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I / J o �- . <br /> . �+' <br /> � , � <br /> Sec.13.04 RIGHTS OF SUB3�CTS OF DATA <br /> S�bd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in Uus section. <br /> Subd.2. Informabton reqoired to be given individual. An individual asked to supply private or confidential data concerning himself <br /> shall be informed of: (a)die purpose and'mteffiied use of�e requested data within the collecting staoe agency,polidcal subdivision,or statewide <br /> system;(b)whether he may refuse or is legally required to supply the requested data;(c)azry lmown consequence arising firom his supplying or <br /> refusing to supply private or confide�ial data;and(cn the identity of other persons or emiries authorized by state or federal law to receive the data. <br /> '17�is requirement.shall not apply when an individual is asked to supply investigative data,pursuant to section 13.82, subdivision 5,to a law <br /> enforcement officer. • � <br /> Ttte commissioner of revern�e mav nlace the notice reauired under this subdivision in the individual income tax or nroneriv ta�c refund <br /> nostrucdons instead of on those forms. <br /> Subd.3. Acce�to data by iindividual. Upon request w a respflnsible authority,an individual shall be i�ormed whether he is the <br /> sUbject of stored data on individuals,and whether it is classified as public,private or confide�ial. Upon his further request,an individual who <br /> is die subject of stored privaoe or public dam on individuals shall be shown die data without any charge to him and,if he desires,shall be informed <br /> of the content and meaning of that data. After an individual has been shown the private data and informed of itc meaning,the data need not be <br /> disclosecl to him for six momhs theteafter unless a dispute or acrion pursuant to this section is pe�ing or additional data on the individual has been <br /> wIlecoed or created. The responsible authority shall provide copies of d►e private or public dala upon request by the individual subject of the data. <br /> The responsible authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. <br /> The respons►ble authority shall comply immediately,if posst'ble,with any request made pursuant to this subdivision,or within five days <br /> of the date of the request,excluding Saturdays,Sundays aad legal holidays,if immediate compliance is not possible. If he cannot comply widi <br /> the request within that time,he shall so inform the individual,and may have an additio�l five days witLin which to comply with the request, <br /> e�ccluding Saturdays,Sundays and legal holidays. <br /> Subd.4.•Procedure when data is not accarate or complete. An individual may contest the accuracy or completeness of public or <br /> private data concetmng himcelf. To exercise this right,an individual shall natity in wricing the•responst'ble authority descn'bing the nature of the <br /> disagreeme�. The respons�ble authority shall withm 30 days ei�er: (a)correct d�e data found to be inaccucate or incomplete and atbempt to nodfy <br /> p�ast recipiems of inaccurate or incomplete data,i�lud'mg recipients named by the individual;or(b)norify the individual that he believes the data <br /> to be correct. Data in dispute shall be disclosed only if the individual's statemem of disagreement is included with the disclosed data. <br /> The determimAtion of the respons�le authority may be appealed pursuant to the pmvisions of the administradve procedure act relating <br /> to contested cases. <br /> AATA PRIVACY A►DVISORY <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 Gity of Orono or any of its departments may require you to furnish certain <br /> private or confidential informarion. <br /> , <br /> You aze notified that: <br /> 1. The information you futnish 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 acdon 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 pro s ' application or permit. . <br /> � <br /> �� <br /> e/ �� r� <br /> � , <br /> A`�� /���%� ��1/ o��c3�� ������ <br /> City State Zip Phone <br /> I understan ts as stated e. • <br /> Sigffiture <br />