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Sec.13.04 RIGHTS OF SUBJECTS 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. . Information required to be given individual. An individual asked to supply private or confidential data concerning himself shall be <br /> informed of: (a) he purpose and Intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b) <br /> whether be may r fuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply <br /> private or confide tial data;and(d)the identity of other persons or entities authorized by state or federal law to receive the data.This requirement shall <br /> not apply when a individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. <br /> The commissioner of revenue may lace the notice required under this subdivision In the individual income tax or roe tax refund <br /> Instructions <br /> Just d of on those forms. <br /> Subd. . Access to data by individual. Upon request to a responsible authority,an Individual shall be Informed whether he Is the subject of <br /> stored data on in ividuals,and whether it is classified as public,private or confidential. Upon his further request,an individual who is the subject of <br /> stored private or public data on Individuals shall be shown the data without any charge to him and,if he desires,shall be informed of the content and <br /> meaning of that ata. After an individual has been shown the private data and informed of Its meaning,the data need not be disclosed to him for six <br /> months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The <br /> responsible authrity shall provide copies of the private or public data upon request by the individual subject of the data.The responsible authority may <br /> require the requting person to pay the actual costs of making,certifying,and compiling the copies. <br /> Ther ponsible authority shall comply Immediately,If possible,with any request made pursuant to this subdivision,or within five days of the <br /> date of the requ4t,excluding Saturdays,Sundays and legal holidays,If immediate compliance is not possible.If he cannot comply with the request within <br /> that time,he shall so inform the individual,and may have an additional five days within which to comply with the request,excluding Saturdays,Sundays <br /> and legal holidas. <br /> Subd 4. Procedure when data Is not accurate or complete. An Individual may contest the accuracy or completeness of public or private data <br /> concerning him elf.To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement.The <br /> responsible aut ority shall within 30 days either: (a)correct the data found to be inaccurate or Incomplete and attempt to notify past recipients of <br /> inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data to be correct. Data in <br /> dispute shall be disclosed only if the individual's statement of disagreement is Included with the disclosed data. <br /> The determination of the responsible authority may be appealed pursuant to the provisions of the administrative 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 a e 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 shared 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. Ypp have certain rights under M.S.13.04(available upon request)to review private data on yourself. <br /> our full name is required to process this application or permit. <br /> 6. . <br /> ,107hx / 11 Txc,:L)�41 <br /> Fi tMiddle Last <br /> l�-+`7cc / (/ T f t✓ u <br /> Addr i � x%�o <br /> City State Zip Phone <br /> I understand in s ated above. <br /> Signa re <br />