1997-009078 - mudroom add - Laserfiche WebLink

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� Sec.13.04 RIGHTS OF SLIBJECTS OF DATA Subd. 1. Type of data. The righcs of individual on whom the data is stored or co be stored shall be as set fonh in this secdon. Subd.2. Information required to be given individual. r1n individual asked to supply private or confidendal data concerning himself shall be informed of: (a)[he purpose and incended use of the requested data wi[hin the collec[ing'state ageocy, polidcal subdivision,or statewide system; (b)whether he may rEfuse or is leeally required to supply the requested data;(c)any Imown consequence arising from his supplying or refusing to supply private or confidendal data;and(d)the idendry of o[her persons or enaties authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked ro supply invesrigarive dara, pursuant ro secrion 13.82, subdivision 5, to a law enforcement officet. The commissioner of revenue mav place the norice required under this subdivision in the individual income tax or propertv tax refund instrucrions instead of on those forms. Subd. 3. Access to data by individual. Upon request ro a responsible authoriry,an individual shall be informed whether he is the subject of stored data on individuals,and whecher i[is classified as public, private or co�dential. Upon his fur[her request,an individual who is the subjecc of stored private or public data on individuals shall be shown the data without any charge to him and,'if he desires, shall be infomted of the content and meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for six months the:eafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The responsible authority shall provide copies of the privacz or public data upon request by the individual subject of the data. The responsible authoriry may require the requesting person to pay the actual costs of making, cerafying, and compiling the copies. The responsible authoriry shall comply immediately, if possible, with any request made pursuant to this subdivision, or within five days of the date of the request,excluding Saturdays,Sundays and legal holidays, if immedia[e compliance is not possible. If he cannot comply with the request 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, 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 conceming himself. To exercise this right,an individual shall notify in writing the responsible authoriry describing the nature of the disagreemen[. The responsible authoriry shall within 30 days either. (a)correc[the data found ro be inaccurate or incomplete and atcempt to nodfy past recipieots of inaccurate or incomplete data, including recipients named by the individuat; or(b) notify the individual that he belizves the data to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is induded with the disclosed data. Tne determinacion of the responsible authoriry may be appealed pursuant ro the provisions of the administrarive 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 furnish certain private or confidential information. You are notified that: 1. The information you furnish will be used to determine your qualification for the pemut or license requested. 2, You may refuse to supply data, but refusal may require that the City deny the pernut or license. 3. The information may be shared with other local, state or federal agencies to che extent necessary to process the pernut or license. 4. If your requested pernut 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. Your full name is required to process this application or permit. �/._. L�V,•v�f�� v �� F: d—�� First �I�ddle � Lasc � -�,,� 's � C`� f � ��-- .a r Address j� �f � `l �� _ �,,, Y � ,� �� 1 _ �:� � � � � � 1 C�ry State Ztp Phone I understand my rights as stated above. � �L-- �- � ��, Signature