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Sec.13.Od RIGHTS OF SUBJECTS OF DATA Subd. I. Type of data. The rights of individual on whom the data is srored or to be stored shall be as set forth in this section. Subd.2. Infonnation required to be given individual. An individual asked to supply private or cont�dential data concerning himselfshal I be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b) whether he may refuse or is legal ly required ro supply the requested data;(c)any known consequence arising from his supplying or refusing to supply private or contidential data;and(d)the identity of other persons or enti[ies authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenue ma�place the notice required under this subdivision in the individual income ta�or property tax refund instnictions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shali be informed whether he is the subject of stored data on individuals,and�vhether it is classified as public,private or contidential. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown the data without any charge to him and,if he desires,shail be infonned of the 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 si� months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The responsible authority shal I provide copies of the private or public data upon request by the individual subject of the data. The responsible authority may require the requesting person to pay the actual costs of making,certitying,and compiling the copies. The responsible authority shal I wmply immediately,if possible,with any request made pursuant to this subdivision,or within tive days of the date ofthe request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with d�e request within that time,he shall so inYorm the individual,and may have an additional tive days within which to comply with the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complefe. An individual may contest the accuracy or completeness of publ ic or private data conceming himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement. The responsible authority shall�uithin 30 days either. (a)correct the data found to be.inaccurate or incomplete and attempt to notif'y past recipients of inaccurate or incomplete data,including recipien[s named by the individual;or(b)notity the individual that he believes the data to be correcL Data in �;SF��rP Sllall�r disclosed only if tl�e individual's statemenr of disagreement is induded with the disclosed data. The determination of the resprnisible authority may be appealed pursuant to the provisions ofthe administrative procedure act relatin�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 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 pern�it or license. 4. If your rec�uested permit or license requires Council action to approve, some information may become public. . 5. You have certain rights under IvLS. 13.04(available upon request)to review private data on yourself. 6. Your full name is required to process this application or perniit. First ltiddic Last .4ddress � Cih� State Zip Phone I understand m � ' s state e. � � Signature Reset Form 3?