Laserfiche WebLink
� � <br /> Sea 13.04 RIGHTS OF S[JBJECTS OF DATA <br /> S�bd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in ttris secdon. - <br /> Subd.2. InformaHon required to be given individual. An individual asked to supply private or confidential data concerning himself <br /> shall be informed of: (a)the pu�pose and inteaded use of the requested data within the wllecting state agency,political subdivision,or statewide <br /> system;(b)whether he may refuse or is legally required to supply the requested data;(c)any lrnown consequence arising from his supplying or <br /> refusing ro supply private or confidential data;and(d)the identiry of other persons or endties authorized by state o�federal law to receive the data. <br /> This requirement shall not apply when an individual is asked to supply.investigative data,pursuant to secdon 13.82, subdivision 5, to a law <br /> enforcement o�cer. <br /> The com�++�ssioner of revernie mav nlace the notice rewired under this subdivision in the individual income taz or oronertv taz refund <br /> instr�ctions instead of on those forms. <br /> Subd.3. Access to data by indivfdual. Upon request to a responsible authoriry,an individual shall be informed whether he is the <br /> subject of sWred data on individuals,a�whether it is classified as public,private or confidential. Upon tus further request,an individual who <br /> is the subject of soored private or Iublic data on individuals shall be shown the data without azry charge to him and,if he desires,shall be informed <br /> of the content and meaning of that data. After an individual has been shown the private data and informed of iu meaning,the data need�t be <br /> disclosed ro him for s'vc monihs thereafter unless a dispute or acrion pursuant oo this section is pending or addiaonal data on the individual has been <br /> collected or created. The responsffile authoriry shall provide copies of the private or public data upon request by the individual subject of the data. <br /> The responsible authority may require the requesting person to pay the actual costs of maldng,certifying,and compiling the copies. <br /> The responsble suthoriry.shall comply immediately,if possble,with any request made pursuant to this subdivision,or within five days <br /> of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediau compliance is not possible. If he cannot comply with <br /> the request within that time,he shall so inform the individual,and may have an additional five days within wluch to comply with the request, <br /> excluding Saturdays,Slmdays and legal holidays. <br /> S�bd.4. Procedure when data is not accurate or complete. An individual mag cbntest the accurncy or completeness of public or <br /> private data conceming himself. To ezercise dris right,an iffiiividual shall notify in writing the responsble authority describing the nature of the <br /> disagreemeirt. 'The responsible authoriry shall within 30 days either: (a)correct the daffi found ro be inaccurate or i�omplete and attempt to notify <br /> past recipiems of inaccurate or incompleoe data,iacluding recipients named by the individual;or(b)notify the i�lividual that he believes the data <br /> to be cornct. Data in dispute shall be disclosed only if the i�lividual's statement of disagreement is included with the disclosed data. <br /> 'Ibe denermination of the responsible authoriry may be appealed pursuant to the provisions of the administradve procedure act relating <br /> to contested cases. <br /> UATA PRIVACY ADVISORY <br /> In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of data", we would like to inform you that your <br /> request for a permit or license from the Gity of Orono or any of its departments may require you to fumish certain <br /> private or confidential information. <br /> You aze notified that: <br /> 1. The information you furnish will be used to determine your qualification for the permit or license <br /> requested. <br /> 2. You may refuse to supply data, but refusal may require that the City deny the permit or license. <br /> 3. The information may be shared with other local, state or federal agencies to the extent necessary to <br /> process the permit or license. <br /> 4. If your requested permit or license requires Council acrion to approve, some information may become <br /> public. <br /> 5. You have certain rights under M.S. 13.04(available upon request)to review private data on yourself. � <br /> 6. Your full name is required to process this application or permit. <br /> rl/l' �/f'c.� l2r�a-�/�i42� <br /> First Middle Last <br /> l 3i� �FS� OI— i� ti <br /> Adaress <br /> �2o,�v /`'�'l I� �'S 3�� ,`' �� -fs'o Lc� <br /> City State ip Phone <br /> I understan my righ s above. <br /> Signawre <br /> . 6 <br />