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1 Sec.13A�1 RIGHTS OF SUBJECTS OF DATA 0 Subd. L Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in diis section. Subd.2. InY'onnation required to be given individual. An individual asked to supply private or confidential dataconcerning himselfshall be infonned ot`. (a)the purpose and intended use of the requested data�vithin the collecting state agency,political subdivision,or statewide system;(b) whether he may reftise or is legally required to supply 8�e requested data;(c)any known consequence arising from his supplying or refusing to supply private or confidential data;and(d)the identity of other persons or entities authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenue mayplace the notice required under this subdivision in the individual income tax or property taa refund instructions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whethe�he is the subject of stored data on individuals,and whether it is classified as public,private or ca�6dentiaL Upon ltis further request,an individual who is the subject of stored private or public data on individuals shall be shown the data�vithout any charge to him and,if he desires,shall be informed of the content and meaning of that data. After an individual has been shown the private data and infonned of its meaning,the data need not be disclosed to him for six months thereafter unless a dispute or action pursuant to d�is section is pending or additional 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[he data. The responsible authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date ofthe request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he canno[comply with the reques[ within that time,he shall so infonn die individual,and may have an additional five days�vithin which to comply with the request,excluding Saturdays, Sundays and le�al holidays. Subd.d. Procedure when data is not accurate or comple[e An individual may contest die accuracy or completeness of public or private data concernine himself. To esercise this right,an individual shall notify in��Titing the responsible aud�oriry describing the nature ofthe disagreement. The responsible authority shall��ithin 30 days eithec (a)correct the data fowid to be inaccurate or incomplete and attemp[to notify past recipients 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 dispute shall be disclosed only if tlle individual's statement of disagreement is included with tlle disclosed data. The determination of the responsible authority may be appealed pursuant ro the provisions of the administrative procedure act relating to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04,Subd.2,"Ri;hts of subjects of data",we would like to inform you that your request for a pennit 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 infomiation you furnish wifl 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 Ciry 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 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 permit. First Nliddlc Last AdUress Cih� State Zip Phonc � unde tand m rights s stated abo��e. i , �gn t rc ,�