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Sec.13.04 RIGHTS OF SUBJECTS OF DATA • S�bd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shalt be as set forth in this section. Subd.2. Information required to be given individual. An individual aslced ro supply privatc or confidenaal daha concerning Ivmself shall be informed of: (a)the pu�pose and intended use of the requested data within the collecting state agency,polidcal subdivision,or statewide system;(b)whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing oo supply private or co�idential data;and(d)the ideatiry of ot6er persons or entities authorized by shate or federal law to receive the data. T6is requirement shall not apply when an individual is asked to supply investigadve data, pursuant to section 13.82, subdivision 5, W a law enforcement officer. � The wmmissioner of revenue mav olace the noace reauired under this subdivision in the individual income taz or omnertv taz refund ins�cdons instPad of on thoss forms. Subd.3. Access to data by indivIdual. Upon nquest 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 daha on individuals shall be shown the data without arry charge to him and,if he desires,shall be informed of the content and meaning of that data. After an ic�ividual has been shown the private data and informed of its meaning,the data need not be disclosed oo him for siz mo�hs theceafter unless a dispute or acdon pursuant to this section is pe�ing or addiaonal data on the individual has been collecud or created. The responsible authoriry shall provide copies of die private or public data upon request by the individuat subject of the data. The responsible authoriry may require the requesting person to pay the actual cosu of maldng,certifying,and compiling the copies. The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request within that time,he shall so inform the i�ividual,and may have an additional five days within wlilch to comply with the request, excluding Sauudays,S�ndays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An i�lividual may contest the accuracy or completeness of public or private data concerning himself. To ezercise this right,an individual shall notify in writing the respoasible authority describing the namre of the disagreeinem. The respons�le authority shall within 30 days either: (a)correct d�e data fou�to be inaccurate or incomplete a�attempt ro notify past rxipientv of inaccurate or incomplete data,i�luding recipients named by the i�ividual;or(b)notify the individual that he believes the data to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determitmtion of ttu responsible authoriry may be appealed pursuant to the provisions of the administradve procedure act relating to contested cases. DATA PRIVACY 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�ity 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 fumish will be used to determine your qualification for the permit 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 permit or license. 4. If your requested permit or license requires Council acrion to approve, some information may become public. 5. You have certain rights underM.S. 13.04(available upon request)to review private data on yoursel.f. 6. Your full name is required to process this application or permit. � �� -E Firs� � �I I M dle Last � �a ¢ Address� !n�N - 1M . b►,� y53�S "71$-�3'-�5 Ciry State Zip Phone I un rs i ed above. i i. Signatur 6