Laserfiche WebLink
�- <br /> �-----_..�-;� <br /> � <br /> Sec.13.04 RIGH'TS OF SUB.TECTS OF DATA <br /> Subd. 1. Type of data. The righ�t of individual on whom the data is stored or to be stored shall be as set forth in this secuon. <br /> Subd.2. Information reqirired to be given individual. An individual asked to supply private or confidendal dara concerning himself shall <br /> be informed of: (a)the purpose and intended use of the requested data wiehin the collecring'state agency,polidcal subdivision,or statewide sysum; <br /> (b)whether he may refuse oY is legally required to supply che requested data;(c)any known consequence arising from his supplying or refusing to supply <br /> private or confidencial data;and(d)the idenriry of other persons or endaes authorized by state or federal law to receive the data. This requirement shall <br /> not apply when an individual is asked to suppty invesrigadve dara, pursuant to secdon 13.82, subdivision 5, to a law enforcement o�cer. <br /> The commissioner of revenue mav place the norice required under this subdivision in the individual income rax or pronertv taz refund <br /> instrucdons instead of on those forms. <br /> Subd.3. Access to data by individual. Upon tequest to a responsibie authoriry,an individual shall be informed whether he is the subject <br /> of stored data on individuals,and whe[her it is classified as public, private or confidencial. Upon his further request,an individual who is the subject <br /> of stored private or public data on individuals shall be shown the dan without any charge to him and,�if he desires,shall be informed of the content <br /> and meaning of that data. Afrer an individual has been shown the private data and informed of its meaning,the data need not be disclosed W him for <br /> six months thereafter unless a d'upute or acdon punuanc to this secdon is pending or addidonal dara on the individual has been collected or created. <br /> The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority <br /> may require the requesUng person to pay the actual cosu of making, certifying,and compiling the copies. <br /> The responsible authoriry shall comply immediately, if possible, with any request made pursuant to this subdivision,or wi[hin five days of <br /> the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request <br /> within that time,he shall so inform the individual,and may have an addiaonal five days within which to comply with the request,excluding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or compiete. An individual may contest the accuracy or completeness of public or pri�•ate <br /> data conceming himself. To exercise this right,an individual shall nodfy in wriung the responsible authoriry describing the nature of the disagreemeat. <br /> The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incompiece and attempt to noafy past recipients of <br /> inaccunte or incomplete data, including recipients named by the individual;or(b)nodfy the individual that he believes the data to be correct. Data <br /> in dispute shall be disc(osed only if the individual's statement of disagreemenc is included with the disclosed data. <br /> The determinaaon of the responsible authoriry may be appealed pursuanc to the provisions of the admicvstrsdve procedure act rela[ing to <br /> contested cases <br /> DATA PRIVACY ADVISORY <br /> In accordance with M.S. 13.04, Subd.2, "Rights of subjects of data", we would like to inform you that your request <br /> for a permit or license from the Ciry of Orono or any of its departments may require you to fumish certain private or <br /> confidential information. <br /> You are notified that: <br /> 1. 1fie information you fumish will be used to determine your qualification for the permit or license requested. <br /> 2. You may refuse to supply data, but refusal may require that the City deny the permit or license. <br /> 3. The information may be shared with other local, state or federal agencies to the extent necessary to process <br /> the permit or license. <br /> 4. If your requested permit or license requires Council action to approve, some information may become <br /> public. <br /> 5. You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself. <br /> 6. Your full name is required to process this application or permit. <br /> r <br /> ��In/��/S �[ / FUIc.��7��l/ ���1 �K/�L`� <br /> gin� Middle Last <br /> ����� ' S�d��z.lN� r� �... <br /> Add ss <br /> i <br /> /�� : �f � �,1�^� r'��� v � s �L� <br /> Ciry State Zip Phone <br /> I understand m��ts as stated•'a�/ve. <br /> � ,. <br /> ��Sig..n�ture <br />