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Sec.13.04 RIGHTS OF SUBJECTS OF DaT?� � <br /> Subd. 1. Type of data. "Ihe righcs of individual on whom[he data is storcd or to be stored shall be as sct forth in this secdon. � <br /> Subd.2. Information reqirired to be given individual. An individual asked to supply privace or confideadal dara concerniag himself shall <br /> be informed of: (a)the purpose and incended use of the requared dara wichin the collecang'sta[e agency,polidcal subdivisioo,or sratewide sysum; <br /> (b)whett:er he may refuse oT is legally cequired to supply the requesced data:(c)aay lrnown coasequence arising from his supplying or refusing to supply <br /> privace or conndendal dara;and(d)the idenory of ocher persoas or enrides authorized by sc�te or feder,�l law to receive che data. 'Ihis requirement shall <br /> not apply when an individual is asked to supply invesdgadve dara. Qursuant to szcdon 13.82, subdivision 5, co a law enforcement officer. <br /> 'Ihe commissioner of revenue mav lace che noace rwired under this subdivision in the individuai income nx or orooem raz refund <br /> inscruccions inscead of on�hose forms. <br /> Subd. 3. access to data by individual. Upon request to a responsible auchoriry,an individual shall be informed whether he is the subject <br /> of stored dara on individuals,and whecher i[is classiFied as public, private or confidenaal. Upon his furcher request, aa individual who is[he subjecc <br /> of stored private or public data on individuals shall be shown che dan without any charge to hirn and,'if he dzsires, shall be informed of the concent <br /> and meaning of chac dara. After an individual has been shown the privare data and informed of i[s meaning,the data need not be disclosed to him for <br /> six monrhs thereafcer unless a dispute or acdon pursuant to [his secdon is pending or addiaonal dara on[he individual has been collecced or crea�d. <br /> Tne responsiblz authoriry shall providz copies of che privam or public data upon request by ch:individual subjecc of che dara. Thz responsible authoriry <br /> may require the requesdng person to pay the actual costs of makine,cerrifying,and compiling the copies. <br /> The responsible auchoriry shall comply immediacely, if possible, wi�h any request made pursuant to this subdivision,or wi[hin five days of <br /> the date of�he request,excluding Saeurdays,Sundays and legal holidays,if immediace compliance is not possible. If he cannot comply with the requesc <br /> wichin rhat rime,he shall so inform che individual,and may have an addidonal five days within which co comply with che request,exduding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individual may contest cha accuracy or completeness of public or pri�•ate <br /> dara concerning himseif. To exercise�his right,an individual shall noafy in wriang che responsible auchoriry dzscribing the nature of thz disagreement. <br /> The responsible authoriry shall wi[hin 30 days either: (a)correcc the data found to be inaccurate or incomplece and attempt to nodfy past recipienu of <br /> inaccurate or incomple�e data, including recipiencs namcd by the individual; or(b)notify the individual thac he believes[he data to be correcc. Data <br /> in dispuce shail be disclosed orily if the individuai's sta[ement of disagreement is included wi[h the disclosed data. <br /> The decerminadon of the responsible authoriry may be appealed pursuanc to the provisions of thz administraave procedure act reladng to <br /> contested cases. <br /> DATA PRIVACY ADVISORY <br /> In accordance wich M.S. 13.04, Subd.2, "Ri�hts of subjects of data", we would like to inform you tha[your request <br /> for a permit or license from the City of Orono or any of its deparcments 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, buc refusal may require that the City deny the permit or license. <br /> 3. The information may be shared wich ocher local, stace or federal agencies to the ettent necessary to process <br /> the pernut or license. <br /> 4. If your requested perm.it or license requires Council action to approve, some information may become <br /> public. <br /> j. You have certain ri�hts 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�ion or permit. <br /> .�� � ��� � � <br /> Firsc �tiddla Lasc <br /> Address <br /> Ciry Srem Zip Phone <br /> I understand my ri�hcs as stated above. <br /> � n C�-��- <br /> � s���a�,« <br />