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Sec.13.04 RIGHTS OF SUBJECTS OF DATa Subd. 1. Tvpe of data. The rights of individual on whom che data is stored or to be stored shall be as set fonh in this secrion. Subd.'_. Information required to be given individual. An individual asked to supply private or co�dendal data concerning himself shall be informed of: (a)the purpose and intended use of the requested data wichin the collecting"stat�ageocy,poli6cal subdivision,or sracewide system; (b)whether he may refuse oY is legally requiced to suppiy the requested data;(c)any laiown coasequence arising from his suppiying or refusing to supply priva�e or confidential data;and(d)the idenrity of o[her persons or enriries au[horized by sta[e or federal law to receive the data. This requir.menc shall not apply when an individual is asked to supply invesdeadve data, pursuant to secaon 13.82, subdivision 5, to a law enforcement office:. The commissioner of re e�ue mav plac the nodce reauired under this subdivision in the individual income tax or propem tax refund instructions instead of on those forms. Subd. 3. Access to data by individual. Upon requesc to a responsible authority,an individual shall be informed whe[her he is the subject of stored data on individuals, and whe[her i�is classified as public, privace or confidenrial. Upon his fu�ther request, an individual who is rhe subject of stored private or public data on individuals shall be shown che data wichout any cnarge to him and, if he desires, shall be informed oi rhe content and meaning uf[hat data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to hun for six months thereafter uriless a dispute or acrion pursuan�to this section is oending or additional data on the individual has been collected or crea�ed. 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 to pay the actual coscs of makinz, certifying, and compiling the copies. The responsible auchoriry shall comply immediacely, if possible, wich any request made pursuant to this subdivision,or wichin five days ot the date of the request,excluding 3aturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply wi[h the request within that time,he shall so inform che individual,and may have an additional five days within which to comply with the request,excludin�Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of pubiic or pri��ate data concerning himself. To exercise this rieht,an individual shall nodfy in wridng rhe responsible authori[y describing�he nature of[he disagreement. The responsible auchoriry shall within 30 days either: (a)correct the data found to be inaccurate or incompiete and attempt to nodfy pas::ecipiena 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 only if the individual's statement of disagreement is included with[he disclosed data. The determination of the responsible authoriry may be appealed pursuan[to the provisions of the administrarive procedure acc relacing to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04, Subd. 2, "Riahts of subjects of data", we would like to inform you that your reauest for a permit or license from the City of Orono or any of its departments may require you to furnish certain private or confidential information. You are notified that: 1. The information you furnish 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 pemut or license. 4. If your requested pernut or license requires Council action to approve, some informa[ion mav become public. 5. You have certain rights under M.S. 13.04 (available upon request) to review private data on ��ourself. 6. Your full name is required to process this application or permit. �i Ce•-�— First � idd� Lasc ress � G1 (� .. ��-7��' iry State Zip Phone I und stand ights as stat ^ab e. � i i namr