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l �-• Sec.13.04 RIGHTS OF SCTBJECTS OF DATA - Subd. 1. Type of data. The righu of individual on whom the data is stored or to be stored shall be as set forth in this section. Subd.2. Information required to be given individual. An i�ividual asked to supply private or confidential data concerning himself shall be informed of: (a)the purpose and i�ended 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 azising from his supplying or refusing ro�pply private or confide�tial data;a�(d)the identiry of other persons or entities aurhorized by state or federal law W receive the data. This requirement shall not apply when an individual is asked to supply invesdgative data,pursuant to section 13.82, subdivision 5,to a law eaforcement officer. The commissioner of revernie mav nlace the notice reauired under this subdivision in the individual income tax or mm�ertv tax refund instructions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals,and whedier it is classified as public,private or confidendal. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown the data without acry charge W him and,if he desires,shall be informed of the wntent 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 mondis thereafrer nnless a dispute or acfion pursuant to diis section is pending or addiflonal data on the individual has been wllec�d or created. The responsible authority shall provide copies of die 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 audiority shall comply immediately,if possible,with azry request made pursuant to this subdivision,or within five days of the da[e of the request,excluding Saturdays,Sw�days and legal 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 aa addidonal five days within which to comply with the request, exciuding Saturdays,Sundays and legal hoGdays. Subd.4. Pracedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or privace data co�erning himself. To exercise this right,an individual shall noafy in writing the respoasible authority descn'bing the nature of the disagreemecu. The responsible audiority shall withic►30 days eidier: (a)correct the data found to be inaccurate or iacomplete and attempt to notify past recipients of inaccurate or incomplete daha,including recipients named by the i�lividual;or(b)no6fy the individual that he believes the data to be correct. Data in dispute shall be disclosed oaly if the individual's statement of disagreement is included with rhe disclosed data. The determinaaon of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to contested cases. DATA PRIVACY A,DVISORY In accordance with M.S. 13.Q4, Subd. 2, "Rights of subjects of data", we would like to inform you that your request for a permit or license from the�ity 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 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.to process the permit or license. 4. If your requested permit or license requires Council acaon 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 germit. Fnst Middle Last Address City State Zip Phone I understand my rights as stated above. Signature 6