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Sec.13.04 RIGHTS OF SCTB.TECTS OF DaTA Subd. 1. Type of data. The righ�s of individual on whom the data is stored or to be scored shall be as set forth in this secuon. Subd.2. Information req�rired to be givea iadividual. An individuai asked to supply private or confidendal dara conceming himself shall be informed of: (a)the purpose and intended use of the requesud dara wirhin the collecdng rtare agency,poliacal subdivision,or srauwide system; (b)whether he may refuse oY is legally required to supply[he requested data;(c)any laiown consequence arising from his supplying or refusing to supp(y privace or confidendal data;and(d)[he idendry of oeher persons or endaes authorized by sta[e or federnl law to receive the da[a. This requirement shall not apply when an individual is asked to supply invesrigadve dara, pursuan[[o secdon 13.82,subdivision 5,to a law enforcement o�cer. The commissioner of re�enue mav place the nodce rewired under this subdivision in the individual income tax or propertv tax refund instructions instead of on those forrtu. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuais,and whecher it is classified as public,privace or confidendal. Upon tus further request,an individual who is the subject of stored private or public data on individuals shall be shown che data wi[t►out any charge to him and;if he des'ues,shall be informed of the contenc and meaning of that data. ARer an individual has been shown che private dara and informed of its meaning,the data need not be disclosed to him for siz months thereaher unless a dispute or acrion pursuan[to this secdon is pending or addidonal data on the individuai has been collected or created. The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry may require the requesdng person to pay the actual costs of making,certifying,and compiling the copies. The responsible authoriry 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 wi[hin that dme,he shall so inform the individuai,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 not accurate or complete. An individual may contest the accuracy or completeness of public or private data conceming himself. To exercise this right,an individual shall nodfy in wridng[he responsible authoriry describing che nature of the disagreement. The responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and aaempt to nodfy past recipients of inaccurate or incomplete data, including recipients named by the individual;or(b)notify the individual that he believes the dara to be carrect. Data in dispute shail be disclosed only if the individual's statement of disagreement is included with the disclosed data. The decerminadon of the responsible aurhoriry may be appealed pursuanc to the provisions of the adminisaarive procedure act reladng 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 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 pernut 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. (, Your full name is required to process this application or permit. First �iiddle Last Address City State Zip Phone I understand my rights as stated above. Signamre