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_ <br /> I <br /> .f � <br /> Sec.13.04 RIGHTS OF S[JBJECTS OF DATA <br /> Subd. 1. Type of data. The rights of individual on whom the is stored or to be stored shall be as set forth in this section. <br /> Subd.2. Information required to be given individual. An indivi ual asked w supply private or co�dential dara concerning himself <br /> shall be informed of: (a)the purpose az�d intended use of the requested data thin the collecting state agency,political subdivision,or statewide <br /> system;(b)whether he may refuse or is legaUy requirod to supply the reques data;(c)any Irnown consequence arising from his supplying or <br /> refusing to supply private or confidential data;ac�(d)the idenary of other pe ns or enrities authorized by srate or federal law to receive the data. <br /> This requirement shall not apply when an individual is asked to supply in srigative data, pursuant to secdon 13.82, subdivision 5, to a law <br /> enforcement o�cer. <br /> ' s' reve 1 ti e ire n r i u ivisi n in the indivi ual' o x or <br /> i�rructinnc instead of on those forms. <br /> Subd. 3. Access to data by individual. Upon request to a res nsible authoriry,an individual shall be informed whether he is the <br /> subject of stored data on i�ividuals,and whether it is classified as public,p 'vate or confidendal. Upon his fucther request,an individual who <br /> is tt►e subject of stored private or public data on individuals shall be shown the ata without azry charge to him and,if he desires,shall be informed <br /> of the content and meaning of that data. After an individual has been show the private data and informed of its meaning,the data need not be <br /> disclosed to him for six mont6s�ereafter unless a dispute or acaon pursuant this section is pending or additional data on the individual has been <br /> collected or created. The responsible authoriry shall pmvide copies of the priv te or public data upon request by the individual subject of the data. <br /> The responsible authoriry may require the requesting person to pay the actu I costs of making,certifying,and compiling the copies. <br /> The responsible authoriry shall comply immediately,if possible,wi any request made pursuant to this subdivision,or within five days <br /> of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with <br /> the request within that time,he shall so inform the individual,and may ha e an additionat five days within which to comply with the request, <br /> excluding Saturdays,Su�lays and legal holidays. <br /> Subd.4. Prceedure when data is not accurate or complete. n individual may contest the accuracy or completeness of public or <br /> private data co�eming himself. To ezercise dvs right,an i�ividual shall n 'fy in writing the responsible authoriry describing the nature of the <br /> disagreement. T'he responsible authoriry shall within 30 days either: (a)co t the data fowd to be inaccurate or incomplete and attempt to notify <br /> past recipients of inaccurnte or incomplete data,i�luding recipients named b the individual;or(b)notify the individual that he believes the data <br /> w be coaect. Data in dispute shall be disclosed only if the individual's stat ment of disagreement is included with the disclosed data. <br /> The determination of the responsible authority may be appealed p rsuant to the provisions of the administradve procedure act relating <br /> to contested cases. <br /> ORY <br /> In accordance with M.S. 13.04, Subd. 2, "Rights of s �ects of data", we would like to inform you that your <br /> request for a permit or license from the�ity of Orono or an of its departments may require you to furnish certain <br /> private or confidential information. I <br /> You aze notified that: � <br /> 1. The information you furnish will be used to etermine your qualification for the permit or license <br /> requested. <br /> 2. You may refuse to supply data, but refusal m y require that the City deny the permit or license. <br /> 3. The information may be shared with other 1 al, state or federal agencies to the extent necessary to <br /> process the permit or license. <br /> 4. If your requested permit or license requires Co,uncil action to approve, some information may become <br /> public. ' <br /> 5. You have certain rights under M.S. 13.04(av able upon request)to review private data on yourself. <br /> 6. Your full name is required to process this ap lication or permit. <br /> First Middle Last <br /> Address <br /> C��y State Zip Phone <br /> I understand my rights as stated above. <br /> Signawre <br /> 6 <br />