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Sec.13.0�1 RIGHTS OF SUBJECTS OF DATA <br /> � Subd.l. 'I'ype of Jata. 'Che rights of individual on whom the data is stored or to be stored shall be as set forfh in this section. <br /> Subd.2 Information requirad to be given ind'n7dual.An mdi�idua]ask�d to supply private or cimficlential data conceming himself shall be <br /> infornied of: (a)the pwpose and intended use ofthe requested data within the collecling sfete agency,political subdivision,or statewide sVstem;(b) <br /> whether he ma_y refuse or is kgally required to suppl_y the reques4ed data;{c)any}�own consequence arising from his supplymg or refusing to supply <br /> private or ca�fidential data;and(d)ihe identity of other pecsons or entities authorized by sUte or federal law to receive the daU.This requirement shall <br /> not apply when an individual is asked to supply inves4gauve data,pursuant to section 13.8z subdivision 5,to a law enforcement officer. <br /> The commissioner of revenue may_place[he notice roquireJ under this subdivision in the individual income tax or property tax refund <br /> instructions instead of on those forms. <br /> Snbd.3.Access to data by individual. Upon request to a responsible authority,an inJividual shall be informed whether he is the subject of <br /> stored data on individuaLs,md whether it is classified as public,private or confidential.Upon his fwther requesY,an individual who is the subject of <br /> s[ored privaie 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 tha[daU. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for si� <br /> months thereafter unless a dispute or action pursuant to this section is pending or additional elata on the individual has been collected or crea[ecl. The <br /> responsible authorety shalt provide copic.w of the private or public data upon request by the individual subject af the data. The responsible authority <br /> may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. <br /> The responsible authonty shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of <br /> the date of the request,excluding Sa[urdays,Sundays and legal holidays,if immediate compliance is not passible.If he cannot comply with the request <br /> within that tima,hc shall so inform the individual,and may have an addilional five days within which to camply with the requeat,e�ccluding Saturdays, <br /> Sundays and legal holidays, <br /> Subd.4.Proee�re when data is not aec;urate or comptetc. t1n individuat may eontest the aec;uraey or eompleteness ofpublie or private data <br /> conceming himsetf.To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement The <br /> responsible authority shall within 30 days either: (a)coirect the da[a found to be inaccurate or incomplete and attempt to notify past recipients of <br /> inaccurate or incomplete data,inclu�ling recipients named by the individual;or(b)notify the individual thathe believes the data to be eonect.Data in <br /> dispute shall be disclosed only if thn individual's statanent of disagreement is ineSudcd witfi the disclosed data. <br /> Th�detcrmination of the res�nsible authority may be appealed pursuani to the provisions of the administrative procedure act telating to <br /> contested cases. <br /> DATA PRIVACY ADVISORY <br /> In accordance with M.S. 13.04,Subd.2,"Rights of subjects c�Y data",we woulrl like to infarm you that yc�ur request <br /> for a pennit 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 inforniation you furnish will be used to determinc yaur qualification for the pennit or license <br /> requested. <br /> 2. You may refuse to supply data,but refusal may require that the Gity deny the germit or license. <br /> 3. The infoamaiion may be shared wiSh other ]ocal, sYate or fedc;ral agencies to the extent necessary to <br /> prcx;ess the peimit or license. <br /> 4. If vour requested pernut or iicense requires Council:�clion ia appro�e,some infor[nation may become <br /> public. <br /> 5. You have cerFain rights under M.S. 13.(�(available upon request)to review private eiata on yourself. <br /> (. ur full name is requirecl to process this application or pennit. <br /> First Middle Last <br /> Address <br /> City State "/.ip Phone <br /> I un � ig sta ed above. <br /> ignature <br /> < ; - <br /> _..... : �2 <br />