2006-P09956 - re-roof - Laserfiche WebLink

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.: � 4 Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The rights of individual on whom the data is stored or ro be stored shall be as set forth in this section. Subd.2. tnformation required to be given individual. An individual asked to supply private or confidential dataconceming himselfshall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b) whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply private or confidential data;and(d)the identity of o[her persons or entities authorized by state or federal law to receive the data. This requirement shal I 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 may_place the notice re uired under this subdivision in the individual income tas or propertv tax refund instructions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authorit��,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classified as public,private or contldentiaL Upon his further request,an individual who is die subject of stored private or public data on individuals shall be shown the data without any charge to him and,if he desires,shall be informed of the content and meaning of that data. After an individual has been sho�vn the private data and informed of its meaning,[he data need not be disclosed to him for six months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The responsible authoriry shall provide copies ofthe private or public data upon request by the individual subject ofthe data. The responsible authoriry may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authoriry shall comply immediately,if possible,with any request made pursuantto this subdivision,or within tive days of the da[e ofthe request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. [f he cannot comply with the request within that time,he shall so inform the individual,and may have an additional five days within whidi to comply with the reques[,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private data conceming himself. To exercise this right,an individual shall notity in writing the responsible authority describing the nature ofthe disagreement. The responsible authority shall within 30 days eidier. (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notity the individual Hiat he believes the data to be correct Data in disp�a!e sha!i be disclesed only if die individual's sratement of disa�reement is included with the disclosed data. The determination of the responsible authority may be appealed pursuant to the provisions of the 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 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 private or confidential information. You are notified 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 pern�it or license. �1. If your ree�uested permit or license requires Council action to approve, some information may become public. 5. You have certain rights under M.S. 13.04(available upon request)to review private data on yourself. 6. Your full name is required to process this application or pennit. First Nliddle Last ��r'��v' �- �� -1�� .4ddress Cj �Cr � �o �/�vNl��-r ��S l�f � /"�l�� i�r1� �, �f� , ��/1.� �Ss'�� / / City State Zip Phone �js'-�- - �>�- --C�s'�� I understand my rig s as state above. � Signa rc Reset Form 33