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Scc.13.0�1 RIGEITS OF SUBJECTS OF DATr1 Subd. L Type of data. The rights of individuai on�vhom the data is stored or to be stored shall be as set forth in this section. Subd.2. Information required to be given individual, An individual asked to supply private orcontidential data concerning himselfshall be informed of. (a)the purpose and intended use of[he requested data wi[hin the collecting state agency,political subdivision,or statewide system;(b) whether he may refuse or is leeally required to supply die requested data;(c)any known consequence arising from his supplying or refusinc to supply private or confidential data;and(d)the identity of other persons or entities authorized by stare or federal law to receive the data. This requirement shal I not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision�,to a Iaw enforcement officer. The commissioner of revenue ma�place the notice required under this subdivision in d�e individual income tax or properry tax refund instructions instead of on those tbrms. 5ubd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classitied as pubiic,private or contidentiaL Upon his further request,an individual who is die subject of stored private or public data on individuals shall be shown the data widiout any charge to him and,if he desires,shall be informed ofthe content and meaning of that 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 thereatter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or creared. The responsible authority shall provide copies ofthe private or public data upon request by the individual subject ofdie data. The responsible authoriN may require the requesting person to pay the actual costs of making,certifyine,and compiling the copies. The responsible authoriry shall comply immediately,if possible,with any request made pursuant to this subdivision,or�vithin tive days of the date ofthe request,e�duding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. [f he cannot comply�vith the reques't �vithin that time,he shall so intbrm the individual,and may have an additional tive days�mithin which to comply with the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complece. An individual may contest the accuracy or completeness of public or pri��ate data concernin�himself. To esercise this right,an individual shal I notity in writing the responsible authoriry describing the nature of dte disagreement. The responsible authority shall�vithin 30 days either. (a)correct the data found to be inaccurlte or incomplete and attempt to notify past recipients of inaccurate or incomplete data,induding 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 induded with the disclosed data. The determination of the responsible authority may be appealed pursuant to the provisions ofthe administrative procedure act relating to contested cases. DATA PR[VACY ADVISORY In accordance with M.S. 13.04,Subd.2,"Rights of subjects of data",we would like to inforn�you that your request for a pennit 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 detennine your qualification for the permit 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 permit 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 NLS. 13.04(available upon request)to review private data on yourseif. 6. Your full name is required to process this application or permit. First �liddlc Last Address Cih Siate 7_i�, nhcne I understand my rights as stated above. �r— Signaturc — ReseY Form 3�