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. <br /> Sec.13.04 RIGIiTS OF SUBJECTS OF DATA � � <br /> Subd. 1. Type of data. The righu of individual on whom the data is stored or to be stored shall be as set forth in Hils section. <br /> S�bd.2. TnformaHon required to be given individuat. An i�ividual asked to supply private or co�dential data concerning lrimself <br /> st�all be informed of: (a)the purpose and i�ended use of the requested data within the collecting state agency,poliacal subdivision,or statewide <br /> system;(b)whether he may refuse or is legally required to supply the requested data;(c)any lmown consequence azising from tvs supplying or <br /> refusiwg to supply private or confidential data;and(d)the identiry of other persons or entities authorized by srate or federal law to receive the data. <br /> Tiris requirement shall not apply�uhen an individual is asked to supply invesdgative data, pursuant to section 13.82, subdivision 5,to a law <br /> enforcement officer. <br /> The commissioner of revernie mav�lace the norice reauired under this subdivision in the i�dividu�l income taz or nrocertv tax refund <br /> instructions instead of on those forms. <br /> S�bd.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 dassified as pubtic,private or confidential. Upon his further request,an individual who <br /> is the subject of stored private or public data on individuals st�all be shown the data without any charge to him and,if he desires,shall be informed <br /> of the content and meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be <br /> disclosed ro him for siz months d�ereafter unless a dispute or action pursuant to this secaon is peiding or additional dara on the individual has been <br /> collected or created. The responsble authority shall provide copies of the private or public data upon request by the i�ividual subject of the data. <br /> The responsible authoriry may require the requesting person to pay the actual cosu of maldng,certifying,and compiling the copies. <br /> The responsble authoriry shall comply immediately,if possible,with any request made pursuant W this subdivision,or within five days <br /> of the date of the request,excludi�g Saturdays,Sundays and legal holidays,if unmediate 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 addidonal five days within which to comply with the request, <br /> excluding Saturdays,Su�ays 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 /> privaoe data co�eming lumcelf. To ezercise this right,an individual shall notify in writing the responsible authority describing the nature of the <br /> disagreement. The responsble sudwriry shall widvn 30 days eidue (a)correct the data found to be inaccurate or incomplete and attempt to notify <br /> past recipiems of inaccurate or i�omplebe data,including recipienis named by the individual;or(b)notify the i�ividual that he believes the data <br /> to be conect. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. <br /> The determinadon of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating <br /> to 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 inform you that your <br /> request for a permit or license from the Gity of Orono or any of its departments may require you to furnish certain <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 shared with other local, state or federal agencies to the extent 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 /> publia <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 /> �-e��� �a�.� �i`5�,�� <br /> Fi�� r Mid Last <br /> � �� - �jnr����� � t-i�'� <br /> Address ���J�� ��� <br /> C�ry State Zip Phone <br /> I understan rights stat a e. <br /> Signawre <br /> � 6 <br />