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� <br /> i <br /> Sec.13.Q4 RIGHTS OF SLJBJECTS OF DATA <br /> Subd. 1. Type of data. The righrs of individual on whom the data is stored or to be stored sha11 be as set farth in this secuon. <br /> Subd.2. Information reqirired to be given individual. An individual asked w supply private or confidendal data conceming himself shall <br /> be informed of: (a)the purpose and intended use of the requested data within the collecting�tate agency,polidcal subdivision,or statewide systcm; <br /> (b)whether he may refuse oY is legaily required to supply the requested data;(c)an3+laiown consequence arising from his supplying or refusing ro supply <br /> private or confidentiai data;and(d)the idenriry of other penons or enudes authoriaed by state or federal law to receive the data. This requirement shall <br /> not apply when an individual is asked to supply invesrigadve dara,punuant to secflon 13.82,subdivision 5,to a law enforcement officer. <br /> The commissioner of revenue mav nlace the noace rewired under this subdivision in the individual income taac or prooertv raz refund <br /> instructions 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 subject <br /> of smred data on individuals,and whethe�it is class�ed as public,private or confidential. Upon his further requesc,an individual who is the subject <br /> of stored private or public data on individuals shall be shown the dara without any charge to him and,-if he desires,shall be infarmed of the content <br /> and meaning of rhat data. After an individual has been shown the private data and informed of its meaning.the data need not be disclosed to him for <br /> su months thereaf[er unless a dispute or acrion pursuanc to this secrion is pending or addidonal data on the individual has been collected or created. <br /> The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry <br /> may require the requesting person to pay the actual costs of making,cerodying,and compiling the copies. <br /> The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or withia five days of <br /> the date of the request,excluding Saturdays.Sundays and legal holidays,if immediace compliance is not possible. If he cannot compty with the request <br /> within that time,he s6all so inform the individual,aaci may have an addidonal five days within which to comply with the request,excluding Saturdays, <br />' Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public ar private <br /> data conceming himself. To exercise this right,an individual shaii norify in writing d►e responsible authority describing rhe narure of the disagreement <br /> The responsible authoriry shall within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to noafy past recipients of <br /> inaccurate or incomplete data,including recipients named by the individual;or(b)notify�►e individual that he believes the dara to be correcc. Data <br /> in dispute shall be disclosed oaly if the individual's statemenc of disagreement is included with the disclosed data. <br /> The decerminadon of the responsible authority may be appealed pursuant w the provisions of�e administradve 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 �i <br /> Address <br /> Ciry Srate Zip Phone <br /> I understand my rights as stated above. . <br /> Signaatce <br />