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� <br /> � 1 <br /> Sec.13.04 RIGHTS OF SiJBJECTS OF DATA <br /> Subd. 1. Type of data. The riehcs of individual on whom the data is stored or to be scored shall be as set forth in this secrion. <br /> Subd.2. Information reqirired to be given individual. An individual azked to supply privace or confidendal dara concerning himself shall <br /> be informed of: (a)the purpose and intended use of the requesied data within the collecang'stace agency, poliacal subdivision,or starewide system; <br /> (b)whether he may refuse oY is legaliy requi�d[o supply[he requested data;(c)any lmown consequence arising from his supplying or tefusiag to supply <br /> � priva[e or confidenoal data;and(d)the idenriry of other penons or endaes authorized by state or federal law to receive the data. This requitement shall <br /> noc appfy when an individual is asked to supply invesdeadve dara, pursuanc co secoon 13.82, subdivision 5, to a law enforcement officer. - <br /> The commissioner of te�enue mav place che norice r9auired under[his subdivision in the individual income tax or propem tax refund <br /> inscrucrions instead of on chose forms. <br /> Subd.3. Access to data by individual. Upon request to a responsible au[hority,an individual shall be informed whe[her he is the subject <br /> of stored data on individuals, and wherher ic is classified as public, privace or confidential. Upon his furcher request, an individual who is the subjecc <br /> of stored private or pubtic data on individuals shall be shown�he data wichouc any charge to him and, if he desires, shall be informed of the content <br /> and meaning of chat data. Aher an individual h�s been shown�he privace data and informed of ics meaning,the data need not be disclosed to him for <br /> six mon[hs thereafter unless a dispute or acrion pursuanc to this section is pending or addidonal data on the individual has been collected or cteattd. <br /> The responsible authority shall provide copies of the private or pubiic data upon requesc by the individual subjecc of[he data. The responsible authority <br /> may require the requesting person to pay the accual coscs of making,cerafying, and compiling the copies. <br /> The cesponsible au[horiry shali comply immediacely, if possible, wirh 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 compliance is not possible. If he cannot comply with the requesc <br /> within chat time,he shall so inform the individual,and may have an additionai five days wirhin which to comply wi[h the request,exciuding Saturdays, <br /> Sundays and lega(holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individuat may contest the accumcy or completeness of public or priva[e <br /> data conceming himself. To exercise[his rieht,an individual shal(noafy in writin�the responsible authoriry describing the nature of the disagreement. <br /> The responsible authoriry shall within 30 days either: (a)correcc the data found to be inaccurate or incomplete and attempe to nodfy past recipiencs of <br /> inaccurate or incomplete data, including recipients named by the individual; or(b)notify the individual that he be(ieves the data to be correct. Data <br /> in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. <br /> The decerminarion of the responsible authoriry may be appealed pursuanc to the provisions of che adaunistrarive procedure act relacing 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 inform you that your request <br /> for a pernut or license from the City of Orono or any of its depanments may require you to furnish certain private or <br /> confidential information. <br /> You are notified tha[: <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 refusal may require tbat the City deny the peruut or license. <br /> 3. The information may be shared wich other local, state or federal agencies to the extent necessary to process <br /> the permit or license. <br /> 4. If your requested permi[ or license 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 permi[. <br /> First �Siddle Last <br /> Address <br /> �iry State Zip Phone <br /> I understand my rights as stated above. <br /> Signacure <br />