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Sec.13.04 RIGHTS OF SUBJECTS OF D�TA Subd. i. Type of data. The rights of individual on whom the data is stored or co be stored shall be as set forth in this secdon. Subd.2. Informatioo reqirired to be given individual. An individuai asked to supply private or confidendal data conceming himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting'state agency, polidcal subdivision,or sratewide system; (b)whether he may refuse oY is legally required to supply the requesced data;(c)any known consequence arising from his supplying or refusing to supply priva�e or confidential data;and(d)the iden�iry of other penons or ennaes authorized by state or federal law to receive the data. This requirement shall not appty when an individual is asked to suppiy investieadve dara, pursuant to secdon 13.82, subdivision 5, to a law enforcement officer. The commissioner of re�erme mav place the nodce reauired under this subdivision in the individual income tax o_r propertv tax refund instructions instzad of on those forms. Subd. 3. Access to data bv indi�ldual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of stored data on individuals, and whe[her it is classified as public, privace or confidential. Upon his further request, an individual who is the subject of stored private or public data on individuals shall be shown che data without any charge to him and, if he desires, shall be informed of the conten[ and meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed[o him for six months thereafter unless a dispute or acaon pursuant to this secdon is pending or additional data on the individual has been collected or created. The responsible au[horiry shall provide copies of the private or public data upon request by the individual subject of the data. T'he responsible authoriry may require the requesting person to pay the actual costs of making, certifying, and compiling the copies. The responsible authoriry shall compiy 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 leea]holidays,if immediate compliance is not possible. If he cannot comp(y 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,excluding Sarurdays, Sundays and legal hofidays. 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 chis rieht,an individual shall noafy in wriang the responsible authori[y describing[he nature of the disagreement. The responsible authoriry shall within 30 days either. (a)correct the data found ro be inaccurate or incomplete and attempt to norify past recipienu 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 dispu[e shall be disclosed only if the individual's statemen[of disagreemenc is included with the disclosed data. Ttte determination of the rzsponsible authoriry may be appealed pursuant to the provisions of the administrarive procedure act relaang to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04, Subd.2, "Righ[s of subjects of data", we would like to inform you that your rec{uest 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 fumish 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 pernut or license. 4. If your requested pernut or license requires Council action to approve, some information may become public. j. 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 �tiddle Last Address Ciry State Zip Phone I understand my rights as stated above. Signature