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Sec.13.04 RIGHTS OF SUSJECTS OF D?,T?, ' Sabd. i. Type of data. Zhe righcs af individual oa whom the data is stored or ro be swr:d shall be as set fotth ia this secdoa Subd.2. Into�maGon reqtrired to be givea indirFdual. An individuaF uked w supply private or confidendal dam concerning himself shail be infocmed o,`: (a)the purpase and incended use of the requuted dam wichia the collecang 3tate agency,poliricaI subdivisioa,ar sti�:wide rysc:m; (b)whectec he rr.3y r.ruse or is_legalIy requir_d co supply tfie r.quesLd daa:(cj aay Imawn caaseqi:cece arisiag from his suppiyiag or reP,uing to slpply priva�e or eo:i::der.eal data;ar.d(d)�e ideadry of o�4er pecsaas or ecrides au�orized by sc�ce or federdl law to teuive t�e daci. This r_quiremenc s�a1I not apply wt;en an ir.dividuaI is asked to supply invesdgadve daca,pursuanc ro secdoa 13.82,su6division S, w a law e:ifoctementofncer. � 'ihe cer.imissioner of rcvenue mav pia;c che noac- rauird und-r this subdivision in the ir.dividual income ez or orooercv raz tefund inscructions inscead of on�hose lomu. Subd.3. Access to data by individual. Upon requesc ta a responsible au�horiry,an iadividual shall be informed whe�her he is che subjeu of swr_d daa an individuals,and whecher it is classifi:d as public,private or conF.denaal. Upou his furcher r_ques�,aa individual who is the subje:c of stored priva;e or public data on irsdividuals shall be shown the daa wichout any charge to him and;if he des'uu,shall be infocmed of the eonten� ar.d meaning of chat dam. Afcer an individual has been shown ehe priva�e daa and informed of iu meaaing,che daca aeed ao[be d'uclosed eo him for six manchs chereafter unless a dispute oc acaon purruanc ta this secaon is pending oc addiaonal daca on the individuaI has been eollec�d or erca`d. The rosponsible aurhoriry shall provide eopies of�he privac�or public daca upon request by che iadividual subjett of che daca. 'Ihe responsible auchoriry may requir_[he cequesang person to pay the accual coses of making,arrifying,and eompiling the eopies. The responsible authoriry shall comply immediataly,if Qossibie,wieh any request made punuant to this subdivision,ar wichin five days of the da�:of che tequesc,ezcluding Sacurdays,Sundays and leg�l holidays,if immediate compliaace u noc possibie. If he cannot compiy wich the requesc wirhin�hat dme,he shall so inform che individual,and may have an addidoaal five days wichin which to comply wich the request,ezdudiag Satucdays, Sundays and legai holidays. Subd.4. Pracedure when data ts not accurate or complete. An icdividual may cont�st the accurdcy ar eompteceness o[public or private dara concerning tiimself. To exercise this righ�,an individuaI shatl nodfy in wriring ehe respons3le auchoriry describing the nature oP che disagreemeac. The tespansible authoriry shail within 30 days eict:cr: (a)corrzc[[he data faund to be inaccarac�or incomplete aad aaemp�to nodfy past recipien�of inaccurace or incompte�e data, including recipiencs named by�c individua.l;or(b)noafy the individual that he believes the data to be correcc. Dati in dispu�e shall be disciosed only if the individual's stacamenc of disagreem:nt is included wirh the disdosed dara. The decerminaaon o[the responsible au�horiry may be appealed pursuanc to the provisions of the adminisaarive procedure act relating to contesmd eases. - DATA PRIVACY ADVTSORY In accordance wich M.S. 13.04, Subd.2, "R.i�hcs of subjecu 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 furnish certain private or confiden[ial information. You aze 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 Ciry deny the permit or license. 3. The information may be shared with other local,state or federal a�encies to the eYcent necessary to process the permit or Iicense. 4. If your requested permic or license requires Council action to approve, some information may become public. . . 5. You have certain ri�hts under M.S. 13.04 (available upon reqnest) to review pcivate data on yourself. 6. Your full name is required to process this application or permi[. � � Firsc �tiddle Last �s�� -.� �� Address w�,.,� __ %� �"�'' . Ciry Snte Zip Phone I understand my ri�hts stat d above. s��