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. , Sec.13.04 RIGHTS OF SLJBJECTS OF DATA Subd. I. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this secaon. Subd.2. Information required to be given individual. An individual asked to supply private or co�dendal data concerning himself shall be informed of: (a)the purpose and incended use of the requested data within the collecang state agency,poliacal subdivision,or statewide rystem;(b)whecher he may refuse or is le��lly required to supply the requested dara;(c)any Imown consequence arising from his supplying or refusing[o supply private or confidenaal da�ra;and(d)the idendry of ocher persons or entiaes authorized by sate or federal!aw to receive the data. This requirement shali not apply when an individual is asked to supply invesd;adve data, pursuant to secdon 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav olace the notice reauired under this subdivision in the individual income taz or orooerrv tax refund instrucrions mstead 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 confidenrial. 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 individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for six months thereafter unless a dispute or acdon pursuant to this secdon is pending or addirional data on the individual has been collected or created. The responsible authoriry shall provide copies of the private or public dara upon request by the individual subject of the data. The responsible auchority may require the requesan,person to pay the actual cosu of making,certifying,and compiling the copies. The responsible authoriry shall comply immediately,if possible,wich 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 within that cime, he shail so inform the individual, and may have an addidonal five days within which to comply with the request, excluding Saturdays, Sundays and(egal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private data conceming himself. To exercise this right,an individual shall notify in writing the responsib(e authoriry describing the nature of the disagreement. T'he responsible authoriry shall within 30 days either: (a)correct the dara found to be inaccurate or incomplete and attempt to notify past recipienrs of inaccurate or incomplete data,including recipienu 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 included with the disclosed data. The determinacion of the responsible authority may be appealed pursuant to the provisions of the admirus�aove procedure act reladng to contested cases. D�TA PRIVACY ADVISORY In accordance wich 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 �ity 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 other 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��' Srate Zip Phone I e stand my rights as stated above. � S re 6