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Sea13.04 RIGHTS OF S[JB.TECTS OF DaTA <br /> Subd. 1. Type of data. The righcs of individual on whom[he data is stored or to be stocsd shall be as set forth in this section. <br /> Subd.2. Information reqirired to be givea individual. An individual asked ro supply privare or confidendal data concerning himself shall <br /> � be informed of: (a)the purpose and intended use of the requesred data withia the collecting 3tate agency,poliacal subdivision,or stauwide system; <br /> (b)whether he may refuse oY is legally required to supply tht requesud data;(c)any irnown consequence arising fmm his suppiying or refusing to supply <br /> private or confidenrial data;and(d)rhe idendry of ocher pecsons or enaties au[horized by stace or federnl law to receive the data. This mquiremeat shall <br /> not apply when an individual is asked to supply invesdgaave dara,pursuant to secaon 13.82,subdivision S,to a law enforeement o�cer. <br /> The commissioner of re�enue mav place the nodce rewired under this subdivision in the individual income taz or proDertv tax rofund <br /> instcuctions instead of on chose forms. <br /> Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject <br /> of stored data on individuals,and whecher it is class�ed as public,private or confidenaal. Upon his further request,an individuai who is the subject <br /> of stored private or public data on individuals shall be shown ehe dara without any charge to him and,-if he desires,shall be informed of ihe content <br /> and meaning of chat data. Aher an individual has been shown[he private data and informed of its meaning,the data need not be disclosed to him for <br /> six mondu thereaf[er unless a dispute or acflon pursuanc to this secdon is pending or addidonal dara on the individual has been collected or created. <br /> The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry <br /> may require the requesting penon to pay the actua!cosu of making,certifying,and compiling the copies. <br /> The responsible authoriry shall comply immedia[ely,if possible,with any request made punuant to this subdivision,or within five days of <br /> the date of the request,exctuding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request <br /> within rhat dme,he shall so inform the individual,and may have an addirional five days within w6ich to comply with the request,excluding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private <br /> data conceming himself. To exercise this right,an individual shall nodfy in writing the responsible authoriry describing[tte nature of the disagmement. <br /> The responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and aaempt to nodfy past recipients of <br /> inaccurate or incomplete data, including recipients named by che individual;,or(b)notify the individual thac he believes rhe dara to be correct. Data <br /> in dispute shall be disclosed only if the individual's sta[emenc of disagreement is included with the disclosed data. <br /> The decerminadon of the responsible au�hority may be appealed pursuant to the provisions of the administrarive procedure act relating w <br /> wntesud 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 permit 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 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 shazed with other local, state or federal agencies to the extent 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 /> gi�� Middle Lasc <br /> Address <br /> Ciry Sta[e Zip Phone <br /> I understand y ' ht as stated above. <br /> Signaare <br />