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Sec.13.04 RIGHTS OF SiJB,TECTS OF DATA Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this secdon. Subd.2. Informatioa required to be given indiridual. An individual asked to supply private or co�denrial data conceming himself shall be informed of: (a)the purpose and intended use of the requested data within the collecdng state agency,polirical subdivision,or stacewide system;(b)whether he may refuse or is tegaily required to supply the requested data;(c)any Imown consequence arising from his supplying or refusing to supply private or confidenoal dara;and(d)the idenory of other persons or endaes authorized by srate or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investigadve data, pursuant to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav place the notice reauired under this subdivision in the individual income taz or nrooerrv tax refund instructions instead of on those forms. Subd. 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 classified as public,private or confidendal. Upon his further request,an individual who is the subject of stored private or public dara on individuals shall be shown the data without any charge to him and, if he desires,shall be informed of the content and meaning of that data. Aher an individua!has been shown the private data and informed of its meaning, che data need not be disclosed to him for six months thereafrer unless a dispute or acdon pursuant to this secaon is pending or addidonal data on the individual has been collected or crea�ed. The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible au[hority may require the requesdng person to pay the actual cosu of making,certifyin„ 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 wi[hin that cime, he shall so inform the individual,and may have an addicional five days within which to comp(y 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 private dara conceming himseif. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the dara found to be inaccurate or incomplece and attempt to noafy past recipients of inaccurate or incomplece dara,including recipienu named by the individual;or(b)norify the individual that 6e believes the data to be correct. Data in dispute shall be disclosed only if the individual'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 administrative procedure act relaang ro 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 reques[ 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 determine 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 o[her local, state or federal agencies to the extent necessary to process the pemut 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 M.S. 13.04 (available upon request) to review private data on yourself. 6. Your full name is required to process this application or permit. First Middle Last Address C'�' State Zip Phone I understand my rights as stated above. � ' , � �� , � ; �j�. ,< 4 /gjgnamre � Z r` /, '� ' � .__�6