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Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The righcs of individual on whom the data is stored or to be srored shall be as set forth in this section. Subd.2. Information required to be given indi��dual. An individual asked to supply private or confiden[ial data concerning himself shall be informed of: (a)the purpose and intended use of the requested data within the collec[ing state agency, political subdivision,or statewide systzm;(b)whether he may refuse or is legally required to supply the requested data; (c)any known consequence arising from his supplying or refusing to supply private or co�dential data;and(d)the identiry of other persons or entities authorized by state or federal►aw to receice the data. This reyuirement shall not apply when an individual is asked ro supply investigative data, pursuant to section 13.82, subdivision�, to a la�ti enforcement officer. The commissioner of revenue mav�lace the norice reauired under this subdivision in[he individual income tax or nrooem tax 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 whethzr he is thz subject of stored data on individuals, and whether it is classified as pub(ic, private or confidential. Upon his further request,an indi�•idual who is[he subjecc of stored private or public data on individuals shall be shown the 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 ro him for six months thereaher unless a dispure or action pursuant ro this section is pending or additional data on the individual has been collected or created. The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsibie authoriry may require the requesting 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 da}'s of the date of the request, excluding 5aturdays, Sundays and legal holidays, if immediate compliance is not possible. If he cannot comply with the request within tha[[ime, he shall so inform the individual, and may have an additional five days within which ro comply with the reques[. excluding Samrdays, Sundays and leeal holidays. Subd.4. Procedure when data is not accurate or complete. An individua(may contest the accuracy or completeness of public or private data concerning himseif. To exercise this right,an individual shall notify in writing the responsible authoriry describing the nature of thz disaereement. The responsibie authoriry shall within 30 days either: (a)corcect the data found to be inaccurate or incomplete and attempt to notif� 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 the individual's statement of disagreement is induded with the disclosed data. The determinarion of the responsible authoriry may be appealed pursuant ro the provisions of the administrative procedure act relaring to contested cases. DATA PRNACY 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 furnish certain private or confidential information. You are notified that: l. 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 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 Middle Last Address Ciry Stare Zip Phone I understand my riohts as stated above. Sienature 6