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Sec.13.04 RIGfi"I'S OF SiIBJECTS OE DATA Subd. l. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section. Subd. Z. Information reqtired to be given individual. �t individual asked to supply private or confiden[ial data concerning himself shall be informed of: (a) [he purpose and intended use of the requested data within the collecting'state age�cy, political subdivision,or statewide system; (b)whether he may refuse oY is legal(y required ro supply the requested data;(c)any known consequence arising from his supplying or refusing to supply private or confidential data;and(d)the ide�tity of other persons or entides authorized by state or federal law to receive the data. This reyuirement shall not apply when an individual is asked to suppiy investieadve da[a, pursuant ro secuon 13.82, subciivision 5, to a law enforcement officer. T}ie commissioner of re��enue mav place the nodce reauired under this subdivision in die individual income tax or oropertv tax refund instructions ins[ead vf on d�ose forms. Subd. 3. Access to data by individuaL Upon reyuest to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals, and whether it is classified as public, priva�e or confidential. Upon his further request, an individual who is the subjec[ of stored private or public data on individuals shall be shown the data wi[hout any charge to hun and, if he desires, shall be informed 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 six months thereafrer uriless a dispute or action pursuan[to ehis sec[ion is oending or additional data on the individual has been collected or creaced. The responsible autho�ry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority may require the requestine person to pay the actual costs of makine, certifying, and compiling the copies. The responsible authority shall comply immediately, if possibie, with any request made pursuant to this subdivision, or within fi�e days of the date of the request,excluding Saturdays,Sundays and leeal holidays, if immediate compliance is not possible. If he cannot comply with the reyuest within that time, he sha(I so inform the individuai,and may have an additional five days wichin which ro 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 accuracy or completeness of public or private data conceming himself. To exercise chis rieht,an individual shall notify in writing the responsible authoricy describing�he nature of the disaereement. The responsible authoriry shall within 30 days either. (a)correct[he data found to be inaccurate or incompiete and attempt to no�ify past recioien[s of inaccurate or incomp(ete data, including recipients named by the individual; or(b)notify the individual d�at he believes die 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 decermination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to contesred cases. DATA PRiVACY ADVZSORY In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of data", we would like to inform you that your reauest for a permit or license from the City of Orono or any of its departments may require you to furnish certain private or confidentiai informa[ion. You are notified thar. l. 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 licerise. 3. The information may be shared with o[her local, state or federal a�encies to the extent necessary to process the pecmit or license. 4. If your requested permit or license requires Council ac[ion ro approve, some iuformation may become public. j. 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 �tiddle Last Address C��, State^ Zip Phone / I unde �y i t at�d e. , ' atu re