2003-P06730 - new townhome - Laserfiche WebLink

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♦ f � � Sec.13.04 RIGHTSOFSUBJECTSOFDATA Subdivision 1. Type of data The rights of individual on whom the data is stored or to be stored sha11 be as set forth in lhis secJion. Subd.2. Injormation required to be givex individuaL An individual asked to supply private or confidential data concerning himself shall be informed of (a)the purpose and intended use of the requested data withrn the collecting state agency,political sabdrvision,or statewide system;(b)whe�her he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supplyprivate or confidential data;and(d)the identrty of other persons or entities authorized bystate orfederal law to receive the data. This requiremenl shall not apply when an indivrdual is asked to supply investigative data,pursuant to section 13.82, subdivision S, to a law enforcement o�cer. The commissioner of revenue mav place the notice required under this subdivision in the indivrdual income tax or propertv tax refund instractions instead ofon those forms. Subd.3.Access to data by individuaL Upon request to a resporuible 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 confrdential. Upon hrs further request,an individual who is the subject of stored private or public data on individuals shall be shoivn the data without any charge to him and,rf he desires,shal[be informed of the content and meaning ojthat data. After an indivrdual 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 this section is pendixg or additional data on the rndividual has been collected or created. The responsible authority shall provide copies of the private or publrc data upon request by the individual subject of the data. The responsib/e authority may requrre the requesting person to pay the actuaf costs of making,cert�ing,and compiling the copies. The resporrsrble au�hority shalf comp[y immediately,ijpossible,with any request made pursuant to this subdivision,or within five days of the date of the request,excluding Saturdays,Sundays and lega/hofidays,iJimmediate complrance is not possible. If he cannot comply with the request within that time,he shall so ixform the individual,and may have an additional five days withrn which to comply with the request,excluding Saturdays,Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete An individual may contest the accuracy or completeness ofpublic or private data concerning himselJ. To exercrse this right, an rndividual sha!!notify in wrrting the responsible authority describing the nature of the disagreemenl. The responsible authority shal[within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to not� past recipients of irraccurate or incomplete data,rncluding recipients named by the indivrdual;or(b)not�the individual that he belreves the data to be correct. Data in dispute shall be disclosed only if the individua!'s statement of disagreement is included with the disclosed data. The determination ojthe responsible authoriry mcry be appealed pursuant to the provisions of the admrnistrative procedure ac1 relating to contested cases. DATA PRIVACYADVISORY In accordance with M.S.13.04,Subd.2,'Rights ofsubjects oJdata';we would Irke to informyou thatyour requestfor a permit or license from the City of Orono or any of its departments may require you to furnish certarn private or confidential information. You are notifred 1hat: 1. The information you furnish will be used to determine your qualification for the permit or license requested. 2. You may sefuse to supply data,but refusa[may requrre that!he City deny!he permit or license. 3. The information may be shared with other/ocal,state or federal agencies to the exlent necessary to process the permit or license. 4. Ifyour requested permit or license requires Council action to approve,some information may become publrc. 5. You have certain rights under M.S. 13.04(see following page)to review private data on yourself. 6. Your full name is required to process this applrcatron or permit. PLEASE PRINT T��^`Tr ��u� ��t� ✓J�7"r��v First Middle Last `77`/3 �o�a�if �a�..P • Address �R,E'��e �a�,.o- ��ni� . SS�%/ `7�.3 "�.2 d � ��'1r✓ City � State Zip Phone I understaxd my rights as stated above. �' �%� ignature 10 �