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, , � Sea13.04 RIGHTS OF SLJBJECTS OF D?►TA Subd. i. Type of data. The righa of individual on whom t6e data is stored or co be stored shall be as set forth in this secrion. Subd.2. Information req�red to be given individuai. An individual asked to supply private or confidendal data conceraing himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting�tate agency,polidcai subdivision,or sracewide system; (b)whethet he may refuse oY is legally required to supply the requested data:(c)any Imown consequence arising from his supplyiag or refusing to supply privace or confidendai data;and(d)the idenury of ocher persons or enades au[horized by sta[e or federal law to receive the data. 'i'his requirement shall not apply when an individual is asked to supply invesugadve dara, pursuant co secdon 13.82,subdivision 5, to a law enforcement o�cer. The commissioner of re�enue mav place the noace reauired under this subdivision in the individual income_tax or propertv tax refund instructions inscead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals,and whe[her it is classified as public, privace or confidential. Upon ivs further request,an iadividual who is the subjecc of stored private or public dara on individuals shall be shown che data wichout any charge to him and,�if he desires, shall be informed of the content and meaning of chat data. Afcer an individual has been shown[he private data and informed of its meaning,the data need not be disclosed ro him for six months thereafter unless a dispute or acaon pursuant to this secdon is pending or addidonal data on the individual has been coilected or created. The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority may require the requesring person to pay the actual cosu of making,cerafying,and compiling the copies. The responsible authoriry shall comply immedia[ely, 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 immediace compliance is not possible. If he cannot comply with the request within that time,he shall so inform the individual,and may have an additiona!five days within wtuch to comply with the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accu�acy or completeness of public or private data conceming himseif. To exercise[his right,an individuai shall nodfy in wridng the responsible authoriry describing rhe namre of the disagreement. The responsible authoriry shatt within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipiencs of inaccurate or incomplete data, including recipien[s named by the individual;or(b)noafy the individual thac he believes the data to be correct. Data in dispute shall be disclosed only if[he individual's statement of disagreement is included with the disclosed data. The decerminadon of the responsible authority may be appealed pursuant to the provisions of the administrarive procedure act reladng 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 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 permit or license. 4. If your requested permit or license requires Council action to approve, some information may become public. g. 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 Middie Last Address City State Zip Phone I understand my rights as stated above. Signaare