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Sec.13.04 RIGHTS OF SUSJECTS OF D�T� Subd. 1. Type of data. The righrs of individual on whom the data is stored or to be stored shall be as set fonh in this secdon. Subd.2. Information reqirired to be given individual. An individual asked to supply private or confidenrial data concecning himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting"state agency, polidcal subdivision,or sratewide rystem; (b)whe[her he may refuse oY is legally required to suppty the requested data;(c)any Imown consequence arising from his supplying or refusing to supply priva[e or confidential data;and(d)the idenary of ocher persons or enriaes auchorized by state or federal law to receive the data. 'Ihis requ'uement shall not apply when an individual is asked to supply invesrigadve dara, pursuanc to secdon 13.82, subdivision 5, to a law enforcemen�officer. The commissioner of re�enue mav place the nodce reauired under this subdivision in the individual income tax or oropertv taz refund instructions instead of on those forms. Subd. 3. Access to data by indi��dual. Upon request to a responsible authoriry,an individual shall be informed whe[her he is the subject of stored data on individuals, and wherher it is classified as public, priva�e or confidendal. Upon his further request,an individual who is the subjec� of stored private or pubiic data on individuals shall be shown rhe data wichout 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 thereafter unless a dispute or acrion pursuant to this secaon is pending or addidonal data on the individual has been collected or created. The responsible au[horiry shal(provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry may require the requesting person to 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,excluding Saturdays,Sundays and leeal holidays,if immediate compliance is not possible. If he cannot comply with the request within that time,he shall so inform the individual,and may have an addiaonal five days within which to comply with the request,exc!uding 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 concerning himself. To exercise this right,an individual shall nodfy in wriang the responsible authoriry dzscribing the nature of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to noafy past recipients of inaccurare or incomplete data, inciuding recipients named by the individual; or(b)notify the individual that he believes the data co be correcc. Data in dispuce shall be disclosed only if the individuai's statement of disagreement is included with the disclosed data. The decermination of the responsible authority may be appealed pursuant[o the provisions of the administrarive procedure act reladng to contes[ed cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04, Subd.2, "Rights of subjects of data", we would like to inform you chat 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 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 co process the pernut or license. 4. If your requested pernut or license requires Council action to approve, some information may become public. j. You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself. (. Your full name is required to process this application or permit. First vliddle Las[ Address C�ty State Zip Phone I understan�y rights as stated above. � � _�,_ ,.- �j � — �sr�;�-_ — Signatura ��.