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r <br /> ► � D 1 <br /> Sec.I3.04 RIGHTS OF SiJBJECTS 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 /> Subd.2. InformatIon reqwired to be given individual. An individual aslced to svpply private or confidential data concerning himself <br /> shall be infottned of: (a)the purpose aad intanded use of the requested data within the collecting state agency,polidcal subdivision,or statewide <br /> system:(b)whether he may refuse or is legally required to supply the requested data;(c)any lmown consequence arising from his yvpplying or <br /> refvsing oo supply private or confidenaal data;and(d)the identiry of other persons or entiaes audiorized by state or federal law W receive the data. <br /> T6is requirement shall not apply when an individual is asked ro supply investiga6ve data,pursvant to section 13.82, subdivision 5,to a law <br /> enfomement o�cer. <br /> '�he commissioner of reveriue mav olace the nodce rewired under this svbdivisian in the individual income tax or ro ertv tax refund <br /> instrucrions tnstead of on those forms. <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 coafidenrial. Upon his further request,an iadividual who <br /> is the subject of stored private or public data on individuals shall be shown die data wid�out any charge to hun and,if he desires,shall be informed <br /> of die content and meaning of that data. After an individual has been shown the private data and informed of its meaniag,the data need not be <br /> disclosed W him for six months thereafter unless a dispute or action parsuant co this sec6on is pending or addidonal data on the individual has been <br /> collected or created. The respons�ble authoriry shall provide copies of the private or public data upon request by the individual subject of the data. <br /> The resgoasible authoriry may require the requesting person to pay the actual costs of maldng,certifying,and compiling the copies. <br /> The responsible authoriry shall comply immediacely,if possible,wit}►any request made pursuant to this subdivision,or wid►in five days <br /> of the date of the request,excluding Sadudays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply widi <br /> the request within that time,he shall so inform the individuai,and may have aa addidoaai five days within which to comply with the request, <br /> excluding Saturdays,Sundays and(egal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeuess af public or <br /> priva[e data concerning himsetf. Ta exercise this right,an individual shall notify in writing the responsible authority descn'bing the�nature of the <br /> disab�reemecu. The responsible authoriry shall within 30 days either. (a)correct the dare found to be umccurate or incomplete and attempt to nodfy <br /> past recipients of inaavrate or incomplete dars,including recipienu named by the individual;or(b)notify the individual ihat he believes the data <br /> co be correct Data in dispute shall be disclosed only if the individual's statement af disagreement is iacluded with the disclosed data. <br /> The dererminaaon of the responsble authority may be appealed pursuant to the provisions of the adcninistrauve 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 pemut 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 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 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 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 <br /> I.ast <br /> Address <br /> Ciry State Zip Pf�one <br /> I und d my ' t, s stated ve. <br /> S' re <br /> 6 <br />