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w , J •. ♦ Sec.13.04 RIGHTS OF S[JBdECTS OF DATA Subd. 1. Type of data. The righu of individual on whom the data is sWred or to be stored shall be as set forth in this secdon. S�bd.2. InformaHon required to be given indivtdual. An iniividaal asked oo supply private or confidenrial data co�eming himself shall be informed of: (a)the purpose and intenled use of the requested data within the collecting stau agency,poliacal subdivision,or statewide system;(b)whether he may refuse or is legally required to supply the requested data;(c)any lmown consequence arising from his supplying or refusing ro supply private or confidential data;and(d)the identiry of od�r persons or entities authorized by stau or federal law to receive the dara. This requirement shall not apply when an individual is asked to supply investigative data,pursuant to secdon 13.82, subdivision 5, to a.law enforcement officer. The commissio�r of reveraie mav nlace die notice rewired�der this subdivision in the individual income faz or nronertv taz refu� instiuctions insuad 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 confidendal. Upon his further request,an individual who is the subject of stored private or public data on i�dividuals 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. Afur an individual has been shown the privau data and informed of its meaning,the data need not be disclosed to him for six months thereafter unless a dispute or acuon pursuant oo this sxtion is pendic�g or addidonal data on the individual has been collecoed or created. The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority may require the reqaes6ng person to pay the actual costs of maldng,certifying,and compiling the copies. The rosponsible authoriry_shall wmply immediately,if possible,with any request made pursuant to dvs subdivision,or within five days of the date of the request,excluding Sauudays,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 addidonal five days widiin which to comply with the request, ezcluding Saturdays,S�ndays and legal holidays. Slibd.4. Pracedure whea data is not accurate or complete. An individual may contest the accuracy or completeness of public or private data co�erning himself. To exercise dris right,an individual shall notify in writing the responsible authority describing the nature of the disagreement. The responsible authority shall within 30 days eitt�r: (a)correct dre data fou�to be inaccucate or incomplete and aaempt to�tify past rxipie�us of inaccuraoe or incomplete data,i�luding recipients named by the individual;or(b)noafy the individual that he believes the data to be wrrect. Da�in dispute shall be disclosed only if the iidividual's statement of disagreement is included with the disclosed data. The determination of die responsible authority may be appealed pursuant to the provisions of the administraUve 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 permit or license from the�ity of Orono or any of its departments may require you to furnish 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 supplg.data, but refusal may require that the Ciry 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 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 I-ast Address Ciry State Zip Phone I understand my rights as stated ve. � Signatur 6