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� r <br /> Sec.13.04 RIGHTS OF S[TBJECTS OF D�Ta <br /> Subd. 1. Type of data. The righcs of individual on whom the data is s[ored or to be stored shall be as set for[h ia this section. <br /> Subd.2. Informarion reqirired to be given individuai. a.n individuai asked to supply private or confidential data concerning himself shall <br /> be informed of: (a)the purpose and inunded use of the requested data wirhin the collecting State agency,politicai subdivision,or statewide sysum; <br /> (b)whe[her he may refuse oY is legally required to suppiy the requested data;(c)any imown consequence arising from lus supplying or refusing to supply <br /> privace or eonfidendal data;and(d)the idenury of other penoac or enddes auchorized by state or federal law to receive the dara. This requirement shall <br /> not apply when an individual is asked to supply invesdgadve dara,pursuant to secdon 13.82,subdivision 5,co a law enforcement o�cer. <br /> The commissioner of ro�enue mav place the nodce re4uired under this subdivision in the individual income tax or propertv tax refund <br /> instructions instead of on those forms. <br /> Subd.3. Access to data by individuai. Upon request to a responsible authority,an individual shall be informed whether he is the subject <br /> of stored data on individuals,and whe�her it is class�ed as public,private or confidendal. Upon his further request,an individual who is the subject <br /> of stored private or public data on individuals shall be shown rhe data wirhouc any charge to him and,�if he desires,shall be informed of the content <br /> and meaning of chat data. Afrer 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 thereafrer unless a dispute or acrion pursuanc to this secrion 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[he data. The responsible authority <br /> may require the requesting person to pay the actual cosu of making,certifying:and compiling the copies. <br /> • The�esponsible authority shall comply immediately, if possible,with any request made pursuant to this subdivision,or within five days of <br /> the date of the request,exciuding Saardays,Sundays and legal holidays,if immediace compliance is noc possible. If he cannot comply with the request <br /> within that rime,he shall so inform the individual,and may have an addidonal 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 comptete. An individuat may contest the accuracy or completeness of public or private <br /> data concerning himself. To exercise[his right,an individual shall natify in wridng the responsible authoriry describing[he nature of the disagreement. <br /> The responsibie authoriry shall within 30 days either: (a)correct the data found to be inaccunte or incomplete and attempt to nodfy past recipienu of <br /> inaccurate or incomplete data, inciuding recipients named by[he individual;or(b)noafy the individual thac he believes the data to be correct. Data <br /> in dispuce shall be disclosed only if the individual's sra[emenc of disagreement is included with[he disclosed data. <br /> The determination of the responsible authoriry may be appealed pursuant to the provisions of the administradve pmcedure act 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 permit or license from the City of Orono or any of its departments may require you to furnish certain private vr <br /> confidential information. <br /> You aze notified thar. <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 /> First Middle Last <br /> Addross <br /> City State Zip Phone <br /> I understand my ' hts as stated above. , <br /> t- <br /> Signature <br />