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� <br /> � <br /> Sec.13.04 RIGHTS OF S[JB.TECTS OF DaTA . <br /> Subd. 1. Type of data. The righrs of individual oa whom the data is stored or co be stored shall be as set forth in this secdon. <br /> Subd.2. Information reqirired to be givea individual. An individual asked to supply private or confidendal data concerning himself shall <br /> be iaformed of: (a)the purpose and intended use of the requesud data within the collecang ttate agency,polidcal subdivision,or statewide rystem; <br /> (b)whether he may refuse otr is legally required co supply the requested data;(c)any lmown consequence arising from his supplying or refusing to suppty <br /> private or confidential data;and(d)the idenriry of other persons or enrides au[horized by state or federal law to receive the data. 'Ihis requiremenc shall <br /> not apply when an individual is asked to supply invesrigadve dara, punuant to secdon 13.83,subdivision 5,co a law enforcement o�cer. <br /> The commissioner of ro�•enue mav place the notice rewired under this subdivision in the individual income rax or nrooertv taz refund <br /> instrucdons instead of on those forms. <br /> Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed wherher he is the subject <br /> of stored data on individuals,and whe[her it is classified as public,private or confidendal. Upon his further request,an individual who is the subject <br /> of stored private or public dara on individuals shall be shown che data without any charge to him and,-if he desires,shall be infarmed of[he content <br /> and meaning of that data. After an individual has been shown che private data and informed of its meaning,the data need not be disclosed to him for <br /> siz months thereafter unless a dispute or action pursuanc to this secdon 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 requesc by the individuai subject of the data. The responsible auchoriry <br /> may require the roquesdng person to pay the actual coscs of making,certifying,and compiling the copies. <br /> The responsible authoriry shall compiy immedia[ely, if possible,with any request made pursuant to this subdivision,or wichin five days of <br /> the date of the requesc,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request <br /> within that tune,he shall so inform the individual,and may have an additional five days within wluch to comply with the request,exc!uding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individua!may contest the accuracy or completeness of public or private <br /> data concerning himself. To exercise this right,an individual shall nodfy in writing the responsible authoriry describing che nature of the disagreement. <br /> The responsible authoriry shatt within 30 days either: (a)correct the data found m be inaccurate or incomplete and attempt to notify past recinients of <br /> inaccunte or incomplete data, including recipients named by the individual;or(b)notify the individual that he believes the data to be correct. Data <br /> in dispute shall be disclosed only if the individual's sta[ement of disagreemenc is included with the disclosed data. <br /> The determinadon of the responsible authoriry may be appealed pursuanc to the provisions of the administrative procedure act relating 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 pemut or license from the City of Orono or any of its departments 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 detecmine 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 pemut 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 pemut 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 /> City State Zip Phone <br /> I understand my rights as stated above. <br /> Signa[ure ' <br />