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2003-P05878 - New structure
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280 Big Island - PID: 23-117-23-32-0023
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2003-P05878 - New structure
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Last modified
8/22/2023 4:13:15 PM
Creation date
4/18/2016 1:24:14 PM
Metadata
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Template:
Address
House Number
280
Street Name
Big Island
Address
280 Big Island
Document Type
Permits/Inspections
PIN
2311723320023
Supplemental fields
ProcessedPID
Updated
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� � <br /> Sec.13.04 RIGHTS OF STJB.TECTS OF D�TA <br /> Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set fonh in this seccion. <br /> Subd.2. Information req�rired to be given individual. An individual asked to supply private or confidential data conceming himseif shall <br /> be informed of: (a)-the purpose and inrended use of the requesicd data within the colleccing"state agency,poliacal subdivision,or sratewide system; <br /> (b)whether he may refuse oY is tegally required to supply the requested data;(c)any Imown consequence arising from his supplying or refusing to supply <br /> private or confidendal data;and(d)the idenrity of other penons or enddes au[horized by state or federal law to teceive the data. This requirement shall <br /> not apply when an individual is asked to supply invesrigaave dara, pursuant to secdon 13.82, subdivision 5, to a law enforcement o�cer. <br /> The commissioner of revenue mav place the nocice reauired under this subdivision in the individual income tax or propertv taz refund <br /> instructions instead of on chose forms. <br /> Subd.3. Access to data by individual. Upon request to a responsibie authoriry,an individual shall be informed whether he is the subject <br /> of stored data on individuals,and whether it is classified as public, private or confidendal. Upon his further request, an individual who is the subject <br /> of stored private or pubiic data on individuals shall be shown che data withouc any charge to him and,-if he desires, shall be informed of the content <br /> and meaning of[hat dara. Ahzr an individual has been shown[he privat�dan and infoaned of its meaning,the data need not be disclosed to him for <br /> six months thereafter unless a dispute or acdon pursuanc to this secaon is pending or additional data on the individual has been collected or created. <br /> The responsib(e authority shall provide copies of the private or public data upon request by the individual subject of che data. The responsible authoriry <br /> may tequire the requesting person to pay the actual cosu of making,cemfying,and compiling the copies. <br /> The responsible authoriry shall comply immedia[ely, if possible, with any request made pursuant to this subdivision,or within five days of <br /> the date of the request,excluding Saturdays,Sundays and lega]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 addidona!five days within which to comply with the request,exciuding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An mdividual may contest the accuracy or completeness of public or pri�•ate <br /> data concerning himself. To exercise this right,an individual shall nodfy in wri[ing the responsibfe authority describing�he nature of the disagreement. <br /> The responsible authoriry shall within 30 days either: (a)correct che data found to be inaccurate or incomplete and attempt to noafy past recipienu of <br /> inaccurate 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 disclosed only if the individual's statement of disagreement is included with the disclosed data. <br /> The decermination of the rzsponsible authoriry may be appealed pursuant to the provisions of the adminis�arive procedure act relaang 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 fumish certain private or <br /> confidential information. <br /> You are notified that: <br /> 1. The information you furnish will be used to detemune 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 pemut or license. <br /> 4. If your requested pernut or license requires Council action to approve, some information may become <br /> public. <br /> 5. You have certain ri;hts 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 /> �l C.�h�'l �C��'�'e'n l �l j'S�`i1S <br /> First ��� �� �/ �� �i iddle Last <br /> 1 <br /> Add e�s <br /> j�(oc�� r�r�r� �l�✓ ��Y3 7 ��Z- ��l-7Z�6� <br /> City State Zip Phone <br /> I understand my ri�hts as stated above. <br /> 2`71"_�f� G " Dlr/1/ls,-� C�•t/�ki . <br /> Signature <br />
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