Laserfiche WebLink
t� <br /> 1 <br /> Sec.13.0�i RIGHTS OF SL'BJECTS OF D�T.�+r <br /> Subd. 1. Type of data. 'Ihe righ[s oi individual on whom the data is stored or to be scored shall be as sec forrh in this secdon. <br /> Subd.'_'. Information reqirired to be�vea iadividval. An individual uked ro supply private or confidendal dara concerning himself s5a11 <br /> be informed of: (a)the purpose and intraded use of[he rcquesud dara wi[hin the collecting"srara agency, polidcal subdivision,or satewide syr�.m: <br /> �b)whecher he may refuse or is legatly required ro supply che requesced dan;(c)any lrnown consrqueace arising from his supplying or refusing to a:eoly <br /> privace or conndendal data;and(d)the idenacy of o�er persons or enrides au[horized by sta�e or fed�ral law co re:eive[he da�a. 'Ihis requiremenc s5a11 <br /> not apply when an individual is asked to supply ia�esrieadve dam, pursuanc[o secrion 13.82, subdivision 5, to a law enforcement officer. <br /> The commissioner of re�enu mav pla-�the nodc� reauired under this subdivision in [he individua! income rax or �rooem raz re:ur.d <br /> insrrucdons inscead of on rhose forms. <br /> Subd. 3. access to data bc iadividuaI. lipon request to a responsible aurhoriry,an individual shall be informed whether he is[he s1:b;ecc <br /> of scor-d dara on individuals,and whe:her it is classified as public, privace or confidenaal. lipon his furcher request, an individual who is the si:bjecc <br /> of stor_d privace or public data on individuals shall be shown�he dara wichout any charge to him and, if he desires, shall be iruormed of rhe concenc <br /> and meaning of rhat data. After an individual h�c been shown che privace data and informed of its meaniag, �he data need no�be disclosed co hi�for <br /> six mon�hs�hereafcer unless a dispute or acdon pursuanc co [his secrion is pending or addidooal dara on the individual has been collecud or c:eac�d. <br /> The responsible auchoriry shall provide copies of�hz privace or pubiic data upon requesc by the individual subjecc of rhe dara. The responsible aucLoriry <br /> may require che requesring person ro pay the acaial costs of makin¢. cerrifying,and compiling the copies. <br /> The responsible au[horiry shall comply immediately, if possible, wich any request made pursuant co this subdivision,or wichin five days oi <br /> the da�e of the request,excluding Sacurdays,Sundays and(egal holidays,if immediace compiiance is noc possible. If he cannoc comply wi�h the r.quesc <br /> wi[hin�hac time,he shall so inform[he individual,and may have an addidonal five days wi�hin which co comply wi�h the request,excluding Samtr'ays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or compleceness of public or pri�•a�e - <br /> data conceming himself. To exereise chis rieht,an individual shall nodfy in wriring che respoasible au[horiry describing che nanire oi the disagree�eac. . <br /> The responsib(e authoriry shall within�0 days eid:er: (a)correct�he data found[o be inaccura[e or incomplete and aaempc to nod:y past recip:e^s of <br /> inaccurace or incomplete daca, inctuding recipiena named by [he individual;or(b)nodfy che individual thac he believes[he dara to be correcc. Dara <br /> in dispuce shall be disc!osed only if che individual's statement of disagreement is included wich che disclosed dara. <br /> The deserminadon of thz rosponsible au�horiry may be appealed punuanc to the provisions of che adminisaarive procedure act relac:g ro <br /> contested cases. <br /> DAT� PRNACY ADVISORY <br /> In accordance wich M.S. 13.04, Subd.2, "Riohts of subjects of data", we would like to inform you tha[your reeuesc <br /> for a pemut or license from the Ciry of Orono or any of its departments may require you to fumish cenain privat� or <br /> confiden[ial information. <br /> You are notified thar. <br /> 1. The information you furnish will be used to de[ermine your qualification for the perm.it or license requested. <br /> 2. You may refuse to supply da[a, buc refusal may require that the Ciry deny the permit or license. <br /> 3, The information may be shared with ocher local, sta[e or federal agencies to the extent necessary to process <br /> the permit or license. <br /> d. If your requested permit or license requires Council action co approve, some information may become <br /> public. <br /> 5, You have certain ri�hts under NS.S. 13.04 (availabie upon request) to review private data on yourseli. <br /> (. Your full name is required to process this applica[ion or perm.it. <br /> (" �� �--- 7 � � � �l ���'1 , ;y��— <br /> Firs[ �tiddle Lasc <br /> ��D�f � L�.� �'724--r'� )I�I�� � D�1- - <br /> Address <br /> ��_ �r�..4 i l�� � �'��1 � �S � ��7 ��Z �.3 y- �9 a <br /> Ciry 5ta[e ZiQ Phone <br /> I understand my ri�hts as stated above. <br /> . �J/L� <br /> ��� �� �� l <br /> Signa[ure —c-- <br />