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� <br /> r <br /> Sec.13.04 RIGHTS OF SLJBJECTS 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 secaon. <br /> Subd.2. Information req�red to be given individual. An individual asked to supply private or confidendal data conceming himself shall <br /> be informed of: (a)[he purpose and in[ended use of the requesced data withia the collecting Ytate agency,political subdivision,or statewide system; <br /> (b)whether he may refuse oY is legally required to supply rhe requested data;(c)any{aiown consequence arising from his supplying or refusing to supply <br /> private or confidendal data;and(d)che idendry of o[her persons or enrities au[horized by state or federal law to receive the dara. This requirement shall <br /> not apply when an individual is asked to supply invesdeadve data, pursuant to secdon 13.82, subdivision 5, to a law enforcement officer. <br /> The commissioner of re�enue mav place the nodce required under this subdivision in the individual income tax or proaertv tax refund <br /> instrucdons instead of on chose forms. <br /> Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject <br /> of stored data on individuals,and wherher it is classified as public,private or confidenaal. Upon his further request,an individual who is the subjecc <br /> of stored private or public data on individuals shall be shown[he data wirhout any charge to him and,if he desires, shall be informed of the content <br /> and meaning of chat data. After an individual has been shown che private data and informed of iu meaning,the data need not be disclosed to him for <br /> six months thereafter unless a dispute or acdon pursuant to this secrion is pending or addidonal data on the individual has been collected or created. <br /> The responsible au[horiry shall provide copies of the private or public data�pon requesc by the individual subject of the data. The responsible authority <br /> may require the requesring person to pay the acmal costs of making, certifying,and compiling the copies. <br /> The responsible authoriry shall compiy immediately,if possible,with any requesc made pursuant to this subdivision,or within five days of <br /> the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request <br /> within that time,he shall so inform the individual,and may have an addirional five days within which to comply with the request,excluding Saturdays, <br /> 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 private <br /> data conceming himself. To exercise[his right,an individual shall nodfy in wridng the responsible authority describing the nature of the disagreement. <br /> The responsible authority shali within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipients of <br /> inaccurate or incomplete data, including recipients named by the individual;or(b)nodfy the individual that he believes the data to be correct. Data <br /> in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. <br /> The determinadon of the responsibie authority may be appealed pursuant to the provisions of[he administradve procedure acc 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 pemut 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 are notified that: <br /> 1, The information you furnish will be used to detemune 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, You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself. <br /> (. Your full name is required to process this application or permit. <br /> � � �rt Jo Nt <br /> First Middle Last <br /> L 3 � 9 /��C4� f��:P: ,O ir �:�� <br /> Address <br /> �.� .s���a 6 ��'- a�x� <br /> Ciry State Zip Phone <br /> I understand my rights as stated above. <br /> Sign <br />