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r <br /> Sec.13.04 RIGHTS OF SUh3dli:CrS OF DATA ` <br /> Subd. 1. Type of data. The rights of individual on whom the data is red or to be stored shall be as set forth in this section. <br /> Subd.2. Information required to be given individual. An individual a sked to supply private or confidential data concerning himself <br /> shall be informed of: (a)the purpose and intended use of the requested data within die collecting state agency,political subdivision,or statewide <br /> system;(b)whether he may refuse or is legally required to supply the requested (c)any(mown consequence arising from his supplying or <br /> refusing to supply private or confidential data;and(d)the identity of other persons o entities authorized by state or federal law to receive the data. <br /> This 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 /> The commissioner of revenue may lace the notice reauired under this s ibilivision in the individual income tax or prwerty tax refimd <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 <br /> subject of stored data on individuals,and whether it is classified as public,privatt or confidential. Upon his further request,an individual who <br /> is the subject of stored private or public data on individuals shall be shown the data N rithout 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 irivate data and informed of its meaning,the data need not be <br /> disclosed to him for six months thereafter unless a dispute or action pursuant to this =don is pending or additional data on the individual has been <br /> collected or created. The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. <br /> The responsible authority may require the requesting person to pay the actual cos s of making,certifying,and compt7ing the copies. <br /> The responsible authority shall comply immediately,if possible,with an3 request made pursuant to this subdivision,or within five days <br /> of the date of the request,excluding Saturdays,Sundays and legal holidays,if im nediate compliance is not possible. If he cannot comply with <br /> the request within that time,he 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 indtvidual may contest the accuracy or completeness of public or <br /> private data concerning himself. To exercise this right,an individual shall notify' writing the responsible authority describing the mature of the <br /> disagreement. The responsible authority shall within 30 days either: (a)cerrect the data found to be inaccurate or incomplete and attempt to notify <br /> last recipients of inaccurate or incomplete data,including recipients named by the .ividual;or(b)notify the individual drat he believes the data <br /> to be correct. Data in dispute shall be disclosed only if the individual's smientem of disagreement is included with the disclosed data. <br /> The determination of die responsible authority may be appealed pursum t to the provisions of the administrative procedure act relating <br /> to contested cases. <br /> DATA PRIVACY AD rISORY <br /> I <br /> In accordance with M.S. 13.04, Subd. 2, "Rights of subjecLs of data", we would like to inform you that your <br /> request for a permit or license from the City of Orono or any of its departments may require you to f4ruish certain <br /> private or confidential information. <br /> You are notified that: <br /> 1. The information you furnish will be used to detennine 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, tate 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(availabl upon request)to review private data on yourself. <br /> 6. Your full name is required to process this applicadon or permit. <br /> First Middle Last <br /> Address <br /> City Sa xe Zip Phone <br /> I understand my rights as stated above. <br /> Signature <br /> 6 <br />