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.� <br /> Sec.13.04 RIGH7'S OF SCTBJECTS OF DATA <br /> Subd. 1. Type of data. The rights 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 supply private or confidential data concerning himself shall <br /> be infotmed of: (a)the purpose and inte�ed use of the requested data wichin the collecting state agency,polidcal subdivision,or statewide system; (b) <br /> whether he may refuse or is legally required to supply the requested data;(c)any]mown consequence arising from his supplying or refusing to supply . <br /> private or confidential data;and(d)the identiry of other persons or enddes authorized by state or federal law to receive the data. This requirement shall <br /> not apply when an individual is asked to supply investigative data,pursuanc to secaon 13.82, subdivision 5,to a law enforcement o�cer. <br /> 1he commissioner of revernie mav place the�tice�uired under this subdivision in the individual income tax or propertv tax refund insttucdons <br /> instead of on those forms. <br /> Stibd.3. Acceas to data by individual. Upon request to a responsible authoriry,�an individual shall be informed whether he is the subject of <br /> soored data on individuals,and whether it is claccified as public,private or confidential. Upon his fucther request,an individual who is the subject of stored <br /> private or public data on individuals shall be shown the data without any charge to him and, if he desires, shall be informed of the content and meaning <br /> of that data. After an individual has been shown the private data and informed of ics meaning, the data need not be disclosed to him for six months <br /> theieafter unless a dispute or acaon pursuant to this section is pending or addirional data on the individual has been collected or created. The responsible <br /> authonry stsall provide copies of the private or public data upon request by�e•individu�el subject of the data. The responsible authority may require the <br /> requesdng person to pay the actual costs of making,certifying,and compiling the copies. <br /> The nesponsible authority shall coraply irt�mediately,if possible,w�th any request made pursuantrto this subdivision,or within five days of the <br /> date of fhe cequest,excluding Saturday's,S�ntiays and legal holidays, if immediate compliance is not possible. If he cannot comply with the request within <br /> that titc�,he shall so infoan�e individual,and may have an additional five days within which to comply with the request,excluding Saturdays,Sundays <br /> and legal holidays. <br /> StiDd.4: Procedure when data is not accurate oncomplete..`An individ�µal pnay contest the accuracy or completeness of public or private dara <br /> co►�eming himself. To exercise this right,an individual shall notify in wriring the responsible authority describing the nature of the disagreement. The <br /> responsible authoriry shali within 30 days either. (a)correct the dara found to be inaccurate or incomplete and attempt to nodfy past recipienu of inacwrate <br /> or incomplete data,including recipients named by the individual;or(b)noafir the individual that he believes the data to be correct. Data in dispute shall <br /> be disclosed only if the individual's statement of disagreement is included wi[h the disclosed data. <br /> The determinaaon of the responsffile authoriry may be appealed pursuanCto the pmvisions of the adminisaadve procedure act relating to contested <br /> 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 information. <br /> You are notified that: <br /> 1. The informarion you fiunish 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 i�formation may be shared with,other lacal, 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 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 pemut. <br /> First • , Middle �S� <br /> Address <br /> Ciiy State Zip Phone <br /> I understand my rights as stated above. <br /> SignaNre . • � <br /> 10 <br />