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r ' . , t •• Sec.13.04 RICHTS OF SUBJECTS OF DATA � Subd. l. Type of data. The rights of individual on whom the data is stored or[o be stored shall be as set forth in this section. Subd.2. Infonnation requ'ved to be given individual. An individual asked to supply private or confidential data concerning himself shall be inform�of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivuion,or statewide system;(b) whether he may refuse or is legally required to supply the requested data;(c)any imown consequence arising&om his supplying or refusing to supply private or confidential data;and(d)the identity of other persons or entities authorized by state or fedeial law to receive the data. This requirement shall not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. 'Ihe commissioner of revenue mav nlace the notice required under this subdivision in the individual income tax or�ropei#y tax refund instructions instead of on those fonns. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classified as public,private or confidential. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown the data without any charge to him and,if he desires,shall be infonned of the content and meaning of that data. After an individual has been shown the private data and infortned of its meaning,the data need not be disclosed to him for six months thereafter unless a dispute or action pursuant to this section is pending or additionai data on the individual has been coltected or created. The responsible authority shall provide copies of the private or public data uponrequest by the individual subject of the data.The responsible authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copiex. 'ihe responsible authority shall comply immediately,ifpossible,with any request made pursuant to this subdivision,or within five days of the date of the request,excluding Saturdays,Sundays�nd legal holidays,if immediate compliance is not possible. If he cannot comply with the request within that time,he shall so infonn the individual,and may have an additional five days within which to comply with the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate oT complete. An individual may contest the accuracy or completeness of public or private data concerning himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement.The responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data to be correct Data in dispute shall be disclosed onty if the individual's statement of disagreement is included with the disclosed data. The determination of the responsible authority may be appealed pursuant to the provisions of the adminisUative procedure act relating to contested cases. DATA PRNACY ADVISORY In accordance with M.S. 13.04,Subd.2,"Rights of subjects of data",we would like to inform you that your request for a permit or license from the City of Orono or any of its departments may require you to fumish certain private or confidential information. You are notified that: � 1. The information you furnish will be used to detennine your qualification for the pennit or license requested. 2. You may refuse to supply data,but refusal may require that the City deny the permit or license. 3. The information may be shared with other local, state or federal agencies to the extent necessary to process the pernut or license. 4. If your requested permit or license requires Council action to approve, some information may become public. 5. ou have certain rights under M.S. 13.04(available upon request)to review private data on yourself. 6. our full name is requ'red to rocess t 's application or pennit. ��« First ��lid le �� /�� � �T Addr � � — � City Statc Zip Phone I understand my rig s as ve Signnture ��