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Sec.13.04 RIGHTS OF S�JBJECTS OF DATA <br /> Subd. 1. Type of data. The righrs of iadividual on whom the data is stored or to be stored shall be as sec focth ia this secaon. <br /> Subd.2. Informaaon reqirired to be givm individual. An individual uked to supply private or coafidendal data concerning himself shall <br /> be informed of: (a)the purpose and inrcaded use of the teques�ed data within the callecdng state agency,poliacal subdivisioa,or sratewide rystem; <br /> (b)whether he may refuse oY is kgaily requited co supply the requesud data:(c)any Imown coauquence arising from his supplying or refusing to supply <br /> private or confidendal data;and(d)the idendty of o[her persoas or earides autharized by state or federal law to receive the data. Tbis requirement s6a11 <br /> not apply when an individual is asked to supply invesrigadve daa,pursuanc to secaon 13.82,subdivision S,to a law enforcement officer. <br /> The commissioner of revenue mav elace che nodce mwired under d►is subdivision in the individual income rax or orooem taz refund <br /> instrucdons instead of on chose focros. <br /> Subd.3. Accas to data by individual. Upon requesc co a msponsible authoriry,an individual shall be infocmed whethec he is the subject <br /> of smred data on individuals,and whaher it is class�ed as public,private or confidential. Upon his further request,an individual who is the subject <br /> of stored private or public data on individuals shall be shown rhe dara without any charge W him aad:if he desires,shall be informed of the content <br /> and meaning of that data. After an individual has been shown che private daa and informed of ics meaning,the data need not be disclosed to him for <br /> six monrhs thereafur unless a dispute or acdon punuanc to�his secdon is pending or addidooal data on the individual has been collecud or cnared. <br /> The responsible authoriry shall provide copies of[he privace or public data upon rcquest by the individual subject of the data. The responsible authoriry <br /> may requin the requadng person W pay the actual costt of making,cerdfying,and compiling the copies. <br /> The responsible audioricy shall comply immediately,if possible,wi[h aay request made pursuant to this subdivision,or within five days of <br /> the date of the reques4 excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request <br /> wi[hin chat dme,he shall so inform rhe individual,and may have an addiriooal five days wirhin which to compiy with the request,ezcluding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data i�not accurate or complete. An individual may contest the accuracy or completeness of public or private <br /> data conceming himself. To exercise this right,an individua!shall noafy in wriciag rhe responsible authoriry describing the naare of dte disagreement. <br /> The responsible authority shall within 30 days eicher: (a)correct the data found to be inaccurate or incomplete and atumpt to nodfy past recipienu of <br /> inaccurate or incomplete data,including recipieaa named by the individual;or(b)nodfy the individuai thac he believes ehe data to be cormt Data <br /> 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 authoriry may be appealed pursuant to the provisions of the adminisaadve procedure act relaang to <br /> contested cases. <br /> DATA PRIVACY ADVISORY <br /> In accordaace with M.S. 13.04, Subd.2, "Righu of subjects of data",we would like to inform you that your request <br /> for a permit or license from the Ciry of Orono or any of its departments may require you to fumish certain private or <br /> coafidential information. <br /> You aze notified that: <br /> 1. The information you furnish 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 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 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 /> � — <br /> F,n u,a � �� <br /> 2�� S� l� �- <br /> ,�d� 6 w� � ,�� ��' —Z�7� <br /> Ciry Stace Zip Phone <br /> I derstand my rig t as t ted abov . <br /> ignature <br />