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� Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The rights of individual on whom[he data is s[ored or[o be scored shall be as set forth in chis secdon. Subd.2. Information req�rired to be given individual. An individual asked to supply private or confidendal dara concerning himself shali be informed of: (a)the purpose and intended use of the requesced data within the collecting�tace agency,poliacai subdivision,or statewide system; (b)whether he may refuse oY is legally required to supply the requested data;(c)any Emown consequence arising from his supplying or refusing to supply private or confidenaal data;and(d)the idenriry of other persons or enddes authorized by state or federal law to receive the data. This requirement s6a11 not apply when an individual is asked to supply invesdgadve dara,pursuant to secdon 13.82,subdivision 5, to a law enforcement o�cer. The commissioner of revenue mav ptace the noace rewired under this subdivision in the individuai income tax or Dropern tax refund instrucdons inscead of on those forms. Subd. 3. Access to data by individuai. Upon requesc to a responsible authoriry,an individual shall be infocmed whether he is the subject of stored data on individuals,and wherher it is classified as public, private or confidential. Upon his further request,an iadividual who is the subject of stored private or public data on individuals shatl be shown che dara 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 iu meaning,the data need not be disclosed to him for six months thereafter unless a dispute or acdon pursuanc to [his section is pending or addidonal data on the individual has been collected 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 requesting person to pay the actual coscs of making,cerafying,and compiling the copies. The responsible authority shall comply immediately,if possible,with any requesc made pursuant to this subdivision,or wirhin five days of the date of the request,excluding Sa[urdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request within that time,he shail so inform the individual,and may have an addidonal five days within which to comply with the request,excluding Saturdays, Sundays and Legat 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 this right,an individual shall nodfy in wridng the responsible authority describing[he nacure of the disagreemeat. The responsible authority shail within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipienu of inaccurate or incomplete data, including recipients named by che individual;or(b)notify the individual thac he believes the 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 determinadon of the responsible authoriry may be appealed pursuant to the provisions of the administradve 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 pemut 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 furnish will be used to detemune 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 eztent 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 Middle Last Address Ciry State Zip Phone I understand my rights as stated above. Signature