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�, . <br /> Sec.13.04 RIGATS OF SLJB,TECTS OF DATA <br /> Subd. 1. Type of data. The rights of individual on whom the data is sWred or to be stored shall be as set forth in this secdon. <br /> Subd.2. Informatioa req�rired to be given indiridual. An individual asked to supply private or coafidential data concerning himself <br /> shall be informed of: (a)the purpose and incended use of the requested data wi[hin the coUecting state agency,poliacal subdivuion,or statewide <br /> system;(b)whether he may refuse or is legally required to supply the requesud data;(c)any laiown consequence arising from his supplying or <br /> refusing to supply private or confidendal daa;a�(d)the identiry of other persons or endaes authorized by srate or federal law to receive the dara. <br /> This requirement shall not apply when an individual is asked to supply invesrigadve data, pursuant to section 13.82, subdivision 5, W a law <br /> enforcement o�cer. <br /> 7�e�.o nLmissioner of revenue mav�lace the norice rcouired under thi ��bdivision in the individuai income x or oro refund <br /> instrucaons mstead of on those fortns. <br /> Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the <br /> subject of stored data on individuals,and whether it is class�ed as pubiic,private or co�denaal. Upon 6is further request,an individual who <br /> is the subject of swred private or pubiic data on individuals shall be shown the dara without any charge to him and,if he desins,shall be informed <br /> of the content and meaning of that data. ARer an individual has been shown the private data and informed of its meaning,the data need aot be <br /> disclosed to him for six mot►ths thereafre,c unless a dispute or acdon pursuant W this sec6on is pending or addirional data on the individual has been <br /> collecud or created. The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. <br /> The responsible authoriry may require the requesang person to pay the actual cosu of making,cectifying,and compiling the copies. <br /> The responsible authoriry shall comply immediately,if possible,with 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 have an addiaonal five days within which w comply with the request, <br /> excluding Saturdays,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 <br /> private data concerning himself. To exercise this right,an individual shall noafy in wridng the responsible authoriry describing the�nature of the <br /> disagreemrnt. The responsible authoriry shall within 30 days either: (a)correct the data fou�d to be inaccurate or incomplete and aaempt to nodfy <br /> past recipiencs of inaccurate or ircomplete data,including recipienu named by the individual;or(b)notify the i�ividual that he believes the data <br /> to be correct. Data in d'upute shall be disclosed only if the individual's sratement of disagreement is included with the disclosed data. <br /> The determination of the responsible authoriry may be appealed pursuant to the provisioas of the adminis�ative procedure act relaang <br /> to contested cases. • <br /> DATA PRIVACY ADVI� RY <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 certai.n <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 eztent 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 permit. <br /> -�/h� <br /> First Middle <br /> Last <br /> Address <br /> C�ry State Zip Phone <br /> I unde s�and my ri as tate abov <br /> / <br /> Signa <br /> 6 <br />