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� <br /> .,` <br /> Sec.13.04 RIGHTS OF S[JBJECTS OF DATA <br /> Subd. 1. Type of data. The righcs of individual on whom the data is stored or to be stored shall be as set fo�th in this secdon. . � <br /> Subd.2. Information reqirired to be givea individual. An individual asked to suppty private or confidendal data concerning himself shall <br /> be informed of: (a)the purpose and intended use of the requesced dara wirhin the collecting 31atc agency,poliucal subdivision,or statewide sysum; <br /> (b)whether he may refuse oY is legally requiced to supply the requested data;(c)any irnown consequence azising from his supplying or refusing to supply <br /> private or confidenrial data;and(d)the identiry of other petsons or entides authorized by state or fedecal law to receive the data. This requirement shall <br /> not apply when an individual is asked to suppiy invesdgadve data,punuant to secaon 13.82,subdivision 5,to a law enforcement o�cec. <br /> T7te commissioner of revenue mav place the nodce reauired under this subdivision in the individual income tax or DroDertv tax refund <br /> instrucaons instead of on those forms. <br /> Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject <br /> of swred data on individuals,and whe[her it is class�ed as pubiic,private or co�dendal. Upon his further request,an individual who is the subject <br /> of stored private or pubtic data on individuals shall be shown the data without any charge to him and,-if he desires,shall be informed of the content <br /> and meaning of that data. After an individuai has been shown the private data and informed of its meaning,the data need not be disclosed to him for <br /> six months thereafter unless a dispute or acdon pursuanc to[his secdon is pending or addidonal data on the iadividual has been collected or created. <br /> The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry <br /> may require the requesting person to pay the actual cosu of making,certifying,and compiling the copies. <br /> The responsible authority shall compiy immediately,if possible,with any request made pursuant to this subdivision,or within five days of <br /> the date of the request,ezcluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request <br /> within that ticne,he shail so inform the individual,and may have an addirional 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 complete. An individual may conust the accuracy or completeness of public or private <br /> data conceming himself. To exercise this right,an individual shall norify in writing the responsible authority describing the nature of the disagreement. <br /> The responsible authoriry shall within 30 days either: (a)correct the data found m be inaccurate or incomplete and attempt to nodfy past recipients of <br /> inaccurate or incompiete data,including rocipients named by[he individual;or(b)nodfy the individual that he believes the data to be correct. Dara <br /> in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. <br /> The determination of the responsible authoriry may be appealed pursuant to the provisions of the administradve 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 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 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 shazed 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 applica'on or permit. <br /> � ,��- G � � �� �/st�� �� <br /> � <br /> First Middle �t <br /> � 6 � �-�' <br /> Addre s � / ����i _�`�6 . <br /> /�/ l � <br /> Ciry ` State Zip hone <br /> I underst ri as st • ____ ____ , <br /> Signamr� <br />