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� <br /> Sec.13.04 RIGHTS OF SUBJECTS 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 forch in ttus section. <br /> Subd.2.Information required to be given individual.An individual asked to supply private or coafidential data conceming himself shall be <br /> informed of: (a)the purpose and intended use of the requested data witlun the collecting state agency,political subdivision,or statewide system;(b) <br /> whether he may refuse or is legally required to supply the requested data;(c)any Imown consequence arising from his supplying or refusing to supply <br /> private or confidential data;and(d)the identity of other persons or entities authorized by state or fedecal law to receive the data.This requirement shall <br /> not apply when an individual is asked to supply investigaUve data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. <br /> T'�commissioner of revenue may place the notice reauired under this subdivision in the individual income tax or rp ocerty ta�c refund <br /> instructions instead of on those forms. <br /> Subd.3.Access to data by individual.Upon request to a respoasible suthority,an individual shall be informed whether he is the subject of <br /> stored data on individuals,and whether it is classified as public,private or confidential. Upon his fiuther request,an individual who is the subject of <br /> stored private or public data on individuals shall be shown the data without any charge to him and,if he desires,shall be informed of the content and <br /> meaning of that data. After an individual has been shown the private data and informed of iu meaning,the data need not be disclosed to him for six <br /> months thereafter unless a dispute or action p�usuant to this section is pending or additional data on the individual has been collected or created. The <br /> responsible authority 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 to pay the actual costs of making,certifying,and compiling the copies. <br /> T'he responsible authoriry shall comply immediately,ifpossible,with any request made pursuant to this subdivision,or withia five days of <br /> the date of the request,excluding Saturdays,Sundays and legal holidays,if immediatc 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 additional five days within which co comply with the request,excluding Sapu�days, <br /> Sundays and legal holidays. <br /> Subd.4.Procedure when data is not accwate or wmplete.An individual may contest the accuracy or completeness ofpublic or private data <br /> concerning himself.To exercise this right,an individual shall notify in writing the respoasible authority describing the nature of the disagreement.The <br /> responsible suthority shall within 30 days either: (a)cottect the data found to be inaccurate or incomplete and attempt to notify past recipients of <br /> inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes t6e data to be correct.Data in <br /> dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. <br /> The deternunation of the responsible authority may be appealed pursuant to the provisions of the administrative procedure 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 or <br /> confidential information. <br /> You are notified that: <br /> 1. The information you fiunish will be used to determine your qualification for the permit or license <br /> 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 <br /> process 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 /> pc,� � Vvt����nk <br /> First Mlddle Last <br /> � / I / ,�,� - r <br /> �y� 11a� H-tC �'(� l�OrG�D ,'W .S��S � <br /> Address �- <br /> 763-�/�9�v,�� <br /> City State Zip Phone <br /> I understand my rights as stated above. <br /> /1_l�-� /` <br /> gnature <br /> �' , , .� ;,� �.,� 32 <br />