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. r <br /> � 1 <br /> L. + <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 forth in this section. , <br /> Stibd.2. Information reqaired to be given individual. An individual asked ro supply private or confidential data conceming himself <br /> shall be informed of: (a)the�urpose and intended use of the requested data withit►the collecting stau agency,political subdivision,or statewide <br /> sysrem;(b)whether he may refuse or is legally required to supply the requested data;(c)any lmown consequence arising from his supplying or <br /> refusing ro supply private or confidential data;and(d)the idendty of other persons or entities authorized by state or federal law w receive the data. <br /> This requirement shall not apply when an individual is asked to supply invesdgadve data;pursuant to secdon 13.82, subdivision 5, to a law <br /> enforcement officer. <br /> The commissioner of revern�e mav olace the noace rewired under this subdivision in the individaal income rez or nrocertv taz refund <br /> instructions instead of on those forms. � <br /> I <br /> Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the I <br /> subject of stored data on individuals,and whether it is classified as public,private or co�dendal. Upon his further request,an individual who <br /> is the subj�t of stored private or public data on individuals shall be shown the data without any charge to him a�,if he desires,shall be informed � <br /> of the content and meaning of that data. After an iruiividual has been shown the private data a�infomied of its meaning,the data need not be i <br /> disclosed to him for six months thereafter unless a dispute or action pursoant to this section is pending or addirionai data on the individual has been � <br /> collected or created. The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. � <br /> The responsible authoriry may require the requesting person to pay the actual cosu of maldng,certifying,and compiling the copies. �� <br /> The responsible authoriry shall comply immediately,if possble,with any request made�wrsuant to this subdivision,or within five days <br /> of the date of the request,eacluding Saturdays,Sundays anci legal holidays,if immediate compliance is not possible. If he cannot comply with <br /> the request within that time,he shall so inform the i�ividual,a�may have an addidonal five days within which W comply with the request, <br /> excluding Saturdays,S��ays 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 I <br /> private data coc�erning 6imself. To ezercise this right,an i�ividual shall nodfy in writing the responsible authority describing the nature of the <br /> disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt w notify � <br /> past recipients of inaccurate or incomplete dara,including recipients named by the uidividual;or(b)notify the individiial that he believes the data ; <br /> to be cornct. Daha in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. <br /> The determination of du responsible authoriry may be appealed pursuant to the provisions of the administradve procedure act relating <br /> to contested cases. i <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 ; <br /> request for a permit or license from the�ity of Orono or any of its departments may require you to furnish certain i <br /> private or conf'idential information. ! <br /> You aze notified that: ', <br /> 1. The information you fumish will be used to determine your qualification for the permit or license ' <br /> requested. <br /> 2. You may refuse to supply data,but refusal may require that the City deny the permit or license. � <br /> 3. The information may be shared with other local, state or federal agencies to the extent necessary to <br /> process the permit or license. <br /> 4. If your requested permit or license requires Couneil action to approve, some informarion 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 /> �"�,9-� ,� �f,�"� ' <br /> Fast ��J Middle� �� I.ast <br /> I <br /> �'�� V\.�JV <br /> Address �� � ` S�� ��`� <br /> City State Zip Phone <br /> I understand ights as stated above. <br /> / � <br /> Signature <br /> � 6 <br />