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Sec.13.04 RIGHTS OF SUBJECTS OF D:�TA <br /> Subd. 1. Type of data. The righ�s of individual on whom the data is stored or to be stored shall be as set forth in this section. <br /> Subd.2. Information required to be given individual. An individual asked to suppiy private or confidendal data concerning himself shall <br /> be informed of: (a)the purpose and intended use of the requested dara wi[hin the co(lecting'state agency, political subdivision,or sratewide system; <br /> (b)whether he may refuse oY is legally required to supply the requested data;(c)any lrnown consequence arising fmm his supplying or refusing to supply <br /> priva[e or confidenriai data;and(d)the idenriry of o[her persons or enrines authorized by state or federal law to receive the data. This requirement shall <br /> not apply when an individual is asked to supply invescigadve dara,punuant to secdon 13.82,subdivision 5, to a law enfoccement officer. <br /> The commissioner of re enue mav place the noace reauired under this subdivision in the individual income tax or proper[v tax refund <br /> instructions instead of on those forms. <br /> Subd. 3. Access to data by individuai. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject <br /> of stored data on individuals,and whe[her it is classified as public, private or confidendal. Upon tils further request,an individual who is the subject <br /> of stored private or public data on individuals shall be shown[he data without any charge to hun and,�if he desires, shall be informed of the content <br /> and meaning of rhat data. Afrer an individuai has been shown the private data and iqformed of iu meaning, the data need not be disclosed to hicn for <br /> six months thereafter unless a dispute or acdon pursuant to this secrion is pending or addidonal 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 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 Sacurdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request <br /> within that time,he shall 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 when data is not accurate or camplete. An individual may contest the accuracy or completeness of public or private <br /> data conceming himself. To exercise this right,an individua(shall notify in wriang the responsible authoriry describing[he nature of the disagreement. <br /> T'he responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipienu of <br /> inaccurate or incomplece 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 the individual's statement of disagreement is included with the disclosed data. <br /> The determinarion of the responsible authoriry may be appealed pursuanc to che provisions of the administrarive procedure act relaang 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 inform you that your request <br /> for a pernut or license from the City of Orono or any of its deparcments 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 pemut 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 pernut 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 ri�hts 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 /> C�ty State Zip Phone <br /> I understand my rights as stated above. <br /> .a� .-, <br /> ��`' �c�� ,>�� <br /> Signature ' <br />