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Sec.13.04 RIGHTS OF SUQJECTS OF DATA Subd. l. Type of data. "Il�e rights of individual on whom[he data is stored or to be stored shall be as set foith in this section. Subd.2. Infonnation rcquired to be given individual. An individuaf askcd to supply piivate or confidential data concerning himself shall be inf'oimed of: (a)the pu�pose and intended use of the requested data within the collecting state agency,poli[ical subdivision,or statewide system;(b) whclhcr he may mfuse or is legally required to supply the requested data;(c)any kno�wi consequence aiising tirom his supplying or refusing to supply private or confidential data;and(d)the identity ofother persons or entities authoiized by state or federat]aw to receive the data. Tliis requirement shall not apply when an individual is asked to supply investigative dala,pursuant to section 13.82,subdivision 5,to a law enforcement o�cer. The commissioner of revcnue mav nlace the notice required under this subdivision in the individu�l income tax or propeity t1x refund instructions instead of on those fonns. Subd.3. Access to data by individuaL Upoo request to a responsible authority,an individual shall be informed whether he is the subject oF stored data on individuals,and whether it is classitied as public,private or confidenlial. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be sho�vn the data without any charge to him and,i1'he desires,shall be infoiined of the content and meaning of that data. After an individual has been shown the private data and infonned of its meaning,the dlta necd not be disclosed to him for six months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or creatcd. 11�e responsible authority shall provide copies of'the private or public da[a upon_request by the individual subject of the data. The responsible authoiify may req�ire the requesting person to pay lhe actual costs of makin�,ceitifying,and compiling the copies. Tt�e responsible authoiity shall comply immediately,if possible,wid�any request made pursuant to this suUdivision,or within five days of the date of the request,excluding Safurdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request within that time,he shall so inY'onn the individual,and may have an addilional tive days within��hich to comply wilh the reyuest,excluding Saturdays, Sundays and legal holidays. Subd.4. Ptrocedure when data is not accurate or complete. An individual inay contest the accuracy or cotnpleteness of public or piivate d�ta conceming himselE To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disag eeroent. The responsible authority shall within 30 days either. (a)conect the data found to be inaccunte or incomplcte and attempt to notify past recipients oF inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the dat��lo be con ect. Data in dispute shall be disclosed only if the individual's st��tement of disae�eement is included with the disclosed data. The detennina[ion of the responsible authority may be appealed pursuant to the provisions of lhe administrative procedw�e act relating to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04,Subd.2,"Rig}its of subjects of data",we would like to infornl you that your request foi-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 infonnation you funiisb will be used to detennine your qualification for tl�e pernlit or license requested. 2. You may refuse to supply data,but refusal may require that tl�e City deny the pec-mit or license. 3. The inforniation may be shared with other local, state or federal agencies to the extent necessaiy to process tl�e pennit or ticense. 4. Il your requested pei�nit or license requires Council action to approve, some infoiznation may become public. S. You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself. 6. Your 11 uame is required to process this application or pern�it. First �liddle Last Address ��QY Statc Zip Phone I understa�id my r'„lits d Sianature �� ;�