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�_ -- � Sec.13.04 RIGHTS OF S[JB.TECTS 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 secaon. � Subd.2. 7nformation required to be given individual. An individual asked to supply private or confidential data conceming himself shall be informed of: (a)the purpose affi inunded use of the requested data within the collecting state agency,political subdivision,or statewide rysum;(b)whether he may refuse or is legally required to supply the requesud data;(c)any lmown consequeace arising from his suppiying or refusing m supply private or confidenaal data;and(d)the idendry of other persons or entiaes authorized by srate or federal law co receive the data. Tl�is requirement shall not apply when an individual is asked to supply invesrigadve data,pucsuant to secdon 13.82, subdivision S, to a law enforcement o�cer. �e commissioner of revenue mav olace the notice rewired under this�+ibdivision in the individual income tax or n o em tax refund instrucaons►nstead of on those fortns. Subd.3. Access to data by iadividual. 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 co�denaal. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown the dara without any charge to him and,if he desires,shall be informed of the content and meanin�of that data. Aher an individual has been shown the private data and informed of its meaning,the data need not be d'uclosed to him for six months theceaf[er unless a dispute or action pursuant to this secaon is pending or addidonal data on the individual has been coilecud or created. The responsible authoriry shall provide copies of the private or public dara upon request by the individual subject of the data. The responsible auehoriry may require ehe requesring pecson to pay the actual cosu of making,certifying,and compiling the copies. The responcible authority shap comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the dau 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 individual,and may have an addiaonal five days within which to comply with the request, excluding Saturdays,Sundays and legal holidays. Subd.4. Procedure when data is aot accurate or complete. An individua!may concest the accuracy or completeaess of public or private data concerning himself. To exercise this right,an individual shall notify in wridng the responsible authoriry describing the flature of the disagreemenG The responsible authoriry shall within 30 days either: (a)correct the dara found to be inaccurate or i�omplete and attempt to nodfy past recipients of inaccurate or incomplete data,inc(uding recipients named by the individual;or(b)noafy the individual that he believes the data to be correct. Dara in dispute shall be disclosed oaly if the individual's statement of disagreement is iacluded with the disclosed data. The determination of the reaponsible authoriry may be appealed pursuant to the provisions of the administrarive procedure act relating w contesud cases. - DATA PRIVACY ADVI ORY 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 �iry of Orono or any of its departments may require you to furnish certain private or confidential information. You aze 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 permit or license. 4. If your requested pemut or license requires Council action to approve, some information may become public. 5. You have certain ri,Phts 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. FirSt Middle �5� Address Ciry State Zip Phone I understand my rights as stated above. S; 6