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� Sec.13.04 RIGHTS OF SUBJECTS OF DaTa Subd. 1. Type of data. "Ihe righcs of individual on whom the data is stored or to be stored shall be as set forch in this secdon. Subd.2. Information reqirired to be given individual. An individual asked to supply private or confidenaa!dara concerning himself shall be informed of: (a) the purpose and intended use of the requested data within the collecang"state agency, polidcal subdivision,or statewide system; (b)whether he may refuse oY is legally required[o supply tbe requested data;(c)any Imown coasequence arising from his supplying or refusing to supply • privace or confidenual data;and(d)the idenary of other persoas or enades authorized by state or federal law to receive the data. This requirement shall noc apply when an individual is asked to supply invesaeaave dara, pursuan�to section 13.82, subdivision 5, co a law enforcemenc officer. - The commissioner of revenue mav pface [he noace reauired under this subdivision in the individual income tax or propem tax refund � instrucdons ins�zad of on those forms. Subd. 3. Access to data by individual. Upon requesc 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, private or confidenaal. Upon his fitr[ber request, an individual who is the rubject of stored private or public data on individuals shall be shown the data wi�houc any charge to him and, if he dzsires, shall be informed of the contenc and meaning of that data. Afcer an individual has been shown the private data and informed of its meaning, the data need not be disclosed to him for six months chereafter unless a dispute or acrion pursuanc to rhis secdon is pending or addiaonal data on the individual 6as been collected or creat�d. The responsible authoriry shall provide copies of the private or public data upon requesc by the individuai subjecc of the data. The responsible authoriry may require[he requesdng person to pay the accual costs of making, certifying, and compiling the copies. The responsible aurhoriry shail comply immediacety, if possible, wich any request made pursuant to this subdivision, or within five days of the date of che request,excluding Sacurdays,Sundays and lega]holidays,if immediate compliance is noc possible. If he cannot comp(y with the request within that time,he shall so inform che individual,and may have an addiaonal five days within which to comply wich 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 concerning himself. To exercise this right,an individual shall noafy in wri[ing the responsible authoriry dzscribing the nacure of the disagreement. The responsible authoriry shall wichin 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipiencs of inaccurate or incomplete data, including recipients named by the individual; or(b)noufy the individuai that he believes rhe data to be correcc. Data in dispu[e shall be disciosed orily if the individual's statement of disagreement is included with the disclosed data. The decerminarion of the responsible authoriry may be appealed pursuant to the provisions of the adminiscrarive procedure act reladng 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 permit or license from the Ciry 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 shared with other local, state or federal a�encies to the extent necessary to process the permit or license. 4. If your reques[ed permit or license requires Council ac[ion 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 perm.it. � �-��-�_ �---�,�;� First �fiddle Last Address City State Zip Phone I underst '�hts as t ted above. % ,� � i % , _ � /