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� Sec.13.04 RIGHTS OF SLJBJECTS 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. Information required to be given individual. An individual asked to supply private or confidendal data conceming himself shall be informed of: (a)the purpose and intended use of the requested data wirhin the collecting'�tate agency,polidcal subdivision,or statewide system; (b)whether he may refuse or is legally required to supply the requested data;(c)any known coasequence arising from his supplying or refitsing W supply private or confidenrial data;and(d)che identity of other persoas or enaties authorized by srate or fedecal law to�eceive the data. This requirement shall not apply when an individual is asked to supp(y invesdgadve data, pursuant[o secrion 13.82,subdivision 5, to a law enforcement officer. The commissioner of revenue mav ptace the nodce reauired under this subdivision in the individual income tax or oropertv tax refund insavcrions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be iaformed whether he is the subject of swred dxta on individuals,and whether it is classified as public,privace or co�dential. Upon his funher request,an individual who is the subjecc of stored private or public dara on individuals shall be shown the data wichout any charge to him and;if he desires,shall be informed of the content and meaning of[hat data. After aa individual has been shown the private data and informed of ics meaning,the dara need not be disclosed to him for six months thereafter unless a dispute or acaon pursuant to this secdon is pending or addiaonal data on the individual has been collecud or created. The responsible authoriry shall provide copies of the private or pubiic dara upon request by the individual subject of the data. The responsible authoriry may require the requesdng person to pay the actual cosu of making,certifying,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 reques[ within that time,he shall so inform the individual,and may have an addidonal Five days within which 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[he accumcy or completeness of public or private data conceming himself. To exercise this right,an individual shall nodfy in writing the responsible authoriry describing the nacure of the disagreement. The responsible authoriry shall within 30 days either: (a)correcc the data found to be inaccurate or incomplete and attempt to nodfy past recipients of inaccurate or incomplete data, including recipients named by the individual;or(b)notify the individual that he believes the data to be comect. 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 authority may be appeated pursuant to the provisions of the administrative procedure act relatiag 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 fumish certain private or confidential information. You aze notified that: , 1. The information you fumish 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 shued with other local, state or federai agencies to the extent necessary to process the pemut or license. 4. If your requested pemut 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 ful! name is required to process this application or permit. F�� Middle Last Address Ciry State Zip Phone 1 understand my rights as stated above. Signamre