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� r t Sec.13.04 RIGH'TS OF SUB.TECTS OF DATA Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this secdon. Subd.2. Information reqirired to be given individual. An individual asked to supply private or confidenrial data concerning himself shall be informed of: (a)the purpose and intended use of the requesred dara within the collecdng'state agency,polidcal subdivision,or sratewide system; (b)whether he may refuse or is legally required to supply the requested data;(c)any irnown consequence arising fmm his supplying or refusing to supply privace or conndenrial data;and(d)the idenriry of other persons or enuaes au[horized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investieadve dara, pursuant to secaon 13.82, subdivision 5, to a law enforcement officer. The commissioner of re�enue mav place the noace reauired under this subdivision in the individual income tax or proDertV taz refund instructions instead of on those forms. Subd. 3. Access to data by individual. Upon requesc to a responsible authority,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 confidendal. Upon his further request,an individual who is the subject of stored private or pubiic data on individuals shall be shown che dara wichout any charge to him and, if he desires, shall be informed of the content and meaning of chat data. Afrer an individual has been shown the privace data and informed of its meaning,che dara need not be disclosed to him for six months thereafter unless a dispute or acrion pursuanc to chis secdon 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 the data. The responsible authority may require [he requesring person to pay the actual cosu of making, cectifying, and compiling the copies. The responsible authoriry shall comply immediacely, if possible, with any request made pursuant to this subdivision, or within five days of the date of the request,exciuding Saturdays,Sundays and legal holidays,if immedia[e comptiance is not possible. If he cannot comply with the request wirhin that time,he shall so inform the individual,and may have an additio�al 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 accuncy or completeness of public or pri��a[e data conceming himself. To exercise chis rieht,an individual shall norify in writing the responsible authoriry describing the nature of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipienu of inaccurate or incomplete data, inciuding 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 included with the disclosed data. The determinacion of the responsible authoriry may be appealed pursuant to the provisions of the administrarive procedure act relating to contested eases. 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 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 tha[ 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 pernut or license. 4. If your requested permit 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. � �� i�� Last First Middle Address City State Zip Phone I un st my rig stated above. Signa re