2002-P05788 - doors - Laserfiche WebLink

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�5� � �� l�� ' � � � Sec.13.04 RIGHTS OF SUBJECTS OF DATA • Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this secaon. Subd.2. Information required to be given individual. An individual asked to supply private or confidenaal data concerning himself shall be informed of: (a)the purpose and intended use of the�equested data within the collecring state agency,polidcal subdivision,or statewide system;.(b)whether he may refuse or is legaUy required to supply the requested data;(c)any lrnown consequence arising from his supplying or refusing to supply private or confidendal dara;and(d)the idendry of other persons or enaries 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 law enforcement officer. The commissioner of revenue mav olace the notice reouired under this subdivision in the individual income tax or orooertv tax refund instrucrions instead of on chose fortns. Subd. 3. Access to data by individual. Upon request to a responsible authoriry, an individual shall be infornted whether he is the subject of stored data on individuals,and whether it is classified as public,private or confidential. Upon his further request,an individual who is rhe subject of stored private or public data on individuals shall be shown the dan wirhout 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 infocmed of its meaning,the data need not be disclosed[o him for six months thereafter unless a dispute or action pursuant ro this secrion is pending or addirional data on the individual has been ccllected or creared. 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 requesting person to pay the actual costs of making,cenifying,and compiling the copies. The responsible authoriry shall compty immediately, if possible,wich any request made pursuant to this subdivision,or within five days of the date of the request, excluding Saturdays,Sundays and legal holidays, if immediate compliance is noc possible. If he cannot comply with the request within that time,he shall so inform the individual, and may have an additional five days within which to comply with the request, excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure�vhen data is not accurate or complete. An individual may contest the accuracy or completeness of public or private data concerning himself. To exercise this right,an individual shall notify in writing the responsible authoriry describing the nacure of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found ro be inaccurare or incomplete and attempt to nodfy past recipients of inaccurate or incomplete data,including recipients named by che individual;or(b)notiiy the individual that he believes the data [o be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determinadon of the respoasible authority may be appealed pursuant to the provisions of the administradve 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 City of Orono or any of its departments may require you to furnish certain pri�ate or confidential information. You are noiified that: 1. The information you furnish will be used to determine 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 information may become public. 5. Y<ru have certain rights under M.S. 13.04(available upon request) to review private data on yourself. 5. Your full name is required to process this application or permit. ' u� - ��m�," �t ;I��i;uv�� Firs-�� Middle/� _ Las�-' y� � � ',IIX�� `�� L'� i �.. - �� • `��j�[/ .��,(��L�/ /��- ��7w�'`�' Address - � ��n�'��r��.. m� ��y� �1h�� Ciry State Zip Phone G j/Y`-G� !CFl.L� I understand my rights a�s stated above. '�.;� �� ' �� Signature � 6