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Sec.13.04 RIGHT5 OF SUBJECTS 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 section. <br /> Subd.2. Information required to be given individual.An individual asked to supply private orconfidential dataconcerning himselfshall be <br /> informed oY (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b) <br /> whetlier he may refuse or is legal ly required to supply the requested data;(c)any known consequence arising Gom his supplying or refusing to supply <br /> private or contidential data;and(d)Nie identity of other persons or entities authorized by state or federal law to receive the data. This requirement shall <br /> not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. <br /> Thc commissioner of revenue may place the notice required under this subdivision in Hie individual income tax or propertv tax refund <br /> instructions instead of on thosc forms. <br /> Subd.3. Aceess to data by individual. Upon request to a responsible authority,an individual shall be infonned whether he is the subject of <br /> stored data on individuals,and whether it is classified as public,private or contidential. Upon his further request,an individual who is the subject of <br /> stored private or public data on individuals shall be shown the data without any charge to him and,if he desires,shali be informed of the content and <br /> meaning of that data. After an individual has been shown the private data and infonned of its meaning,the data need not be disclosed to him for six <br /> months thereaRer unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The <br /> responsible audiority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority <br /> may reyuire[he requesting person to pay the actual costs of making certifying,and compiling the copies. <br /> The responsible auUiority shall comply immediately,ifpossible,wi[h any request made purs�ant to this subdivision,or within tive days of <br /> the date of the request,exduding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. [f he caimot comply with the request <br /> within that time,he shall so inform the individual,and may have an additional fivc days within which 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 data <br /> concerning himsel£ To eaercise this right,an individual shall notity in writing the responsible authority describing the naturc of the disagreement.The <br /> responsible aufhority shail within 30 days either. (a)corcect the data ibund to be inaccurate or incomplete and attempt to notify past recipients of <br /> inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he bel ieves the data to be correct. Data in <br /> dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. <br /> The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating 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 infonn 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 deterniine your qualification for the permit or license <br /> 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 shared with other local, state or federal agencies to the extent necessary to <br /> process the permit or license. <br /> 4. lf 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. ]3.04(available upon request)to review private data on yourself. <br /> 6. Your full name is required to process this application or permit. <br /> �o��/t S Q . /�1�z��2 <br /> , <br /> First Middle Last <br /> �6�' �%o�t7lf i'1-��t Q 2 <br /> A�ar�55 ' <br /> 02e��C� L�C�- S 5 3G`/ �S�Z- 7��y ��`�� <br /> � <br /> City Statc Zip Phone <br /> 1 unde�sta ny rights as stated above. <br /> 1�-e'v-��Ch�. `� U "\ , <br /> Signatu <br /> 32 <br />