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Sec.13.04 RIGHTS OF SU[3JCCTS OF DATA Subd. 1. Type of data. The rights of individual on whom the data is stored or to be storcd shalf l�e as set faih in this section. Subd.2. Infonnationrequircdtobegivenindividual. Aniniiividualasl<edtosuppiyprivateorconliclentialdataconcerninghimselfshallhe infonned oE (a)lhe puipose and intended use of the requested data wilhin Lhe collecting state agency,political sub�ivision,or statewide syslem;(b) whether he may refuse or is legally required to supply lhe requested data;(c)any known cooseyuence arisin�fl�om his supplying or refusing to supply private or confidentia(data;and(d)the identity of other persons or cnUlics aulhorized by state or federll law to receive the data. This require�nent shall not apply when an individual is asked to supply investigative data,pursuant(o section 13.32,subdivision 5,to a law enlorcemenl oft7cer. Ttie commissioner of re��enue mav nlace the notice rec�uired under this subdiv_ision in lhe indi�idual income tax or.pr�erlv lax refund instructions instead of on those fonns. Subd.3. Aceess to dala by individuaL Upon request to a responsible authority,an individu�il shall be inlormcd whether he is the subject of stored dat�on individuals,and whether it is classitied as public,privale or conlidcntiaL Upon his Yurthcr request,an individual who is the subject of stored private or public data on individuals shall be sho�m the data without any chlrge to him anJ,if he desires,shall be inf�oi7�ted oPthe content and meaning of that data. After an individual has been shown the private data and infom�ed of its meaning,thc dnta need not be disclosed to him for six months Ulereafter unless a dispute or action pursuant to this sec�ion is pending or additional dala on the individual has been eollected or created. The responsible authority shall providc copies of the private or public data upon request tiy the i��diviclual sub.ject of the data. Thc responsible authority may require the reyuesling person to pay the actual costs of making,certifying,and compilin;the eopies. The responsible authorily shall comply immediately,ifpossible,will�any reque;t made pursuant to tliis subdivision,or within live d�ys of the dlte oi�the request,excluding SaWrdays,Sundays and legal holidays,if immedia�e c��mpliance is not��ossible�. If he cannot comply with the reyucst within that time,he�shall so inibnn the individual,and may have an addilional live days wiLliin wttich lo comply with Che recluest,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accu�nle or complete. An individual uiay conlest Lhe accurac,y or completcness of public or piivate d�ta conceming himself. To exercisn this righl,an individual shall notifv in writin�ihe responsible authorily describina the nalure of the disagreement The responsible authority shall within 30 days eiHie�: (a)con�ect the d<�ta foun�to be ivaccurate or incompfete and attempt to notif}�p�st recipients of inaecurate or incom�lete dnta,including recipients named by the individual;or Ib1��olify the individual that he believes the d�ta to be correct Dtrta in disputc shall be disdosed only if[he individual's statement oFdisa�eement is included with lhe disclosed dala. llie dete�mination of the responsible authority may be appealed pursu�nt to tl�e provisions of the administrative procedure ac[relafing to contested cases. DA'TA YRIVAC�' �UVISOR'�' In accordance with M.S. 13.04,Siibd.2,"Rights of subj ects of data",we would like to inform you that your rec�uest for a permit or license from the City of Orono or any of its departments m.ay require you to furnish certain private or confidential infoi-mation. You are notified that: l. The infonnation you funiisli will be used Co detea-mine you�r qualiiicatiou for the peranit or liccnse requested. 2. You inay refuse to supply data,but reiusal may require iliat llie City deny t}ie pei�nit or lice�ise. 3. The information may be shared wit11 other local, state or federal agencies to the extent necessary to process the pennit or liceilse. 4. If your requested pei7nit or license requires Council acfion to approve, some inFonnation ntay become public. 5. You have certain rights wider M.S. 13.04(availabie upon request)to review private data on yourself. 6. Yo •iull name is required to proc ss tius appli��' or pei�iiit. � �� First f�Yiddle — - - �=`S'q"----------------- `f�.� ,� -, ��- ---��_ -- ��_ ,�adr�5s � � �� � �N ---��r_��3�.s_----��-��` Ci4�� tadc Zi�� Fleon: i' 1 understand my rights as stat a � - < � ,/'' Signature ----------- — ' ;�