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i , , Sec.13.04 RIGHTS OF SUBJECTS OF DATA ' Subd.1. Typc of data. The rights of individual on whom the dlta is stored or to be stored shall be as set forth in this section. Subd.2. Information required to be given individual.An individual asked to supply private or confidential data conceming hirt�self shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide sys[em;(b) whether he may refuse or is legaily required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply private or confidential daca;and(d)the identiry of other persons or entities authorized by state or federal law to receive the data.This requirement shall not apply when an individual is asked to supply investigative data,pursuant to section 13.32,subdivision 5,to a law enforcement officer. The commissioner of revenue mav niace the notice required under this subdivision in the individual income tae or pronertv ta.e refund instructions ins[ead of on thoso forms. Subd.3. Access to data by individual.Upon request to a responsible authoriry,an individual shatl be informed�vhether he is the subject of stored data on individuals,.and whether it is classified as public,private or confidential. Upon his further request,an individual who is the subject oi stored private or public data on individuals shail be shown the daca without any charge to him and,if he desires,shall be informed of ihe content and meaning of that data. After an individua]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 action pursuant to this scction is pending or additional data on the individual has been collected or created. The responsible authority shall provide copies of the private or public data upon request by the individual subject of the daca. The responsible authority may requiie the requesting person to pay the actual costs ofmaking,certifying,and compiling the copies. The responsible authority shail comply immediately,if possible,with any request made pu�suant to this subdivision,or within fir•e days of the date of the requesc,ercluding Saturdays,Sundays and legal holidays,if immediate corflpliance is not possible.If he cannot comply with the request within that[ime,he shall so inform the individual,and may have an additional five days witliin which to complywith the request,excluding Saturdays, Sundays and legal holidays. Subd.4.Procedure when data is not accurate or�omplete.An individua!may contest the accuracy orcompleteness ofpublic or private data conceming himsel£To exercise this right,an individual shall no[ify in writing the responsible authority describing the nature of the disagreemertt.The responsi6le authority shall within 30 days either: (a)correct the data found to be inaccurate or ineomplete and attempt to notify past recipients of inaccurate or incomplete data,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 disagreemeat is included with the disclosed data. The determination of the responsible authority may be appealed pursuan�to the provisions of the administrative procedu�e act rela!ing to contested cases. DATA PRIVACY ADVISORY In accordance�vith M.S.13.04,Subd.2,"Rights of subj ects 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 are notified that: 1. The information you fumish 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 ajencies to the extent necessary to process the percuit or license. 4. If,your requested permit or license requires Council action to approve, some information may become public. 5. You have c ai rights under M.S. 13.04(availaole upon renuest)to review private data on yourself. 6. Your full am is required to process this application or permit. First bliddle Last � Address . C��, State Zip Phone I understand my rights as stated above. Si;natur 32