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Sec.13.04 RIGHTS OF SUB.TECTS OF D�TA . Subd. 1. Type of data. The 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. r1n individual asked to supply private or confidendal dara concerning himself shall be informed of: (a)the purpose and intended use of the requesced data within the collecang"state a;ency, polidcal subdivision,or statewide system; (b)whether he may refuse oY is legally required to supply tbe requested data;(c)any Imown consequence arising from his supp(ying or refusing to supply private or confidendal data;and(d)the identiry of other persons or enrities au[horized by state or federal law to receive the data. This requirement shall not appty when an individual is asked to supply investieadve dara, pursuant to secrion 13.82, subdivision 5, to a law enforcement officer. The commissioner of re�enue mav place the nodce reouired under this subdivision in the individual income tax or properry 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 whether he is the subject of stored data on individuals, and whether ic is classified as public, private or confidenrial. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown the data wichout any charge to hun and, if he desires, shall be informed of the content and meaning of[hat data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for six months thereafter unless a dispute or acrion pursuanc to this secaon is pending or addidonal data on the individual has been collected or created. The responsible authority shalt provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry may require the requesting person to pay the actual cosu of making, cerafying,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 not possible. If he cannot comply with the request within tha[time,he shall so inform the individual,and may have an additional five days within which to comply with the request,exciuding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or pri��ate data conceming himself. To exercise this right,an individual shall noafy in wriang the responsible authoriry describing�he nature of the disagreement. The responsibfe authoriry shall within 30 days eithee (a)correct the data found ro be inaccurate or incomplete and attempt to nodfy past recipients of inaccurate or incomplete data, including recipients named by the individual;or(b)noufy the individual that he believes the data to be correct. Data in dispute shall be disclosed only if the individuai's statement of disagreement is included with the disclosed data. The determination of the responsible authoriry may be appealed pursuant to the provisions of the administradve procedure act reladng to contested cases. DATA PRIVACY 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: 1. The information you fumish will be used to determine your qualification for the pemut or license requested. 2. You may refuse to suppiy data, but refusal may require that the City deny the pemut or license. 3. The information may be shared with other local, state or federal a�encies 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 hav� ce:ca:r. rights under M.S. 13.04 (available upon request) to review private data on yourself. �� s required to process this application or permit. First Middle Last Address City State Zip Phone I understand my rights as stated above. -- --- '_ _ __� - -- -_� �_�— ---- - --- --� - -- �__�_ � �4- Signa[ure �