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� <br /> ' ♦ <br /> ► <br /> Sec.13.04 RIGHTS OF SUBJECTS 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 tbr[h in[his section. <br /> Subd.2. Information req�rired to be given individual. An individual asked to supply private or con6dential data conceming himself shali <br /> be informed of: (a)the purpose and inunded use of the requesred data wirhin the collecting State agency,political subdivision,or sratewide sysum; <br /> (b)whether he may refuse oY is legaliy required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply <br /> privau or confidential data;and(d)che idendry of other pe�sons or enaaes authorized by state or federal law to receive the data. This requirement shall <br /> not apply when an individual is asked to supply invesrigadve data, pursuant to section 13.82, subdivision 5,to a law enforcement o�cer. <br /> The commissioner of revenue mav place the nodce required under this subdivision in the individuat income rax or propectv tax refund <br /> instrucdons instead of on those forms. <br /> Subd. 3. Access to data by individual. Upon request to a responsible authnriry,an individual shall be informed whether he is the subject <br /> of swred data on individuals,and whether it is classified as public,priva[e or confidendal. Upon ivs further request,an individual who is the subject <br /> of stored private or public data on individuals shal!be shown the data wichout any charge to him and,�if he desires, shall be informed of the content <br /> and meaning of[hat dara. Afrer an individual has been shown rhe private dara and informed of its meaning,the data need not be disclosed w him for <br /> six monrhs thereafter unless a dispute or acdon pursuanc to this secdon is pending or addidonal data on the individual has been collected or creared. <br /> The responsible authority shall provide copies of the private or public data upon request by the individual subject of rhe dara. The responsible authority <br /> may roquire the requesting person to pay the acmai cosu of making,certifying,and compiling the copies. � <br /> The responsible au[horiry shall comply immediately, if possibie,with any request made pursuant to this subdivision,or within five days of <br /> the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the roquest i <br /> within that time,he shall so inform the individual,and may have an addiaonal five days within which to comply with the request,eacluding Saturdays, � <br /> Sundays and legal holidays. � <br /> Subd.4. Procedure when data is not accurate or complete. An individuai may contest the accuracy or completeness of public or privare , <br /> data conceming himself. To exercise this right,an individual shall nodfy in writing the rosponsible authority describing the nature of the disagreement. <br /> The responsible authoriry shall within 30 days either: (a)correct the dara found to be inaccurate or incomplete and aaempt to noafy past recipienu of y <br /> inaccunte or incomplete data,inciuding recipients named by che individuai;or(b)noafy the individual that he believes the data to be correct. Data <br /> in dispute shall be disciosed only if the individual's statement of disagreement is included with[he disctosed data. <br /> The determinaaon of the responsibie auchoriry may be appealed pursuant to the provisions of the adminisaadve procedure act relating to <br /> conCesud cases. <br /> DATA PRIVACY ADVISORY <br /> " ' ub'ects of data" we would like to inform you that your request <br /> In accordance with M.S. 13.04, Subd.2, Rights of s � , <br /> for a permit or license from the City of Orono or any of its departments may require you to furnish certain private or ,I <br /> confidential information. <br /> You aze notified that: � <br /> 1. The information you fumish 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 eztent 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 /> (, Your full name is required to process this application or permit. <br /> �i/��/ �,�.t/� ���-���� <br /> Fi�� Middle � Last <br /> �/�� /✓D�r � i <br /> Addcess - / �,� / �rr—���+/ ��/�� ' <br /> �,�..o/!/� �// ��..� l <br /> City State Zip Phone ! <br /> I understand my rights as stated above. <br /> Signantre ' <br />