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� <br /> Sec.13.04 RIGHTSOFSUBJECTSOFDATA r � <br /> Subdivision 1. Type of data The rights oJindividual on whom the data is stored or to be stored shal!be as set forth in this section. <br /> Subd.1. Information required to be given indivrduaL An individual asked to supply private or confidential data concerning himselj <br /> shal!be informed of (a)the purpose and intended use ofthe requested data withrx the collectingstate agency,political subdrvision,or statewide <br /> system;(6J whether he may refuse or is legally required to supply the requested data;(c)arry known consequence arising from his supplying or <br /> refusing lo supplyprivate or confrdential data;and(d)the identity of otherpersons or entities authorized by state orfederallaw to receive the data. <br /> This requrrement shall not apply when an indrvidua!is asked to supply investigative data,pursuant to section/3.82, subdivision S, to a!aw <br /> enforcement o�cer. <br /> The commissioner of revenue mav place the notice required under this subdivision in the individual income tax or propertv tax refund <br /> instructions instead ot on those forms. <br /> Subd.3.Access to data by individual Upon request to a responsrble authority,an indrvidual shall be injormed whether he is the subject <br /> of stored data on individuals,and whether il is classrfred as public,private or confidential. Upon his further request,an individua!who is the <br /> subject oJstored private or public data on individuals shall be shown the data without a�ry charge to him and,rf he desires,sha!!be informed oj <br /> the content and meaning of that data. After an individual has been shown the private data and informed of its meaning, the data need not be <br /> disclosed to him for six months lhereafter unless a dispute or action pursuant to this section is pendrng or additiona!data on the individual has <br /> been collected or created. The responsible authority shall provrde copies of the private or publrc data upon request by the rndividual subject o,J' <br /> the data. The responsible authority may require the requesting person to pay the actual costs of making,cert�ing,and compiling the copies. <br /> The responsible authority shall comp/y immediately,if possible,with arry request made pursuant to this subdivision,or within five days <br /> oJthe date of the request,excluding Saturdays,Sundays and legal holidays,if immedrate compliance rs not possible. If he cannot comply with the <br /> request within that time,he shall so inform the indrvidual,and may have an additional five days within which to comply with the request,excluding <br /> Saturdays,Sundays and lega!holidays. <br /> Subd.4. Procedure when data is not accurate or comp[et�An individual may contesl the accuracy or completeness ofpublic or prrvate <br /> data concerning hi»uelf. To exercise this rrght, an individua!shall not�in writing the responsible authority describing th¢nature of the <br /> disagreement. The responsible authority shall within 30 days either: (a)correct the datafound to be inaccurate or incomplete and attempt to not� <br /> past recipients ojinaccurate or incomplete data,including recipients named by the indrvidual;or(b)not�the indrvidual that he believes the data <br /> !o be correct. Data in dispute shal!be drsclosed only rf the individual's statement of disagreement is included wilh the disclosed data. <br /> The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure ac1 relating <br /> to contesred cases. <br /> DATA PRIVACYADV7SORY <br /> In accordance with M.S.13.04,Subd.2,"Rrghts ojsubjects ofdata';we would like to inform you thatyour requestfora permit or license <br /> from the City of Orono or a�ry of its departments may require you to furnish certain private or confidential information. <br /> You are notifred that: <br /> 1. The information you furnish wi[1 be used to determine your qualrfrcation for the permit or license requested. <br /> 2. You may refuse to supply data,but refusal may reguire that the City derry the permit or license. <br /> 3. The information may be shared with other local,state or jederal agencies to the extent necessary to process the permit or <br /> lrcense. <br /> 4. /f your requested permit or license requires Council action to approve,some information may become public. <br /> S. You have certain rights under M.S.13.04(see following page)to revrew private data on yourse f <br /> 6. Your full name is required to process thrs application or permit. <br /> PLEASE PRlNT <br /> First Midd[e Last <br /> Address <br /> City State Zip Phone <br /> I understand my rights as stated above. <br /> Sigrrature <br /> 10 <br /> � <br />