduaf may contest the accuracy or completeness ojpublic or private <br /> data concerning hrmselj. To exercise this right, an individua!shal!not�in writing the responsible authorrty describing the nature of!he <br /> disagreement. The respoi:srble authoriry shal!within 30 days either: (a)correct the datafound to 6e inaccurate or rncomplete and attempt to notify <br /> past recrpients of inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual thaf he believes the data <br /> to be correct. Data in drspute shall be disclosed only if the rndividual's statement of disagreement is included with the disclosed data. <br /> The determination of the responsrble authority may be appealed pursuant to the provisions of the adminrstrative procedure act refating <br /> ro contested cases. ' <br /> DATA PRIVACYADVISORY <br /> /n accordance with M.S.l3.04,Subd.2, "Rights ofsubjects ojdala",we woufd like to inform you thnt your requestfor a permit orlicense <br /> from the City oJOrono or any of its departments may require you to furnish certarn private or confrdentra!information. <br /> You are notifred that <br /> 1. The information you furnish wrll be used to determine your qualifrcalion jor the permit or license requesled. <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 olher local,state or jedera/agencies!o the extent necessary to process the permit or <br /> [icense. <br /> �1. Ifyour requested permit or license requires Counci/action to approve,some information may become publrc. <br /> S. You have certain rights under MS. 13.0�1(see jolfotiving page)to review private data on yourselj. <br /> 6. Your full name is requrred to process this application or permit. <br /> PL A E PRINT <br /> First Middle Last <br /> ��� ��. �. C�� �6�-��-�s�o <br /> Address <br /> l�� � �'� I�ti s���� C�� 6��� 4s����� <br /> City State Zip Phone <br /> 1 un r and y ri hts as slated bove. <br /> Sig ture <br /> /0 <br />