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e � <br /> t <br /> Sec.13.04 RIGHTS OF SUBJECI'S OF DATA <br /> S�bd. 1. Type of dats. 'Ihe rights of individoal on whom the data is stored or to be stored shall be as set forth in this secdon. <br /> Subd.2. Informatton req�dred to be�tven�l. An individual asked ro supply private or confidential data concerning himself shall <br /> be informed of: (a)the puipose and inte�ed use of the requested data witl�the collecting S�te agency,political subdivision,or stauwide system; <br /> N)a'hether he may refi�se or is IeS�Y�N�to supply the requested daffi;(c)anY lmown conseque�e arising from 6is supplying or refusing to SuPP1Y <br /> private or confidential data;and(d)We iden6ty of other persons or entities authorized by state orfederal law to receive the data. This requirement shall <br /> not apply when an individ�ial is asked t�supply investigative data,pursuant to secaon 13.82,subdivision S,to a law enforcement officer. <br /> '!he commissioner of revemie mav ulace the notice reauued under this subdivision in the individual i�ome tax or orocertv.tax refund <br /> insuuctions insoead of on those forms. <br /> S�bd.3. Access to data by f�dhidusl. Upon request to a tespons�ble authority,an individual shall be informed whether he is the subject <br /> of stored data on individuals,and whether it is classifud as public,private or confriential. Upon his further request,an individual who is the subject <br /> of stoied pmax or public data on individuals shall be shown the dard without any charge to him and,if he desires,shall be informed of the content <br /> and meaning of that data. After an individual has been shown the private data and informed of its meaning,the data oad�t be disclosed to him for <br /> six months thereafoer unless a dispute or action parsvant to this section is pending or additional data on the i�ividual Las been collecud or created. <br /> The responsible authority s6a11 provide copies of the private or public data upon request by the imividuat subjcet of the data. The cesponsible authority <br /> may require the requesting person to�y the acwal costs of maldng,certifying,and compiling the copies. <br /> The responcible authority shall comply immediaody,if possible,with sny tequest made pursuaat to d�is�bdivision,or within five days of <br /> the date of the request,excluding SaAudays,S�ndays and legal holidays,if immediate compliance is not possble. If he cannot comply with the request <br /> within that time,he shall so inform the individual,a�d may have an addiaonal five days within wl�h tn comply with the request,excluding Sanuidays, <br /> Su�lays and legal holidays. <br /> S�bd.4. Procedure when data is�t acc�ate or compl�e. An individual may contest the accuracy or completeness of public or private <br /> ' data concerning himself. To exercise dris right,an individual s6all notify in writing the responsible authority descn'bing the namre of the disagreement <br /> The tespons�le authority shall within 30 days eidier: (a)cornect the data found to be inaccurate or incomplete aad attempt to�tify past recipients of <br /> inaccuiate or i�complete data,including recipients named by the individual;or(b)notify the individual that 6e believes the data to be cornct. Data <br /> in dispute shall be disclosed only if die i�ividual's state�unt of disagree�nt is i�luded with the disclosed data. <br /> The determinadon of the responsible authority may be appealed�rsvant to the provisions of the administ�ative 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 City 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 application or permit. <br /> First Middle Last <br /> Address <br /> City State Zip Phone <br /> I understand my rights as stated above. <br /> signawre <br />