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Sec.13.04 RIGHTS OF SUB.TECTS 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 secdon. <br /> Subd.2. Information required to be given indiridual. An individual asked to supply private or confidential data conceming himself <br /> shall be informed of: (a)the purpose and intended use of the requested data within the collecdng state agency,polidcal subdivision,or statewide <br /> rystem;(b)whether he may refuse or is legally required to supply the requested data;(c)any Imown consequence arising from his supplying or <br /> refusing to supply private or coofidenaal dara;and(d)the idendry of other persons or endaes authorized by sate or federa(law to receive the data. <br /> This requiremenc shall not apply when an individual is asked to supply investi;adve data, pursuant to secdon 13.82, subdivision 5, to a law <br /> enforcement officer. <br /> The commissioner of revenve mav olace the notice reauired under this subdivision in the individual income raz or orooertv tax refund <br /> instrucrions instead of on those fortns. <br /> Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the <br /> subject of stored data on individuals, and whether it is classified as public,private or confidenaal. Upon his furrher request,an individual who <br /> is the subject of stored private or public dara on individuals shall be shown the data without any charge to him and,if he desires,shall be informed <br /> of the content and meaning of that data. Afrer an individual has been shown the private data and informed of its meaning,the data need not be <br /> discfosed to him for six months thereafter unless a dispute or action pursuant to this secdon is pending or addirional data on the individual has been <br /> co(lected or created. The responsibte authoriry shall provide copies of the private or pub(ic data upon request by the individual subject of che data. <br /> The responsible authoriry may require the requesring person to pay the actuai cosu of making,certifying,and compiling the copies. <br /> The responsible authoriry shall comply immediately,if possib(e,with any request made pursuant to this subdivision,or within five days <br /> of the da�e of the request,excluding Saturdays,Sundays and legal holidays, if immediate compliance is not possible. If he cannot comply wirh <br /> the request wirhin that time, he shall so inform the individual, and may have an addirional five days within which to comply with the request, <br /> exc(uding Saturdays, Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of pubiic or <br /> private dara concerning himself. To exercise this right,an individual shail notify in writing the responsible authoriry describing the nature of the <br /> disagreement. The respocuible authority shall within 30 days either: (a)correct the dara found to be inaccurate or incomplete and attempt to notify <br /> pasc recipiencs of inaccurate or incomplece dara,including recipienu named by the individual;or(b)nodfy the individual that he believes the data <br /> [o be correct. Data in dispute shal!be disclosed only if the individual's statement of disagreement is included wich the disclosed data. <br /> The detertnination of the respoasible authoriry may be appealed pursuant to the provisions of the administraove procedure act relating <br /> to 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 <br /> request for a permit or license from the Ciry of Orono or any of its departments may require you to furnish certain <br /> private or 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 <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 o[her local, state or federal agencies to the extent necessary to <br /> process the pemut or license. <br /> 4. If your requested permit or license requires Council action to approve, some information may become <br /> public. <br /> S. 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 /> ���Y Srate Zip Phone <br /> I unde stand my right as,�st d above. <br /> G � <br /> _, <br /> s�gnatu�e <br /> 6 <br />