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• <br /> Scc.13.0a RIGHTS OF SUBJECTS OF DATA <br /> Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set foRh in this section. <br /> Subd.2. [nformation required to be given individual. An individuai asked to supply private or contidential data conceming himselfshall be <br /> infonned of: (a)the purpose and intended use of the requested data within tlie collecting state agency,political subdivision,or statewide system;(b) <br /> whether he may reFuse or is legally required to supply[he requested data;(c)any known coiisequence arising from his supplying or rofusing to supply <br /> private or con�dential data;and(d)the identity of other persons or entities nuthorized by state or federal law to receive Uie data.This requirement shal l <br /> not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. <br /> The commissioner of revenue mav place the notice required under this subdivision in the individual income tax or�ropertv tax refund <br /> instructions instead of on those forms. <br /> 5ubd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shali be infortned�vhether he is the subject of <br /> stored data on individuals,and whether it is classitied as publ ic,private or confidentiaL Upon his further request,an individual who is the subject of <br /> srored private or public data on individuals shall be shown die data���ithout any charge to him and,if he desires,shall be informed of the content and <br /> meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for six <br /> months tltereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has baen collected or created. The <br /> responsible authority shall provide copies of the private or public data upon request by the individuai subject of the data. The responsible authoriN <br /> may require the requesting person to pay the actual costs af making,certifying,and compiling the copies. <br /> The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within tive days of <br /> the date of the request,e�cluding Saturdays,Sundays and legal holidays,if immediate compl iance is not possible. If he cannot comply with the�equest <br /> within that time,he shall so inform the individuai,and may have aii additional Yive days within which ro comply with the request,excluding Saturdays, <br /> Sundays and legal holidays. <br /> S ubd.4.Procedure when data is not accurate or complete. An individual may conrest the accuracy or completeness of public or private data <br /> concerning himself. To exercise this right,an individual sltall notify in writing the responsible authoriry describing the nature of the disagreement.The <br /> responsible authoriry shall within 30 days either: (u)coaect the data found to be inaccurate or incompiete and attempt to notify past recipients of <br /> inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual diat he bel ieves the data to be correct.Data in <br /> dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. <br /> The dotermination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act 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 would like to inforn�you that your request <br /> for a pem�it 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 <br /> requested. <br /> 2. You may refuse to supp(y 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 permit or license. <br /> 4. If your requested permit or license requires Council action to approve,sorne inforn�ation may become <br /> public. <br /> 5. You have certain rights under 11�t.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 /> ��1�u r �✓1 v✓� /1� ��j��h � <br /> First Nliddle Lxst <br /> I� �o G �='�,' � �vt ri� � �'y� � <br /> a��a��5s <br /> ��av� �a,'rl c _; /Llil/ ���3N 7 <br /> Cily State 7ip Phone <br /> I understand my rights as stated above. <br /> Signsiturc <br /> Reset Form 32 <br />