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� Sec.13.04 RIGHTS OF SUB.TECTS OF DATA Subd. 1. Type of data. 'I�e righrs of individual on whom[he data is stored or to be stored shall be as set forth in this secaon. Subd.2. Information required to be given individual. An individual asked to supply private or confidenaal data conceming himself shall be informed of: (a) the purpose and intended use of the requested data wi[hin the collecang'stace agency, polidcal subdivision,or statewide system; (b)whether he may refuse or is legally required ro supply the requested data;(c)any Imown consequence arising from his supplying or refusing[o suppty priva�e or co�dendal data;and(d)the idenary of other persons or enriaes authorized by state or fedecal law to receive the data. This requiremeot shall noc apply when an individuai is asked to supply invesrigaave da[a, pursuant[o secrion 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav place the norice required under this subdivision in the individual income tax or propem tax refund ins[rucrions instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whe[her he is the subject of stored data on individuals, and whether it is classified as public, private or confidential. Upon his further request,an individual who is[he subject of stored private or pubiic data on individuals shall be shown the data wichout 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 informed of ics meaning,the data need no[be disclosed[o him for six months thereafrer unless a dispute or action pursuant to this secdon is pending or addicional data on the individual has been collected or created. The responsible authority shall provide copies of the private or pubiic data upon requesc by the individual subject of the data. The responsible auchoriry may require the requesting person to pay the actual costs of making, cerdfying, and compiling the copies. The responsible authoriry shall comply immediately, if possible, with any request made pursuant to this subdivision,or within five days of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is no[possible. If he cannot comply with the request within that time,he shall so inform the individual,and may have an addirio�ai five days within which to comply with the request,excluding Saturdays, Sundays and legai 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 no[ify in writing the responsible authority describing the nature of the disagreemen[. The responsible au[horiry shalf within 30 days either: (a)correct the data found to be inaccunte or incomplete and attempt to norify past recipiena of inaccurate or incomplete data, inc(uding recipients named by the individual; or(b)notify the individual that he believes the data to be correct. Data in dispute shall be disctosed only if the individual's statement of disagreement is included with the disclosed data. The determinadon of the responsibie authoriry may be appealed pursuant to the provisions of the admuustrative procedure act relating to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of da[a", 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 ro determine your qualification for the pemut 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 pernut 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 C�h, State Zip Phone I understand my rights as stated above. Signature