2004-P07493 - attached deck - Laserfiche WebLink

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Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd.l. Type of data. The rights of Individual on w6om the data ts stored or to be stored shall be as set forth tn thfs sectlon. Subd.2. Informallon required to be given individusl. .1n tndivtdual asl•ed to sapply private or contidentisl data concerning himself shail be tnformed of: (a)the purpose and intended use of t6e requested data within the collectlag state agency,political subdivision,or statewtde system;(b) whether he may refuse or Is legaily requlred to supply the requested data;(c)an�•laowa coasequeoce ar(sing from hIs suppl.ing or re[using to suppiy private or contidenHal data;and(d)the identity of other persons or eatities suthoraed b�stste or tederal law to receive the data.This requIrement shall not appiy when an individual is asked to supply investtgative data,pursuant to section li.82,subdivision 5,to s law enforcement ofticer. The rnmmissioner oi revenue mav olace the noHce reauired under this sub�isision in the individual income taz or nraoertv tax refund instructions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible aathor3n-,aa ladivtdual shatl be informed whether he is the subject of stored data on Indivtduals,and whether it(s ciassifIed as pubitc,prn•ate or conRdentlaL L'pon his further request,an iadl�idual who is the subject of stored private or public data on Individuals shall be shown the data without any charge to him and,if he desires,shatl be informed of the conteat aad meaning of that data. After an indtvidusl has been shown the pri�•ate data and informr,d of its mesning,the data need not be disclosed to 61m forsix months thereafter unless a dlspute or action pursuant to this sectiou is pending or addi�oaal data on t6e individual has been collected or created. The responsible authority shall provide coptes of the private or public data upon request by the Fndividual subject of the data The responsible suthortty may requlre the requesting person to pay the actual costs o[making,certitying,and compiling the cop(es. The responsible authoHty shall rnmply immedlately,if possible,with an.requ�est made punusnt to this subdlvision,or within five days of the date o[the request,excluding Saturdays,Sundays and legal hollda�•s if immediate eomplisnce is not possible.If he cannot comply with the request within that time,he shall so in[orm the individuai,and may have an additional tive days M•ithln whic6 W comply with the request,eacluding Saturdays,Sundays and legal holidays. Subd.4. Procedure when data(s not accurate or rnmplece.An indlvidual ma�coatest the accuracy or completeness of public or prtvate data concerntng himself. To exercise this right,an indivtdual shall notif�•In writiag the respoafl'ble autho�ity descrtbing the nature of the dlsagreemeat.The responsible suthority shall within 30 days either: (a)correct the data found to be inaacrate or incomplete and attempt to notify past recipients of inaccurate or inmmplete data,including recipients named by the individual;or(b)aodf�ffie individual t6at he believes the data to be rnrrecG Data in dispute shaU be disclosed only if the ind(vfdual's statement of disagreement is tnduded w�i2h the disclosed data. The determinatton ot the responsibie authoriry may be appealed pursuant W the provislons of the administrative procedure aM relating to wntested cases. DATA PRIVACY ADVISORY In accordance with M.S.13.04,Subd.2,"Rights of subjects of data",we would like to inform}•ou that your request for a permit or license from the City of Orono or an}•of its departments may require you to furnish certain private or confidential information. You are notified that: 1. The information you furnish wil!be used to determine yoar qualification for thepermit or license requested. 2. You may refuse to supply data,but refusal may reqnire that the City deny the permit or license. 3. The information may be shared with other local,state or federal agencies to the eztent necessary to process the permit or license. 4. If your requested perarit or license requires Council acuon to approve, some information may become public. 5. You have certain rights under M.S.13.0-i(available upon request)to review private data on yourself. 6. Your full name is required to process this application or permit. First Middle Last Address City State Zip Phone I understa d m as stated above. . Signature