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Sec.13.0-1 RIGHTS OF SUBJECTS OF DaT:1 <br /> Subd. 1. Tvpe of data. "Ihe righcs of individual on whom the data is stored or co be stored shall be as sec focth in this secdon. <br /> Subd.2. Information reqirired to be�ven individual. An individual asked to supply private or confidenrial data concerning himself shall <br /> be informed of: (a)the purpose and iatended use of t�e requested dara within the collecdng"state agency, polidcal subdivision,or sratewide sysum; <br /> (b)whecher he may refuse oY is legally required�o supply:�e requested data;(c)any laiown consequence arising from his supplying or refusing to suppiy <br /> privace or conndenciai data;and(d)[he idenary ot ocher persons or enrides authorized by srate or federal law to receive the data. This requirement s6all <br /> not apply when an individual is asked to supply invesri�adve daca, pursuanc to secaon 13.82, subdivision 5, to a law enforcemenc o�cer. <br /> The commissioner of re�•enue r�av ela-e tt- nodce reouired under this subdivision in the individual income tax or propem_tax refund <br /> instructions inscead of on those forms. <br /> Subd. 3. Access to data bp indi��dual. lipon request to a responsible au[hority,an individual shall be informed whether he is the subject <br /> of scored data on individuals, and whe[her it is classifie.-'.as public, private or confidenrial. Upon his further request,an individual who is the subjecc <br /> of stored private or public data on individuals s4a11 be shown che data wichout any charge to hun and,-if he desires, shall be informed of the contenc <br /> and meaning of�hat data. After an individual has been saown[he private data and informed of ics meaning,che data need not be disclosed to him for <br /> six mon[hs thereafter uriless a dispute or acaon pursua.^.c to this secdon is pending or addidonal data on the individual has been collecced or created. <br /> "Ihe responsible authoriry shall provide copies ot che pri�•ace or public data upon reques�by the individual subject of�he data. The responsible authoriry <br /> may require the requesring person to pay che accuai coss of making, cerrifying, and compiling the copies. <br /> The responsible authoriry shall comply imrr.�iia�ely, if possibte, with any reques[made pursuant to this subdivision, or within five days of <br /> the da[e of the request,excluding Saturdays,Sundays ard leeal holidays,if immediate compliance is not possibie. If he canaot comply with the request <br /> wichin thac dme,he shall so inform che individual,and r-:ay have an addirional five days wichin which to comply with the request,excluding Sarurdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or comp(eteness of public or private <br /> data concerning himself. To exercise chis rieht,an indi�•idual shall nodfy in wridng che responsible authoriry describing[he nature of the disagreement. <br /> The responsibte authoriry shall wichin 30 days ei*her. (a)correct[he data found to be inaccurate or incomplete and aaempe to nodfy past recipienu of <br /> inaccurzte or incomplete data, including recipiena na��d by the individual; or(b)norify the individual that he betieves the data to be correct. Data <br /> in dispu[e shali be disclosed only if the individual's s��.ment of disagreemenc is included with the disclosed data. <br /> Ttie dzrerminarion of the rtsponsibl: author.}• may be appealed pursuant to the provisions of the administrarive procedure act reladng to <br /> concested cases. <br /> D�TA PRIVACY ADVISORY <br /> In accordance with M.S. 13.04, Subd. 2, "Ri;hts of subjects of data", we would like to inform you that your reauest <br /> for a pernut or license from the City of Oroao or any of i[s departments may require you to furnish certain private or <br /> confidential information. <br /> You are notified that: <br /> 1. The information you furnish«-ill be used to detemune your qualification for the pemut or license requested. <br /> 2. You may refuse to supply daca, but refusal may require tha[ the City deny the permit or license. <br /> 3. The information may be shared wi[h other local, state or federal a�encies to the extent necessary to process <br /> the pernut or license. <br /> 4. If your requested permit or license requires Council action to approve, some information may become <br /> . . public. <br /> �. You have certain ri�hts unde: �S.S. 13.04 (available upon request) to review private data on yourself. <br /> 6. Your full name is required to process this application or permi[. <br /> �'�l��'� s:.� ��t.�lU�(.���.�(�-� <br /> First >Siddie `� Lasc <br /> Address <br /> Ciry State Zip Phone <br /> I understand my ri?hts as stated above. <br /> �'1 <br /> Signa[ure <br />