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� •' " • , � Sec.13.04 RIGHTS OF SIJBJECTS 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 secuon. Subd.2. Information reqirired to be given indfvigual, p�n i�ividual asked m supply private or confidential data conceming hiauelf shall be informed of: (a)the purpox aad inunded use of the requernd data wi�hin the collecang state agency,polidcal subdivuion,or statewide rysum;(b)whe[her he may refuse or is legally required to supply the requesud data;(c)any Imown consequence arising from his supplying or refiuing m supply private or confidendal daa;and(�the identi�y of other persont or enoaes authorized by sate or federal law co receive the data. T6is requirement shall not apply when an individual is asked ro supply investigative data, punvant to secaon 13.82, subdivision 5, to a law enforcement officer. 'Ilie commissioner of revernu mav olace the notice rcwired under this a�bdivicion in the individual income ta=r+r.,r�.,,. tax refund instrucdons mstead of on those forms. Subd.3. Access to data by individual. Upon nquest w a responsible authoriry,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classified as pablic,private or confidendal. Upon his further request,an i�ividual who is the subject of stored private or public data on iadividuals sha11 be shown the dare without any charge to him and,if he desires,shall be informed of the content and meaning of that data. Aher an individual has been shown the private data and informed of iu meaning,the data need not be disclosed w him for six months thereafter unless a dispuce or acdon pursuant to this seccon is pe�ing or addiaonal data on the individual has been collecud or creared. The responsible authoriry shall provide copies of the privau or pubiic dara upon request by the individual subject of the data. The responsible authoriry may require the requesring person to pay the actual costs of making,cerdfying,and compiling the copies. Tl�e responsible authoriry shall comply immediatcly,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 nquest within that dme,he shall so inform the individual,and may have an addidonal five days within which to comply with the request, ezciuding Samrdays,Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public oc private dard concerning himself. To exereise this right,an individual shall noafy in writing the responsible authority describing the nacure of the disagceemen4 The respoas�'ble authoriry sha11 within 30 days either: (a)correct the data found to be inaccurate or incomplete and aaempt to nodfy past mipients of inaccurate or uuomplete data,i�luding recipiencc named by the individual;or(b)noafy the individual that he believes the data m be correct. Data in dispute shall be disclosed only if the individuat's statement of disagreement is included with the disciosed data. The deurminaaon of the respoacible authoriry may be appealed pursuant W the provisions of the administrative procedure act relating ro wntes[ed 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 �ity 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 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 pemut. First Middle Last Address C�ry' Sate Zip Phone I understand my rights as stated above. ,. Signature 6