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� �. Sec.13.04 RIGHTS OFSUBIECTS OFDATA Subdivrsron 1. Type ojdata The rights of irutividual on whom lhe data is stored or to be stored shall be as set forth in this section. Subd 2. Injormation requlred to be given indivlduaL An individual asked to supply private or conf:dential data concerning himself sha!!be informed 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 rs legally required fo supply the requested data;(c)arry known coruequence arising from his supplying or sefusing to supplyprivate or confidential data;and(dJ the rdentity of other persons or entities authorized by state orfederal law to receive the data. This requirement shall not apply when an individual is asked to supply irrvestigative data,pursuant to section 13.82, subdivision S, to a law enforcement o�cer. The commissioner ofrevenue mav nlace the notice reouired under lhis subdivision in the individual income tax or nronertv 1ax refund irrstructions instead ot on those forms. Subd.3.Access to data by individuaL Upon request to a responsible authority,an individual shall be informed whether he rs the subject of stored data on individuals,and whether it is classrfied as public,private or confidential. Upon his further request,an lndivrdual who is the subject o,jstored private or public data on rndrvidua/s shall be shown the data without a�ry charge to him and,if he desires,shall be in,rormed oJ the content and meaning ojthat data. �fter an rndivrdual has been shown the private data and informed of its meaning,rhe data need not be disclosed to him for six months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The responsi6le authority shall provide copies o,jthe private or public data upon request by the individua[subject of the data. The responsible authorrty may require the requesting person to pay the actual costs of making,cert�ing,and compiling the copies. The resporuible authoriry shal!comply immediately,rf possible,with arry request made pursuant to this subdivision,or within frve days of the date oj�he request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possrble. If he cannot comply wrth the request within that trme,he shall so inform the indivrdual,and may have an additional frve days within which to comply wrth the request,excluding Saturdays,Sundays and legal holidays. Subd.4.Procedure whed data is not accurate or complete An indrvidual may contest the accuracy or completeness ofpublic orprivate data concerning himself. To exercrse this rrght, an individua!shall not�in writing the responsible authority describing the nature of the • disagreement. The responsib/e authoriey shall within 30 days either: (a)correct the datafound to be inaccurate or inconeplete and attempt to not� past recipients of inaccurate or incomp/ete data,includrng recipients named by the individual;or(b)not�the indrvidual that he believes the data to be correct. Data in dispute shall be disclosed on/y rf the individual's statement of disagreement is rnc[uded with the disc[osed data. The determination o,jthe responsible authority may be appealed pursuan!to the pravrsiorrs of the administrative procedure act relating to coxtested cases. DATA PRIVACYADVISORY In accordance wirh M.S.13.04,Subd.2,'Rights ofsubjects ofdata';we would like to inform you that yousrequestfora permit or lice»se from!he City of Orono or arry ojits deparhnents may require you to furnish certain private or confidential rnformation. You are notified that: 1. The information you furnish will be used to determine your qualification for the permit or license reguested. 2. You may refuse to supply data,but refusal may require that lhe City derry the permit or licerue. 3. The informatron may be shared with other local,state or federa!agencies to lhe extent necessary�o process�he permit or lice»se. 4. IJyour requested permr!or license requires Council action to approve,some information may become public. S. You have certain rights under M.S. 13.04(see following page)to review private data on yourself. 6. Your full name is required to process this application or permit P SE P�� \ 2.. CA.`S�(\ L.I ` '�lU�i r� � �0�1'1 First Middle Lasf ��[� 1�0�-In S�\19'�.Q_ �tr' Address �c�c�c� N�l� �� ia-581—�� City Sta1e Zip Phone I d rstand r' hts stated above. . re 10