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t <br /> Sec.13.04 RIGHTS OF SUBJECTS OF DATA <br /> Subd.1. Type oC data. The rights of individual on whom the data is stnred or to be stored shall be as set forth in this section. <br /> Subd.2. Information required to be given individuai. Aa iadividual ulced to s�pply private or confidential data concerning himself shall be <br /> informed of: (a)the purpose and intended use of the requested data within the collectiag state agency,potitical subdivision,or statewide system;(b) <br /> whether he may refuse or is legally required to supply the requested data;(c)an��l�owa consequence arising from his suppl}-ing or refusing to supply <br /> private or confidential data;and(d)the identity of other persons or entities authoraed br state or federal law to recelve the data. This requirement shall <br /> not apply when an individual is asked to supply investigative data,pursuant to seaion 13�2,subdivision 5,to a taw enforcement afficer. <br /> The commissioner of revenue mav olace the notice reanired under t6is sub�ision tn the individual income ta� or oropertv tax retund <br /> instructions instead of on those forms. <br /> Subd.3. Access to data by individuai. Upon request to a responsibie authorir�-,an individual shall be informed N hether he is the subject of <br /> stored data on individuals,and whether it is classified as public,priti�ate or confidential. L�pon his further request,an indi�idual who is the subject af <br /> stored private or public data on individuals shall be shown the data without an�•cbarge tn him and,if he desires,shall be informed ot the content and <br /> meaning of that data. After an iadividual has been shown the pri�ate data and informe3 of its meaning,the data need not be disclosed to him for six <br /> months thereafter unless�dispute or action pursuant to this secHon is pending or additional data on the Individual has been collected or created. The <br /> responsible authority shall provide copies o[the private or public data upon request b}�the individual subject of the data. T6e responsibie authority may <br /> require the requesting person to pay the actual costs of making,certifying,and compilia:the copies. <br /> The responsible authority shall comply immediately,if possible,with ao}-requtsY made pursuant to this subdivision,or within�ve days of the <br /> date of the request,ercluding Saturdays,Sundays and lega(holida�s i[immediate wmpli=nce is not possible.If he cannot comply with the requestwithin <br /> that time,he shall so inform the individual,and may have an additiooal five days�ithin w�ic6 to comply with the request,ezcluding Saturdays,Sundays <br /> and legal holidays. <br /> Subd.4. Procedure when data is not accurate ar complet� An individual ma�-contest the accuracy or completeness of public or private data <br /> concerning himself. To exercise this right,an individual shall notif}-in writing the respoan"ble authority describing the nature of the disagreement. The <br /> responsible authority shall rvithin 30 days either: (a)correct the data(ound to be ina�urate or incomplete and attempt to notity past recipients of <br /> inaccurate or incomplete data,including recipients named by the individual;or(b)notif}-the individual that he believes the data to be correct. Data in <br /> dispute shall be disclosed only if the Individual's statement of disaLreement is incloded�sith the disclosed data. <br /> The determination of the responsible authority may be appealed pursuant to the provisions of the adminlstratir•e procedure act refating to <br /> contested cases. <br /> DATA PRIVACY ADVISORY <br /> In accordance with NI.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 an��of its departmenu may require you to furnish certain private or <br /> confidential information. <br /> You are notified that: <br /> 1. The information you furnish�vill 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 shared 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 arrion to approve, some information may become <br /> public. <br /> 5. You have certain rights under M.S. 13.0� (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 <br /> Last <br /> Address <br /> C'tY State Zip Phone <br /> I understand my ri s as stated aba e. . <br /> i/ / •� <br /> Signature <br />