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L <br /> Sec.13.04 RIGHTS OF SLJB.iECTS 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 focth in this secaon. <br /> Subd.2. Information req�red to be given individual. An individual asked to supply private or confidenaal data concerning himself shall <br /> be informed of: (a)the purpose and intended use of the requested data within the collecdng§tate agency,political subdivision,or sratewide sysum; <br /> (b)whether he may refuse oY is legally required to supply the requested data;(c)any Imown consequence arising from his supplying or refusing to supply <br /> private or confidenaat data;and(d)the identiry of o[her persons or entides auchorized by state or federal!aw to receive the data. This requ'uement shall <br /> not apply when an individual is asked to supply invesrigaave data,pursuant to secdon 13.82,subdivision 5,to a law enforcement officer. <br /> The commissioner of revenue mav place the nodce rewired under this subdivision in the individual income tax or aroaertv taz refund <br /> insnvctions instead of on those forms. <br /> Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject <br /> of stored data on individuals,and whe[her it is classified as public,private or co�dendal. Upon his further request,an individual who is the subject <br /> of stored private or public data on individuats shall be shown the data wichout any charge to him and;if he desires,shall be informed of the content <br /> and meaning of rhat data. After an individual has been shown the private data and informed of iu meaning,the data need not be disclosed w him for <br /> six months thereafter unless a dispuu or acdon pursuant to this secdon is pending or addidonal data on the individual has been collected or created. <br /> The rrsponsible authoriry shall provide copies of the private or public data upon request by the individual subject of the dara. The responsible authoriry <br /> may require the requesang person to pay the actual coscs of making,certifying,and compiling the copies. <br /> T6e responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of <br /> the date of the request,excluding Saturdays,Sundays and legal holidays,if icnmediate compiiance is not possible. If he cannot comply with the request <br /> within that time,he shall so inform the individual,and may have an addidonal five days within which to comply with the request,excluding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure whea data is not accurate or complete. An individual may contest the accuracy or comp(eteness of public or private <br /> dara concerning himself. To exercise this right,an individual shall nodfy in wridng the responsible authority describing rhe 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 W nodfy past recipients of <br /> inaccunte or incomplete data, including recipients named by the individuat;or(b)nodfy the iudividual that he believes the data to be correct. Data <br /> in dispute shall be disclosed only if the individuai's statement of disagreement is included with the disclosed data. <br /> The determinadon of the responsible authoriry may be appealed pursuant to the provisions of the adminisnaave procedure act relating to <br /> contesud 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 aze notified that: <br /> 1. The information you furnish will be used to detemune 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 infarmation 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 /> Ciry State Zip Phone <br /> I unde y rights as stated above. <br /> . <br /> Signamre <br />