Laserfiche WebLink
� <br /> ,- , , <br /> Sac.13.0;RIGHTS OF SUB.TECTS OF DATa <br /> Subd. 1. Type of daca. The riehcs of individual on whom[he data is stord or to be scar.d shali be as set forth ia this secaon. � <br /> Sutd.2. Information reqirired to be given individual. An individual asked to supply priva[e or coafid�ndal dara concerning himsetf shall <br /> ba iaformed of: (a)the purpose and inc�nded use of the reques�dam wi�hin the collecdng Stace a�eacy,polidc:l subdivisioa,or sa!ewide rystem; <br /> (b)whecher he may refuse or is legally requir.d�o supply the requesud dac3;(c}any Irnown coasequence arisin3 froci his supplying or refusing to supply <br /> private or eonndendal data;ar.d(d)the idandry of orher parsoas or enddes au�horized by sc�ta or federal law to rceive the daca. This requiremeoe shall <br /> not appiy when an individual is asked to supply invesdgadve dan,pursuan�to sec6on 13.82,subdivision 5, to a law enfor�ement ofrccer. - <br /> Thz commissioner of revenue mav place u�z noace r_ouired und:r this subdivision in the individual ir:cone �x or vrooecN taz refuad <br /> insavcrions inscead of on chose focros. <br /> Subd.3. Access to data by indi�idual. lipon requesc co a responsible auchoriry,an individual shall be inforraed whecher he is the subject � <br /> of scord data on individuals,and wh�[her it is ciass�ed az public,privat�or confidenaal. Upon his furcher requesc, an individual who is the subjecc <br /> of stored private or public dara on individuals shall be shown the daci wi�hout any charge to him and;if he d�sires, shall be infocmed of[he content <br /> and meaning of[hat da�a. Aher an individuai has been shown che privac.-.data and informed oE its meaning, th�dat�need not be disclosed to him for <br /> six mon�hs[hereaiur unless a dispute or acaon pursuant to chis secaon is pending or addidonal daca oa the ir.dividual has beea collzcced or creaced. <br /> 'Ihe resQonsibte authoriry shall provid�copies of the private or public data upon request by the individua!subjecc of[he data. Tne responsible authoriry <br /> may requir the requesring person to pay che acaial cos�of m3lcing,cerrifying,and compiling the copies. <br /> The responsible au[horiry shall compiy immediately,if possible, wi[h any requesc made pursuant to t�4is subdivision,or wichin five days of <br /> the dace of[he requcst,exciuding Saturdays,Sundays and legal hotidays,if immediate compliance is not possible. If he canaot comply with the reques[ <br /> wi:hin that ame,he shali so inform[he individual,and may have an addiaonal fivz days wi[hin which to comply wi[h the requesc,exc[uding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public orprivate <br /> dan conceming himself. To exercise this ri¢ht,an individual shall noa"ry in wricing che responsible auchoriry d�s:ribing the nacure of the disagreemeac. <br /> The responsibie authoriry sh�li wichin 30 days ei[her: (a)correcc[he data found to be inaccurate or incomplece and aaempt to noafy past tecipienes of <br /> inaccumte or incomplece data, including recipienrs named by the individual; or(b)noaFy[he individual thae he believes che data to be correct. Data <br /> in dispute shail be disciosed only if the individual's s�tement of disagreemenc is included wich the disclosed dac�. <br /> 'Ihe decerminarion of the responsib(e au[horiry may be appzated pursuant to thc provisions of the 2dmirusaarive procedu�e act relaan� to <br /> concesced cases. <br /> DATA PRIVACY ADVISORY <br /> In accordance wich M.S. 13.04, Subd.2, "Rights of subjects of data", we would like to inform you that your request <br /> for a pernuc or license from the Ciry of Orono or any of ics departments may require you to fumish certain private or <br /> confidential information. <br /> You are notified that: � <br /> 1. The information you furnish will be used to determine your qualification fo;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 ocher local, state or federal a�encies to thz ex�ent necessary to process <br /> ' the permit or license. <br /> 4. If your requested permit or license requires Council ac[ion to approve, some informa[ion may become <br /> public. <br /> �. You have certai.n riehts under M.S. 13.04 (available upon request) to review private data on�ourself. <br /> 6. Your full name is required to process this application or perm.i[. <br /> ��il-'1�2,�2/j�'�� � �� -� 2��� <br /> Firsc tiliddla � Last <br /> � 7 � � `I'�N(.t/c'3Z3� �_� �- V�'-� <br /> Address <br /> �� �v ,�,�1� r�-� �/ > ; 51 `� �-� �,�--_�S--� � . <br /> Ci�y Sate Zip Phoae <br /> I understand my rip ts as tate above. <br /> l�� . <br /> �.� <br /> Signature <br /> : <br />