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� <br /> � <br /> Sec.13.04 RICHTS OF SUBJECTS OF DATA <br /> Subd. 1. Type of daca. The rights of individual on whom the data is stored or to be stored shall be as set foRh in this section. <br /> Subd.2. Information required to be given individual. An individual asked to supply private or contidential data conceming himselfshali be <br /> informed ofl (a)the purpose a�id intended use of tiie requested data�vithin the co�lecting state agency,political subdivision,or statewide system;(b) <br /> whether he may reFuse or is legally required to supply the requested data;(c)any known coiisequence arising from his supplying or refusing to supply <br /> private or contidential data;and(d)the identiry of other persons or entities authorized by state or federal law to receive Uie 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 /> Tl,e enmmi�ci�ner of revenue may�lace the notice req�ired under this subdivision in the individual income tax or oro�ertv tax refund <br /> instructions instead of on those forms. <br /> 5ubd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject of <br /> stored data on individuals,and whether it is classified as publ ic,private or confidentiai. 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,shall 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 tilereaRer unless a dispute or action pursuant to this section is pending or additional data on the individual has been collecced or created.The <br /> responsible authority shall provide copies of tl�e private or pubiic data upon request by the individual subject of the data. The responsible authoriry <br /> may require th�requesting person to pay the actual costs of making,certifying,and compiling the copies. <br /> The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within tive days of <br /> the date of the request,e�cluding 5atu�days,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request <br /> within diat time,lie shall so inform the individuai,and may have an additional five days within which ro comply with the roquest,excluding Saturdays, <br /> Sundays and legal holidays. <br /> 3ubd.4.Procedure when data is not accurate or complete. An individual may contest the accuracy or compieteness of public or private data <br /> concerning himself. To exercise this right,an individual shall notify in writing the responsible authoriry describing the nature of the disagreement.The <br /> responsible authoriry shall within 30 days either. (a)cortect the data found to be inaccurate or incompiete and attempt to notify past recipients of <br /> inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual tha[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 au[horiry 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 inforni you that your request <br /> for a pern�it 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 tl�at: <br /> 1. The information you furnish will be used to deterrnine 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 ertent 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 /> pttblic. <br /> 5. You have certain rights under Ni.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 �'Iiddle LHst <br /> Address <br /> Ci��• � 7_ip Phone <br /> I understa m,y rights state ve. <br /> Signat c <br /> i� <br /> Reset Form �2 <br />