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Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The rights of individual on whom the dam 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 supply private or confidential data concerning himself shall be informed of. (a)the purpose and intended use of the requested data within the nolle g grate agency,political subdivision,or statewide system; (b)whether he may refuse oY is legally required to supply the requested dam:(c)any I�ow consequence arising from his supplying or refusing to supply private or confidential data;and(d)the identityof other persons otenddes authorized by rate or federal law to receive the data..This requirement shall not apply when an individual is asked to supply investigative dam,purse=:t to section 1 .82,subdivision 5,to a law enforcement officer. The commissioner of revenue may i3lace the notice rewired under this su ivision in the individual income tax or prooertv rax 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 whether it is classified as public,private or confidenaL Upon his further request,an individual who is the subject of stored private or public dam on individuals shall be shown the dam whhout any e' a to him and;if he desires,shall be informed of the content and meaning of that dam. After an individual has been shown the private dam and info ed of its meaning,the data need not be disclosed to him for six months thereafter unless a dispute or action pursuant to this section is pending or a ditional dam on the individual has been collected or created. The responsible authority shall provide copies of the private or public data uron request y the individual subject of the dam. The responsible authority may require the requesting person to pay the actual costs of making,cerying,and compiling the copies. The responsible authority shall comply immediately,if possible.with any request made pursuant to this subdivision,or within five days of the date of the request,excluding Saturdays,Sundays 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 an additional five days(within which to comply with the request,excluding Saturdays, Sundays and legal holidays. I Subd.4. Procedure when data Is not accurate or complete. An individual may contest the accuracy or completeness of public or private dam concerning Himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement. The responsible authority shall within 30 days either: (a)correct the dam found to be ccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data, individual;or including recipients named by the individuor(b)ao if}m+the individual that he believes the data to be correct. Data in dispute shall be disclosed only if the individual's statement of disagree--ent is inchtied with the disclosed dam. The determination of the responsible authority may be appealed pursuant tb the provisions of the administrative procedure act relating to contested cases. DATA PRIVACY ADS SORY In accordance with M.S. 13.04,Subd.2, "Rights of subjects of ata",we would like to inform you that your request for a permit or license from the City of Orono or any of is depar ents may require you to furnish certain private or confidential information. You are notified that: 1. The information you furnish will be used to determine -our 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 br federal agencies to the extent necessary to process the permit or license. 4. If your requested permit or license requires Counc' 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 applicatio or permit. First Middle Int Address City State Zip Phone I I understand m rights as stated abov . Signa