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Scc.13.0� RICf[TS OF SUBJECTS OF DATr� Subd. 1. Type of da[a. The rights of individual on whom the data is srored or to be stored shall be as set forth in this section. 5ubd.2. Infonnation required to be given individ�al. An individual asked to supply private or contidential data concerning himselfshall be informed of. (a)the purpose and intended use ofthe requested data within the collecting state agency,political subdivision,or statewide system;(b) �vhether he may refuse or is le�ally required to suppiy the requested data;(c)any known consequence arising from his supplying or refusing to supply private or confidendal data;and(d)the identity oEother 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 13.82,subdivision 5,to a la�v enforcement o£ficer. The commissioner of revenue mav nlace the notice re�c uired under this subdivision in the individual income ta�or Rro e�rry tax refund instructions instead of on those forms. 5ubd.3. Access to data by individual. Upon request to a�esponsible authoriry,an individual shall be informed whether he is the subject of stored data on individuals,and�vhether it is cfassitied as publ ic,private or confidentiaL Upon his further requese,an individual who is the subjecc of stored private or public data on individuals shal I be shown the data without any charge to him and,if he desires,shall be informed of the content and meaning of that data Afrer an individual 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[his section is pendine 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 data. The responsible aulhority may require tl�e requesting person to pay the actual costs of making,certifyine,and compiliiig the copies. The responsible authority shall comply immediately,if possibie,with any request mnde pursuant to this subdivision,or�vithin kive days oF the date ofd�e request,e�cluding 5afurdays,Sundays and legal holidays,if immediate compliance is not possible. [f he cannot comply with the request within that time,he shall so inform tlie individual,and may have an additional tive days within which to comply with the request,excludine Sawrdays. Sundays and leoal holidays. Subd.4. Procedure when data is not acc�irate or compiete. An individual may contest the accuracy or completeness of public or private data concerning himself. To ezercise this ri�ht,an indi��idual shall notity in writing tlle responsible authority describing the nature ofthe disagreemen[. The responsible authority shail widiin 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to notif�•past recipients of inaccurate or incomplete data,including recipients named b}'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 disagreement is included with the disclosed data. The determination of the responsible authority may be appealed pursuant ta the provisions ofthe administrative 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 inforn�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: L The information you furnish will be used to dete�mine 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 action to approve, some inforn�ation may become public. 5. You have cee-tain rights uilder IvLS. 13.04 (avaifablz upon request)to review private data on yourself. 6. 1`our full nai��e is required to process this application or permit. Mk��- (�LTo� Qh� First D4iddic L:ist i�t�� P� �i vc :,aa��55 p�D�tO 1�1�J ��3�� QS1• ��2-3675 Cily Statc Zip Phare I understand v gh s � stated above. 10230� s��;�� Reszt Form ?�'