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• • } <br /> Sec.13.04 RIGHTS OF SUBJECTS OF D�T,1 <br /> Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this secaon. <br /> Subd.2. Information required to be given individual. .an individual asked to supply private or confidenaal data conceming himself shall <br /> be informed of: (a)the purpose and intended use of the requested dara within the collecang'state agency, po(itical subdivision,or statewide system; <br /> (b)whether he may refuse or is legalty required ro supply the requested data:(c)any Imown consequence arising from his supplying or refusing to suppiy <br /> private or confidendal data;and(d)the idenrity of o[her persons or enddes authorized by state or federal law ro receive the data. This requirement shall <br /> not apply when an individual is asked to supply investieadve dara, pursuant[o secdon 13.82, subdivision 5, to a law enforcement officer. <br /> The commissioner of revenue mav plac� the notice reauired under this subdivision in the individual income tax or propem taz refund <br /> instructions ins[ead of on those forms. <br /> Subd. 3. Access to data by individual. Upon reques[to a responsibte authoriry,an individual shall be informed whether he is the subject <br /> of stored data on individuals,and whecher it is classified as public, private or confidenaal. Upon his further request, an individual who is che subject <br /> of stored private or public data on individuats shall be shown rhe dara wichout any charge to hirn and, if he desires, shall be informed of�e content <br /> and meaning of chat data. After an individual has been shown�he privace data and informed of i�s meaning,the data need not be disclosed to him for <br /> six months thereafter unless a dispute or action pursuant to this secaon is oending or addidonal data on the individual has been collected or created. <br /> The responsible au[horiry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry <br /> may require the requesting person ro pay the actual cos�s of makine, certifying, and compiling the copies. <br /> The responsible auchoriry shall comply immediately, if possib(e, wich any request made pursuant to[his subdivision,or within five days oi <br /> the date of the request,excluding Saturdays,Sundays and leeal 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 addiaonal five days within wluch to comply wi[h the request,excluding Saturdays, <br /> 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 pri�•ate <br /> data conceming himself. To exercise this rieht,an individual shall noafy in writing the responsible authority describing[he na[ure of the disagreement. <br /> The responsible authoriry shall within 30 days either. (a)correct the data found ro be inaccurate or incomplete and attempt to nodfy past recipienu of <br /> inaccurate or incomplete data, including recipients named by the individual; or(b)no[ify the individual that he believes the data to be correct. Data <br /> in dispu[e shall be disclosed only if the individual's statement of disagreement is included with[he disctosed data. <br /> Tlie de[ermination of the responsibte authoriry may be appealed pursuant to the provisions of the administrarive procedure act reladng to <br /> contested cases. <br /> DATA PRIVACY ADVISORY <br /> In accordance with M.S. 13.04, Subd. 2, "RiQhts of subjects of data", we would like to inform you that your reauest <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 requested. <br /> 2. You may refuse to supply data, but refusai 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 process <br /> the permit or license. <br /> 4. If your requested pernut or license requires Council action to approve, some information may become <br /> public. <br /> j. You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself. <br /> (. Your full name is required to process this application or permit. <br /> ��, - �,.,� 1�C�t�- �'1�i t��✓ ��.�1/ <br /> First Middle Last <br /> �- 3.� ff ,����� ,� ,� ,., t /t/ _ <br /> Address <br /> r1 � i✓ <br /> Ciry State Zip Phone <br /> I understand my rights as stated above. <br /> Signature � <br />