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� <br /> Sec.13.04 RIGHTS OF SUBJECTS OF DATa <br /> Subd. 1. Type of data. The righ[s of individual on whom the data is stored or to be scored shall be as set forth in this secdon. <br /> Subd.2. Information reqtrired to be given individual. An individual asked ro suppiy private or confidendal data concerning himself shall <br /> be informed of: (a)the purpose and inrended use of the requested data within the collecting§tau agency,polidcal subdivision,or statewide system; <br /> (b)w6ether he may refuse oY is legally required to supply the requested data:(c)any Irnown consequence arisiag from Ivs supptying or refusing to suppty <br /> privace or confidendal dara;and(d)che idendry of o[her persons or enrides authorized by sta[e or federal law to receive the data. This requiremenc shall <br /> not apply when an individual is asked to supply investigadve dara, pursuant to secdon 13.82, subdivision 5, to a law enforcement o�cer. <br /> The commissioner of re�enue mav place the noace reauired under this subdivision in the individual income tax or properri tax refund <br /> insccuctions ins[ead of on those forms. <br /> Subd. 3. Access to data by individual. Upon reques[to a responsible authority,an individual shall be informed whether he is the subject <br /> of swred data on individuals,and whether it is classified as public, private or confidendal. Upon his further request,an individual who is the subject <br /> of stored private or public data on individuals shall be shown the data wichout any charge to him and, if he desires,shall be informed of the content <br /> and meaning of chat data. After an individual has been shown[he private data and informed of its meaning,che dara need not be disclosed to him for <br /> six months rhereafter unless a dispute or acdon pursuanc to[his section is pending or additional data on the individual has been coilected or created. <br /> The responsible authority shall provide copies of the private or public data upon requesc by the individual subject of rhe dara. The responsible authority <br /> may require the requesting person to pay the actua!costs of making,certifying,and compiling the copies. <br /> Ttte cesponsible 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 immediate compliance is not possible. If he cannot comply with the request <br /> within that dme,he shail 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 accuncy or completeness of public or private <br /> data concerning himself. To exercise this right,an individual shall nodfy in wridng che responsible authoriry describing[he nature of ihe disagreement. <br /> The responsibie authoriry shall within 30 days ei[her: (a)correcc the data found to be inaccurate or incomptete and attempt to nodfy past recipienu of <br /> inaccurate or incomplete data, including recipients named by the individual;or(b)nodfy the individual that he believes the data to be correct. Data <br /> in dispute shall be disclosed only if ihe individual's statement of disagreement is included with the disclosed data. <br /> The decerminaaon of the responsible authority may be appealed pursuant to che provisions of the administracive procedure act relating to <br /> conresud 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 fumish 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 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 /> (, 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 /> c <br /> Signature <br />