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Sec.13.04 RIGHTS OF S[IB.TECTS OF D2�T�► <br /> Subd. 1. Type of data. The rights of individual on whom[he data is stored or to be stored shall be as set forth in this secaon. <br /> Subd.2. Informadon req�red to be given individual. An individual asked to supply private or confidential data conceraing himself shall <br /> be informed of: (a)the purpose and intended use of the requesred data wichin the collecting 3tate agency,potiacal subdivision,or srauwide rysum; <br /> (b)whe[her he may refuse oY is legally required to supply the requesud data:(c)any Irnown consequence arising from his supplying or refusing W suppty <br /> private or confidenaal data;and(d)the idenriry of other persons or enrides auchorized by stau or federal law to receive the dara. This requirement shall <br /> not app�y when an individual is asked to supply investigadve data,pursuant to secaon 13.82,subdivision 5,to a law enforcement officer. <br /> The commissioner of revenue mav olace the noace reauirrd under this subdivision in the individual income tax or oropertv taz refund <br /> instructions insuad of on those forms. <br /> Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shail be informed whe[her he is the subject <br /> of stored data on individuals,aad whecher it is clusified as pubiic,private or confidential. Upon his fur[her request,an individual who is the subject <br /> of stored private or public data on individuals shall be shown the data wirhout any charge W him and;if he desires,shall be informed of the con[ent <br /> and meaning of[hat data. Aher an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for <br /> suc monchs thereaher untess a dispute or action pursuanc to [his secdon is pending or addidonal data on the individual has been collected or created. <br /> The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry <br /> may require the requesting person ta pay the actual cosu of making,cerdfying,and compiling the copies. <br /> The responsible authoriry shatl comply immediately,if possible,with any request made pursuant to rhis subdivision,or within five days of <br /> the date of the request,ezcluding 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 infocm the individual,and may have an addiaonal five days within which to comply with the requesc,excludiag Saturdays, <br /> Sundays and legal hotidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individnal may contest the accuracy or comple[eness of public or private <br /> data concerning himself. To exercise this right,an individual shail nodfy in wri[ing the responsible authoriry describing che nature of the disagreement. <br /> The responsible auihoriry shall withia 30 days either: (a)correcc che data found to be inaccurate or incomplete and attempt to nodfy past recipienu 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 rosponsible auchoriry may be appealed pursuant to[he provisions of the adminisaarive procedure act relacing to <br /> contesred 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 fumish certain private or <br /> confidential information. <br /> You are notified that: <br /> 1. The information you fumish will be used to detemune your qualification for the permit or iicense 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 shazed with other local, state or federal a�encies 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 /> 6. Your full name is required to process this application or permit. <br /> p�n� Middle Last <br /> Address . <br /> Ciry State Zip Phone <br /> I understand my righu as stated above. <br /> Signature <br />