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Sec.13.04 RIGHTS OF S[JBJECTS OF DaTA <br /> Subd. i. Type of data. 'Ihe rights of individual on whom the data is stored or co be stored shall be as set for[h in this secaon. <br /> Subd.2. Information req�rired to be given individual. An individual uked w supply privare or confidendal data conceiviag himself shall <br /> be informed of: (a)the purpose and inunded use of the cequested data within the collecang�tate agency,political subdivision,or statewide system; <br /> (b)whether he may refuse ot is tegally requusd to suppty the iequesud data;(c)any irnown coauquence arising from his supplying or refusing to supply <br /> priva[e or confidendal daa:and(d)ehe idenriry of other persons or enddes authorized by sta[e or federal law to receive the data. This requirement shail <br /> not apply when an individual is asked to supply invesagadve data,pursuant ro secdon 13.82,subdivision 5, to a law enforcement o�cer. <br /> 'It�e commissioner of revenue mav olace the nodce rewired under this subdivision in the individual income taz or propem taz refund <br /> insnvcaons inscead of on chose forms. <br /> Subd.3. Access to data by individuai. Upon request w a responsible authoriry,an individual shall be informed whether he is the subject <br /> of stored data on individuals,and whe�her it is class�ed as public,private or confidenrial. Upon his further request,an individual who is the subject <br /> of 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 che content <br /> and meaning of chat data. Afur an individual has been shown the private data and infonned of its meaning,the data need not be disclosed m him for <br /> siz months thereafter unless a dispute or acdon pursuanc to this secdon is pending or addidonal data on the individual has been collected or created. <br /> The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of[he dara. The responsible au[hority <br /> may mquire the roquesring person to pay[he 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�e request,excluding Saturdays,Sundays and legal 6olidays,if immediate compliance is not possible. If he cannot comply with the requesc <br /> within that time,he shail so inform the individual,and may have an addidonal five days within which to compiy with the request,excluding Saturdays, <br /> Sundays and legal holidays. , <br /> Subd.4. Procedure when data is not accurate or complete. M individual may contest the accuracy or compteceness of public or pri�•ate <br /> data concerning himself. To exercise rhis right,an individuai shall nodfy in wricing ehe tespoasible authoriry describing[he nacure of rhe disagreemenc. <br /> The responsible authoriry shall within 30 days either: (a)correct che data found m be inaccurate or incomple[e and attempt to noafy past recipienu of <br /> inaccurate or incomplete data, including recipients named by the individual;or(b)nodfy the individual thac he believes the dara to be correct. Data <br /> in dispute shall be disclosed oniy if the individual's stacement of disagreement is included with the disclosed dara. <br /> The deurminaaon of the responsible au[horiry may be appealed puauanc w the provisions of the administrarive procedure act reladng w <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 inform you that your request <br /> for a permit or license from the City of Orono or aay of its departments may require you to fumish certain private or <br /> confidential information. <br /> You are notified that: <br /> 1. The information you fumish will be used to determine your qualification for the permit or license requested. <br /> 2. You may refuse to supply data, buc refusal may require that the City deny the permit or license. <br /> 3. The information may be shared with o[her 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 understand my rights as stated above. <br /> Signature <br />