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� • <br /> Sec.13.04 RIGHTS OF SIJB.TEC'i'S 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 fo�th in this section. <br /> Subd.2. Information required to be given individual. An individual asked to supply private or contidential data concerning himself shall <br /> be informed of: (a)the purpose and intended use of the requested data within the collecting§tate agency,political subdivision,or statewide system; <br /> (b)whether he may refuse or is legatly required to supply the roquested data;(c)any known consequence arising from his supplying or refusing w supply <br /> private or confidenrial data;and(d)the identity of other persons or enrities authorized by state or federnl law to receive the data. This requirement shatl <br /> not apply when an individual is asked to suppiy investigative data, pursuant to section 13.82, subdivision 5, to a law enforcement officer. <br /> The commissioner of revenue may place the notice required under chis subdivision in the individuat income tax or oropem tax refund <br /> instnictions instead of on those forms. <br /> Subd. 3. Access to data by individual. Upon request to a responsibie authoriry,an individual shall be informed whether he is the subjec[ <br /> of s[ored data on individuals,and whether it is classified as public, private or confidential. Upon his further request, an individual who is the subject <br /> of stored private or public data on individuals shall be shown the data without any charge to him and, if he desires, shall be informed of the content <br /> and meaning of that data. After an individual has been shown the private data and informed of its meaning, the data need not be disclosed to him for <br /> six months theroafter unless a dispute or action pursuant to this secdon is pending or additional dara on the individual has been collected or created. <br /> The responsibte 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 person to pay the actual cos[s of making,certifying, and compiling che copies. <br /> The responsible authority shal(compiy immediately,if possible,with any request made pursuan[to this subdivision,or within five days of <br /> the date of the request,excluding Saturdays,Sundays and legat holidays,if immediate compliance is not possible. If he cannot comp(y with the request <br /> within that time,he shall so inform the individuai,and may have an additional five 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 <br /> data concerning himself. To exercise this right,an individual shall notify in writing the responsible authoriry describing the nature of the disagreement. <br /> The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipiena of <br /> inaccurate or incomplete data, including rocipiena named by the individual;or(b)notify the individual that he believes the data to be correct. Data <br /> in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. <br /> T'he detertnination of the responsible authoriry may be appealed pursuant to the provisions of the administradve pmcedure acc reladng 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 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 wilt 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 shared 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 /> First Middle Last , <br /> Address <br /> City State Zip Phone <br /> I understand my rights as stated above. <br /> Signature <br />