Laserfiche WebLink
Sec.13.04 RIGHTS OF SUBJECTS OF DATA <br /> 5ubd.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 section. <br /> Subd.2. Information required to be given individual. An individual asked to supply private or confidential data concerning himself shall be <br /> informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b) <br /> 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 <br /> private or confidential data;and(d)the idenCity ot other persons or entities authorized by state or federal law to receive the data. This requirement shall <br /> not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. <br /> The commissioner of revenue mav alace the notice required under this subdivision in the individual income tax or nropertv tax refund <br /> instructions instead of on those forms. <br /> Subd.3. Access to data by individuaL Upon requsst to a responsible authority,an individual shall be informed whether he is the subject of <br /> storeddai,a�otl.in�lividTials,and whether it is classified as p�blic„�rivate or confidenti�l. FJ oqhis fu�ef,req�est,an individual who is the subject of <br /> stored pridate br putilic data on individuals shall be st�own tAe data wit�duk ahy�charge'to�im aad,if hedesires,shall be informed of the content and <br /> meaning of that data. A[ter an individual 6as bcen sllph�{t�'t�lpTSvate data and informed of its meaning,the data need not be disclosed to him for six <br /> 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 <br /> responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. T6e��sponsible authority may <br /> require the requesting person to pay the actual costs of making,certifying,and compiling the copies. t <br /> The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days otthe <br /> date o[the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible.If he cannot complywith the requestwithin <br /> that time,he shafl so inform the individual,and may have an additional five days within which to comply with the request,excluding Saturdays,Sundays <br /> and legal holidays. <br /> ' � � , <br /> � `'!c� r • r• .Subd:4�Rracedure when data is not accurate or complete. An individual maq�4te�btbe acp�recYor completeness of public or private data <br /> c.. t_> �., �i . <br /> concernin�h mself.�To exercise�is right,an individual shall notify in writing the respqnsibl�apthority describingthe nature of the disagreement. The <br /> respon��le�,Qtl�i�,s'�j}I��vithui„30'�ys eiCher. (a)correct the data found fo b�1tl�Cci�at�or kl�}�etedanti attempt to notify past recipients of <br /> ina�c�te ��R complete data,inclq ���r�cipieqts named by the individiial;oG,Q�n°`�th�n�ib�j�uat�lra���believes the data to be correct. Data in <br /> dispute'sh�be disclosed only if the�dii+rdv�s sfatement of disagreer���"�is irtad"u�aed"vCith the�d�sc�osed c�t�. ' <br /> The determination of the responsible authoriry may be appealed pursuant to the prOvisions ot the administrative procedure act relating 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 City of Orono or any of its departments may require you to furnish certain private or <br /> confidential information. <br /> You are notified that: . <br /> r.��ir .:�'' ' `�`,� +��y'�'"��r!l. :1'' _N.�X�:�2��:i a <br /> �, ,�. .. The int�ormation�you fux�ish will be used to de orm�n�your�uali�cat�p��'ox t�he permit or license requested. <br /> � t'_~.... � �0 •�i• � . V <br /> • . You may refuseto sTupply data,but refusal m�req'{�i°re��iat�he�'i^y.�eny ttre perm�t or,license.� <br /> 3. The information may be shared with other local,state or federa��g'CnCi�s�o�f�e�xtecrt•ntCe35a�'y�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 /> ..�v(� v� C��.l�P C f---� � r� <br /> e First� � Middle � „ , �. Last <br /> �:'�tac,�t -:�»�'C1�.� �l��-�t�r: %'L..�'�t: ',��"�► e.���.A:�':.'.:.�.. <br /> �r=a�s'�—T:n►�3"_�a��+��-�ss—r� �i �e�r�','q �'4i�"a`tt���.1 �1' �'�.� ►1'-a, '.� w'!�a '�► <br /> Address � <br /> � ,. <br /> �.� � v �ll �S I S Z,e��6'+--Sr S�` <br /> �-�tY , �— t State Zip • � Phone <br /> � <br /> I understand my rights as sta ed above. <br /> '`P",,,,, ��`' <br /> f� <br /> Signature <br /> . � . <br /> •� ' � - <br /> � - '..i , .• • � .. <br />