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Sec.13.04 RIGHTS OF SUBJECTS OF DATA <br /> Subd. 1. Type of data. The righa of individual on whom[he data is stored or to be stored shall be as set forth in this secdon. <br /> Subd.2. Information reqirired to be givea individual. An individual asked to supply private or confidenrial da[a conceming himself shalt <br /> be informed of: (a)the purpose and incended use of the requested data within the collecting'state agency,poliucal subdivision,or stacewide sysum; <br /> (b)whether he may refuse oY is legally required to supply the requested data;(c)any lrnown consequence arising from his supplying or refusing W supply <br /> privace or confidendal dara;and(d)the idendry of other persons or enrides au[horized by state or federal law to receive rhe data. This requirement shall <br /> not apply when an individual is asked to supply investieadve dara,punuant to secdon 13.82,subdivision 5, to a law enforcement o�cer. <br /> The commissioner of re�enue mav piace the nodce rewired under this subdivision in the individual income rax or proaertv tax refund <br /> instrucdons instead of on those forms. <br /> Subd. 3. Access to data by iadividual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject <br /> of stored data on individuals,and wherher it is classified as public,private or confidential. Upon his further request,an individual who is the subject <br /> af 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�hat 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 thereafter unless a dispute or acdon pursuanc to this secaon is pending or additional data on the individual has been collected or created. <br /> The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority <br /> may require the requesting person to pay the actual costs of making,certifying,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 of <br /> the date of the request,excluding Samrdays,Sundays and legal holidays,if immediate compliance is not possible. If he canaot comply with the request <br /> within that dme,he shail so inform ti►e individual,and may have an addidonal five days within which to comply with che 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 pri�•ate <br /> data concerning himself. To�xercise this right,an individual shall nodfy in writing the responsible authoriry describing[he nature of ihe disagreement. <br /> The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to noafy past recipienu of <br /> inaccurate or incomplete data, inciuding recipients named by the individual;or(b)nodfy the individual that he believes the data to be correct. Data <br /> in dispuce shall be disclosed only if the individual's statemenc of disagreement is included wirh the disclosed data. <br /> The de[erminadon of the responsible authority may be appealed pursuant to the provisions of the administradve procedure act relacing to <br /> conresred 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 infortnation. <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 shazed 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 /> g, 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 /> �pao� �(D�""GI�IO�J <br /> First Middle Lasc <br /> IS �( �t�c.J �t1� t�o. <br /> a ss �� � � (r�2 22 t '�°l <br /> ��� u State Zip Phone <br /> I un and my � ts st abo . , <br /> � <br /> Sig ature <br />