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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 stored or to be stored shall be as set forth in this secaon. Subd.2. Information required to be given individual. An individual asked to supply private or confidential data concerning himself shall be infom�ed of: (a)the purpose and intended use of the requested data within the collecting state agency,political 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 confidential data;and(d)the identiry of other persons or enuues authorized by state or federal law w receive the data. This requirement shall not apply when an individual is asked to supply inves6gative data,punuant to section 13.82,subdivision S, to a law enforcement officer. The comrttissio�r of revernie mav place the notice�eauired under this subdivision in the individual income haz or propertv tax refund insuuctions instead of on those forms. Slibd.3. Access to data by mdividual. 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 confidendal. Upon his further request,an individual who is the subject of stored private or public dara 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 theceafter unless a dispute or action pursuant to this section is pending or additional 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 respoasible authoriry may require the requesting person to pay the acwal costs of making,certifying,and compiling the copies. The responsible authoriry shatl comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date of the request,ezcluding Sanudays,Sundays azd legai holidays,if immediate compliance is not possible. If he cannot comply with the request within that time,he shall so infonn the individual,and may have an addiaonal five days within which to comply with the request, ezcluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data�not accurate or c�►plete. An individual may contest ihe accuracy or completeness of public or private data conceming himself. To exercise this right,an individual shall notify in writing the responsible authoriry describing the nature of the disagreement. The responsible authoriry shall within 30 days either. (a)correct the data found to be inaccurete or incomplete and attempt to notify past recipients of inaccurate or incomplete dara,including recipients named by the individual;or(b)notify the individual that 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 discloszd data. The de�rmination of the cesponsible authoriry may be appealed punuant w 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 pernut 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 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 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 permit. First Middle Last Address Ciry State Zip Phone I unders d my rights as stated a e ' na re 10