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Oct723-2001 08:15am From-CITY OF ORONO +9522494616 T-049 P.00T/OOT F-642 <br /> Sec.13.04 RIGHTS OF SUBJECTS OF DATA <br /> Subd. 1. Type of data. The rights of individual on wham the darn is stored or w be stored shall be as set forth in this section. <br /> Subd.2_ Information required to be given individual. -%a individual asked to supply private or confidential data concerning himself <br /> shall be informed of (a)the purpose sad intended use of die requenid dare within the sollec&g state agency,political subdivision,or satewide <br /> system:(b)whetter he may refuse or is legally required to supply d-e requested darn:(e)any known consequence arisinS from his supplying or <br /> refusing ro supply private or confidential dam:and(d)die identity of ether persons or entities authorised by state or federal law to receive the dam. <br /> This requirement shall not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision S.to a law <br /> enforcement officer. <br /> The commissionersrf_revenue may olaeo tha-mdet reniti*rrd under[hit subdivisinntilthe indMdual lnenme nY or vroa;•ty tax regindd <br /> inctrucrions instead of on those forms. <br /> Subd.3. Access to data by individual. Upon request.a 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 titt'dher toques;,an individual who <br /> is the subject of stored private or public dam on individuals shall be shown the data without any charge to him aal,if he desires,shall be informed <br /> of the content and meaning of that dam. After an individual has boon shown the private dam ted informed of its meaning,rhe dares treed not be <br /> disclosed to him for six months thereafter unless a dispute or action pursuant to this section is pending or additional dam on tha individual has been <br /> collected or created. The responsible authority shall provide copies of the private or public dam upon request by tbo individual subject of the dare. <br /> The responsible authority may require the requesting person to pay the actual costs of making.cartiWag,and compiling the copies. <br /> The responsible authority shall comply immediately,if possible.with any request made putsuanr to this subdivision,or within five days <br /> of the dace 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,be shall so inform the individual,and may have an additional five days within 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 completeness of public or <br /> private dam concerning himself. To exercise This right,an individual shall notify in writing the responsible authority describing the nature of the <br /> disagreement The responsible authority shall within 30 days either: (a)correct roe data found to be iciac==or incomplete and anompt to notify <br /> past recipients of inaccurate or incomplete data,intruding recipients named by the individual.or(b)notify die individual that he believes the dam <br /> to be correct. Dara in dispute shall be disclosed only if the indivich al's statement of disagreement is included with the disclosed dam. <br /> The determination of die responsible authority may be appealed pursuant to tic pmvisiotns of the administrative procedure act relating <br /> to contested cases. <br /> DATA PRIVACY ADYISARY <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 City of Oronc or any of its departments may require you to furnish certain <br /> private or confidential information. <br /> You are notified that: <br /> l. 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 requices 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 /> XrsL Last <br /> .Address <br /> \ J� <br /> Pd 0/1 PM <br /> 1 <br /> City State zip Phone <br /> I underst m ri is stated above. <br /> Sigtnature � <br /> 6 <br />