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., <br /> Sec.13.04 RIGHTS OF SLTBJECTS 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 forth in this secaon. <br /> Subd.2. Informadoa reqiared to be givw individual, ,e,n individual asked to svpply private or co�dential dara concerning himself <br /> shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,polirical subdivuion,or statewide <br /> rystem;(b)whether he may refuse or is legally requind to supply the requested da[a;(c)any lrnown consequence arising from his supplying or <br /> refiuing to supply privare or confidendal dara;az�d(d)the idendry of other persons or enaties authorized by sate or federal law to receive the data. <br /> T6is requirement shall not apply when an individual is asked to supply investigadve data, pursuant to secdon 13.82, subdivision 5, to a law <br /> enforcement o�cer. <br /> 'lhe commissioner of revenue mav nlace the noece rewired under thi a, ivision in the individual income tax or orooern+tax refund <br /> instrucaons mstead of on those fortn . <br /> Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the <br /> svbject of stored data on individuals,and whether it is classified as public,privau or co�denaal. Upon his further request,an individual who <br /> is the subject of stored private or public data on iadividuals shall be shown the data without any charge to him and,if he desires,shall be informed <br /> of the content and meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be <br /> disclosed w him for six mond�s rhereafter unless a dispute or acdon punuant to this secaon is pending or addiaonal data on the individual has been <br /> copected or created. The responsible authoriry shail provide copies of the privare or public data upon request by the individual subject of the data. <br /> The responsible aurhoriry may require the requesting penon to pay the actual cosu of making,certifying,and compiling the copies. <br /> The responcible authority shall compiy immediately,if possible,with any request made pursuant to this subdivision,or widrin five days <br /> of the date of the request,excluding Saturdays,Sundays a�legal holidays,if immediate compliance is not possible. If he cannot comply with <br /> [he request within that time,he shall so inform the individual,and may have an addidonal five days within which to comply with the request, <br /> excluding Saturdays,Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individua!may contest the accuracy or completeaess of public or <br /> private data concerning himself. To exercise this right,an individual shall notify in writing the responsible authoriry deuribing the tiature of the <br /> disagreement. The responsible authoriry shal!within 30 days either. (a)correct the data found to be inaccurate or i�omplete and aaempt to¢oafy <br /> past recipient�of inaccurate or iexomplete data,iacluding recipienu named by the uidividual;or(b)norify the individual that he believes the data <br /> to be coaect. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. <br /> The determinadon of the responsible authoriry may be appealed pursuant W the provisioat of the adminisuaave procedure act relating <br /> w contested cases. <br /> DATA PIZiVACY ADVI ORY <br /> In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of data", we would like to inform you that your <br /> request for a permit or license from the �iry of Orono or any of its departments may require you to furnish certain <br /> private or 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 supply data, but refusal may require that the Ciry deny the permit or license. <br /> 3. The information may be shazed 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, 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 pemut. <br /> First Middle <br /> I.ast <br /> Address <br /> Ciry State Zip Phone <br /> I underst d y rights as stat above. <br /> Signature <br /> 6 <br />