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�. <br /> . . <br /> . t `"' <br /> Sec.13.04 RIGHTS OF SUB.TECTS OF DATA <br /> Subd. 1. Type oE data. The righcs of individual o¢whom[he data is stored or to be stored shall be as set focih in this secdon. - <br /> Subd.2. Information reqirired to be given iadividval. An individua!asked W supply private or confidenaal dars conceming himself shall <br /> ba informed of: (a)the purpose and inrended use of the requesr�d dara withia the cotlecdng Sta�e agency,polidca!subdivision,or sratewide rystem; <br /> (b)whaher he tnay refuse or is legally required co supply the requesud da[a;(c)any Imown consequence arising from his supplying or refusing to supply <br /> private or eonfidendal data;ar.d(d)the idendry of o�her persons or enddes au[horized by stace or federa!!aw to receive the daca. 13is requirement s6a11 <br /> noc apply when an individual is a;ked to supply invadgarive dam,pursuaat to secdon 13.83,subdivision 5,to a[aw enforcement o�cer. - <br /> The commissioner of revenue mav olace che noace rauired under this subdivision in the individual income rax or�rooertv rdx refund <br /> instrucaons instead of on chose forms. <br /> Subd.3. Access to data by iadividual. lipon requesc to a respansible au�horiry,an individual shall be informed whether he is the subject � <br /> of stored data on individuals,and whecher it is ctassified as public,privace or confidenaal. Upon his fu�ther reQuest,an individual who is the subjecc <br /> of stored private oc public dara on individuals shall be shown che dara wichout any charge to tiim and;if he desires,shall be infocmed of ehe content <br /> and meaning of rhat data. Afrer an individua!has been shown the privace data and informcd of ics meaaing,the data need not be disclosed to hicn for <br /> six manclu chereaicer uniess a dispute or acdon pursuan�to chis secdon is pending or addidonal daca oa the iadividual has been collecud or crca�ed. <br /> The rospoasible authodry s6all pcovide copies of the private or public data upon requese by che individual subjecc of che dara. The responsible authoriry <br /> may cequire rhe requesring person to pay the acnial cosc�of making,cerdfying,and compiling the copies. <br /> The responsible auchoricy shall comply immediately,if possibte,wi�h any request made pursuant to this subdivision,or wi�hin five days of <br /> the date oF che request,excluding Sacurdays,Sundays and legal holidays,if immediate compliance is noc possible. If he cannot comply with the request <br /> wirhin[hat dme,he shatl so inform[he individual,and may have an addidoaal five days wi[hin which to comply wi[h the request,excluding Saturdays, <br /> Sundays and legai holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individual may contest ehe accuracy or completeness of public orprivate <br /> da[a concerning tiimself. To exereise chis right,an individual shall nodfy in wridng the responsible aurhoriry describing the namre of the disagreemeac. <br /> The responsible au�horiry shall within 30 days ei[her: (a)correct the daca found m be inaccurste or incomplece and attempt co nodfy past recipiea�s of <br /> inaccurate or incomplece daca, inctuding recipien�named by che individual;or(b)aodfy the individual thac he believes rhe data to be coaec� Data <br /> in dispute shall be disclosed only if the individual's sta�ement of disagreement is includad with che disclosed data. <br /> The decerminadon of the responsible auchoriry may be appealed pursuanc to che provisions of the adminisaarive procedure act reladng to <br /> contested cases. <br /> DATA PRIVACY ADVISORY <br /> In accordance wich M.S. 13.04, Subd.2, "Rights of subjects of data", we would like to inform you that your request <br /> for a pemuc or license from the Ciry of Orono or any of iu departments may require you to fumish 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 refusal may require that the City deny the permit or license. <br /> 3. The information may be shued wich other local, state or federal a�encies to the excent 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 /> 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 /> First �fiddle Last <br /> Addreu . <br /> Ciry Sam Zip Phone <br /> I understand my rights as stated above. <br /> Signacure <br />