1996-008302 - add/remodel - Laserfiche WebLink

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� 4 � Sec.13.04 RIGHTS OF S[JB.TECTS OF DATA Subd. 1. Type of data. The righrs of individual on whom the data is stored or to be stoced shall be as set forth in tlus secdon. Subd.2. Information reqtrired to be given individual. An individual asked to supply private or confidendal data conceining himself shall be informed of: (a)the pucpose and in[ended use of the�equested data wichin the collecdng State agency,polidcal subdivision,or statewide system; (b)whether he may refuse or is legally rcquired co supply the requested data;(c)any lmown consequence arising from his supplying or refusing to supply private or confidenaat data;and(d)the idenaty of other persons or enaaes authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply invesagadve data, pursuant to secdon 13.82,subdivision 5, to a law enforcement o�cer. The commissioner of revenue mav place the nodce reauired under this subdivision in the individual income tax or procerev tax refund insavcrions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible aurhoriry,an individual shall be informed whether he is the subject of stored data on individuals,and whe[her it is classified as public,private or co�dendal. Upon his further request,an individual who is the subject of stored private or public dara on individuais shall be shown the data wichout any charge to him and,-if he desires, shall be informed of the concent ,I and meaning of that da[a. After an individual has been shown the private da[a and informed of its meaniag,the data need not be disclosed w him for i six months thereafcer unless a dispute or action punuanc to this secuon is pending or addiaona!data on the individual has been collected or created. I The responsibie authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible au[horiry may require the requesting person to pay the actual coscs of making,cerdfying,and compiling the copies. The responsible authoriry shall comply immediacely,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 not possible. If he cannot comply with the requesc 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 when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private data concerning himself. To ezercise this right,an individual shall noafy in writing the rosponsible authority describing the nature of the disagreemenc. The responsible authority shall wichin 30 days ei[her: (a)correct[he data found to be inaccurau or incomplete and attempt to notify past recipienu of inaccurate or incomplete data, including recipiena named by the individual;or(b)notify the individual that he believes the data to be correct. Data in dispuu shall be disclosed only if the individual's statement of disagreemenc is included with the disclosed data. The determinadon of the responsible authoriry 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 fumish certain private or confidential information. You aze notified that: 1. The information you fumish 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 pemut or license. 3. The information may be shazed 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. You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself. 6. Y ur full name is required to process this application or permit. � G� g�� Middle Last �o s,��uNF u�� - Address �iP2lN�� P/.�/I� �?�r/ ss3��f Gl�l—�lZ� C��, State Z►p Phone I underst my ri ts as tated above. Signature