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�n Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section. Subd.2. Information required to be given individual. An individual asked to supply private or confidential data concerning himself shall be informed of: (a)the purpose 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 Irnown consequence arising from his supplying or refusing co supply private or confidential dara;and(d)the identity of other persons or en6ties authorized by state or federal law to receive the data. This requirement shall not apply when an i�ividual is asked to supply investigative data, pursuant to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav nlace the notice reauired under this subdivision in the individual incomb tax or nronertv tax refund inscruccions instead of on those forms. Subd.3. ACcess to data by individual. Upon iequest to a responsible authoriry,an individual shall be informed whether he is the subject of stored data on i�ividuals,and whether it is classified as public,private or confidential. Upon his further request,an individual who is the subject of stored private or�blic data on individuals shall be shown the data widiout any ct�arge to him aiui,if he desires,shall be informed of the content and 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 mondLc thereafter unless a dispute or acrion pursuant to this secdon is pending or addiaonal data on the individual has been collected or created. The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry may require the requesting person w pay the actual cosu of making,certifying,and compiling the copies. < Tt�responsible authoriry shall comply immediately,if possible,with any request made�rsuaiit to this subdivision,or within five days of the date of the request,ezcluding Sawrdays,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 individual,and may have an additional five days within which to comply with the request, ezcluding Sawrdays,Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An uidividual may contest the accuracy or completeness of public or private data conceming himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement. The responsible authoriry shall within 30 days either: (a)cornct the data found to be inaccurate or i�omplete and attempt to notify past recipients of inaccurate or incomplete data,i�luding recipients named by the individual;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 determination of the responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act relaring 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 City of Orono or any of its departments may require you to fumish certain private or confidential information. You aze notified that: 1. The information you fiunish 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 shazed 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 action to approve, some information may become public. 5. You have certain rights under M.S. 13.04(available upon request)to review private data on yourself. 6. Your full name is required to process this application or permit. �o�,J (��a� First iddle Lasc �l.l S'b,R vD� �� A ress � \ �� +G+/�/ N �vp Ci State Zip Phone I und i as stated above. signa 6