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Sec.13.04 R[GHTS OF SUBJECTS OF DATA Subd. L Type of data. The righ�s of individull on whom the data is scored or to be stored shall be as set foith in diis sec�ion. 5ubd.2. (nfornlation required to be given individual. r\n individual asked to supply private or confidential data conceming himself shall be informed of; (a)d1e pucpose and intended use of die requested data��ithin the collecting sta[e agency,political subdivision,or statzwide system:(b) whed�er he may reft�se or is Iegally required to supply the requested data;(c)any known conszquence arising frotn his supplying or rehuin�to supply private o�confidential data;and(d)the idzntiry of other persons or entities authorized by state or federal law to receive the data. This rzquirement shall not apply when an individual is asked to s.ipply investie<itive data,pursuant to sec[ion 13.32,subdivision�,to a la��enforcenient officer. "Chz commissioner of re��enue mav vlace the notice required under Hlis subdivision in thc individual ir.come tax or propertt�tax refund inshtictiens instead of on those fonns. Subd.3. Access to data by individual. L'pon request to a responsibie authority,an individual shall be i�tfom�ed wll�therhe is the su6ject oF srored datu on individuals,ancl whether it is classified as public,private or confidentiaL Upon his hirther requcs[,an individual who is the subject of stored priva�e or public dat.i on individuats siiall be shown the dat�without�iny charge to him and,if he desires,shall be inforn�ed of the content and ineanin�of that data. After a,1 individ�.i:�l has been shown d�e private data and informed of its meaning,the dat�need not oz disclosed to hiil�for siz months thereafter uniess a dispute or action pin suant co this section is pendine or addition2l data on the individuul has been collected or created. The responsible�iuthority shall provide copies of the pri�ate or public data upon request by the individual subieet of the data. The responsible authorin, maY require the requesting person to pay the acn�al COS(5 OT Illakine,certifi'ing,and compiling ttte copies. The responsible authority shall comply immediatzly,ifpossible,wiih anv request made pursuant to this subdivision.or within five days of the dace of the reques�,excludin�Saturdays,Sund.iys and legal holid�rys,if immediate compliance is no�possible. If hc cannot comply with the request within that time,he�hall so infonn the iitdividua�,and may have an addi:ional five days�ai[hii�which to coinply with Ihe request,excluding Saturda}�s, Sundays and legal holidays. Subd.4. Procediue when data is not accurate or complzte. t\n individual nr�y contest the accuracy or con�pleteness of public or pcivatz duta concerning himseif. To e�ercise lhis ri,ht,an individual shall notify in��'riti:�g the respons;ble authuiity describing the naturc of the disagreement.Thc responsible audiority sh:ill widiin 30 days either: (a)conect the data fottnd ro be inaccurale or ittcomple[e and attempt to notify pasc recipients of inaccurate or incomplete data,including recipiencs named bv the individual;or(b)r.otify the inilividuaf that he be'tie��es die data ro be ceirect. Daea in diso�i�e shall be disdosed only if the individual's statement of disagrcement is includzd with tlic disclosed data. The determinution of thz responsible authoriry may be appcaled pursuan[to the provisions of the administrative procedure act relatine[o coi�tesCed cases. DA�'�A PRii�A��'.A�S'iSORY In accordance with M.S. 13.04,Subd.2,"Rights of subjects of data",�ve tivould like to infomz you tllat your request for a pernzit or license fi•oni the City of Orono or any of its departments may require you to furnish certain private or confidential information. You ace notified that: �. T�le 111f01'111�L1011 y0U {1.11111517 WI11 �?C liSGl� tG C{GTcI-ilill-tZ 'y'vLil' CjLilililG1ti01'i i0C ilic �c^I'Tiiii Gi iiCCC�SC requested. 2. You may refuse to supE�ly data,but refilsal n�ay require that the Ciry deny the permit or license. 3. The inFonuation may be shared with other Iocal, state or federal agencies to the extent necessary to process the perniic or liceuse. �4, If youi•requested permit or license requires Council action to approve, some inforn�atiou may become public. �. 1'ou have certain riQhts under I�t.S. 1�.0-1 (a�ailable upon request) to revie�v privlte data on yourszlf. 6. Y'our full name is rec�uired to process this application or pennit. 9'ir5t 1ii�dlc a_ast lddress �tate %io Pf�one :�nr1��r;t;n__Ti n . Yiah-c, cfi�7i:�t: :�.r}f�i��, - - . --�--'- i - ' ��-' � • Si��n��C�:�