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- � Sec.13.04 RIGHTS OF SITBdECTS OF DATA Subd. 1. Type of data. The righu of individual on whom the data is stored or to be swred shall be as set forth in this secrion. Subd.2. InformaHon required to be given indtvidual. An individual asked w supply private or confidential data conceming himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting State agency,polidcal subdivision,or statewide system; (b)whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply private or wnfidendal data;and(d)the idendty of other persons or eatities authorized by state or federal law io receive the data. This roquirement shall not apply when an individual is asked w supply investigative data,pursuant to sec6on 13.82,subdivisiou 5,to a law enforcement officer. The commissioner of reveirue mav place the notice required under this subdivision in the individual income taz or pronertv tax refund inshucdons 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 confidential. Upon his further nequest,an individual who is the subject of stored private or public data 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. 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 thereafur unless a dispute or action pursuant to this section is pending or addidonal data on the individual has been collected or created. The rosponsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority may require the roquesting person w pay the actual costs 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,ezcluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request within that 6me,he shall so inform the individual,and may have an addidonal five days widun 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 the accuracy or completeness of public or private data conceming himself. To ezercise this right,an i�xlividual st�all notify in writing the responsible authoriry describing the naturo of the disagreement. The responsibte authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and ammpt W nodfy past recipients of inaccurate or incomplete data,including rocipienu named by the individual;or(b)notify the individual that he believes the data to be correct. Data in dispuu shall be disclosed only if the individual's s�tement 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 relating 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 aze 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 shazed 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. . 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 pernut. First Middle Last Add:ess C�ty Scate Zip Phone I understand my rights as stated above. Signaturo