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� Sec.13.04 RIGHTS OF SUB,JECTS OF DATA � ' ' Subd. 1. Type of data. The righcs of individual on whom the data is stored or to be stored shall be as set forth in this secdon. Subd.2. Information required to be given individual. ?.n individual azked to supply private or confidentiai data conceming himself shall be informed of: (a)the purpose and intended use of the requested data within the collecdng state agency,polirical subdivision,or statewide ryscem;(b)whether he may refuse or is legally required to supply the requested data; (c)any Imown consequence arising from his supplying or refusing to supply private or confidenaa!dara;and(d)the idenary of other persons or endues authorized by sra[e or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investigadve data, pursuant to secdon 13.82, subdivision 5, to a law enforcement officer. 'Ilie_c_ommissioner of revenue mav olace the noace reauired under this subdivision in the individual income taz or orooercv tax refvnd instrucrions instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classified as pubiic,private or confidential. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown the data without any char;e to him and, if he desires,shall be informed of the content and meanin�of that data. After an individual has been shown the private data and informed of its meaning, the data need not be disclosed co him for six months thereafrer unless a dispute or acaon purnant to this secoon is pending or addirional data on the individual 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 authority may require the requesring person to pay the actual costs of making,certifying,and compiling the copies. Thz responsible authority 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 compiy wi[h the request wirhin that time, he shall so inform the individual, and may have an addidonal 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 contes[the accuracy or completeness of public or privare data concerning himself. To ezercue this right,an individual shall nodfy in writing the responsible auchoriry describing the nature of the disagreement. The responsible authoriry shall within 30 days either: (a)correce the data found to be inaccurate or incomplete and attempt to notify past recipiena of inaccurate or incomplete data,including recipiencs named by the individual;or(b)nodfy 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 the disclosed data. The determinaaon of the responsible authoriry may be appealed pursuant to the provisions of the adminis�ative procedure act relating ro contesced cases. DATA PRIVACY ADVISORY In accordance with N1.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 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 information may become public. �. 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 permit. First Middle Last Address Ciry State Zip Phone I understand my rights as stated above. Signamre 6