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� � � <br /> Sec.13.04 RIGHTS OF SUBJECTS OF DATA <br /> Subd. 1. Type of data. The rigbts of individual on whom the data is stored or to be stored shall be as set forth in tfiis secdon. <br /> Subd.2. Information reqwlred to be given individual. An i�iividual asked ro supply private or confidendal data concerning himself <br /> shall be infomied of: (a)d�e purpose a�itrce�ed use of the requested data withii►the collecting srate agency,political subdivision,or statewide <br /> system;(b)whether he may refuse or is legally required to supply the requested data;(c)any Imown consequence arising from lris supplying or <br /> refusing to supply private or coofideadal data;arn!(�the identity of odier persons or entities authorized by shate or federal law to receive the data. <br /> This requirement shall not apply when an individual is asked to supply inves6gative data,pursuant to section 13.82, subdivision 5,to a law <br /> enforcement officer. <br /> The commissioner of revemie mav olace the notice rewired under this subdivision in the individual inwme tax or orooertv tax refund <br /> jnctructi�n�instead of on those forms. <br /> Subd.3. Access to data by individual. Upon request to a responsible authority,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 confidential. Upon his further request,an individual who <br /> is the subject of stored private or public data on individuals shall be shown the data without arry charge to hiun and,if he desires,shail be informed <br /> of the content and meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be <br /> disclosed to him for six months diereafter unless a dispute or action pursuant to this section is pending or addirional data on the individual has been <br /> wllected or created. The responsible authoriry shall provide copies of die 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 costs of maldr►g,certifying,a�compiling the copies. <br /> The respons9ble authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days <br /> of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with <br /> the request within that time,he shall so inform the individual,and may have an additional five days wlthin which to comply with the request, <br /> excluding Saturdays,Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or compl�teness of public or <br /> private dala concerning himself. To exercise this right,an individual shall notify in writing the res�nsible authority describing the�nature of the <br /> disagreemecu. The responsible audioriry shall widun 30 day$either. (a)cornct die data found to be inaccurate or u�conoplete and attempt to notify <br /> past recipiems of inaccuraoe or incomplete dara,i�luding recipie�s named by the individual;or(b)notify the individual that he believes the data <br /> to be correcL Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. <br /> The detenninadon of the responsible authority may be appealed pursuant W the provisions of the administradve 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�ity of Orono or any of its departments may require you to furnish certain <br /> private or confidential information. <br /> You aze 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 other local, state or federal agencies to the extent necessary to <br /> process the permit or license. <br /> 4. If your requested germit 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 /> ��c C���- <br /> First Middle Last <br /> ��1� �v�0-�sa �1��- '��— <br /> Address <br /> � ���, 1�v�9 �-;�(��5Z�`1cel��C�i!� <br /> City State Zip Phone <br /> I understand my rights as stated above. <br /> Signadtre a <br /> 6 <br />