2003-P06401 - shed - Laserfiche WebLink

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� � . Sec.13.04 RIGHTS OF SUB,TECTS OF DATA - Subd. 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 secdon. Subd.2. Information required to be given individual. An individual asked to supply private or co�dential data concerning himself shall be informed of: (a)the purpose and intended use of the requested dara witttin the collecang state agency,poliacal subdivision,or statewide system;(b)whe[her he may refuse or is legally required to supply the requested data; (c)any imown consequence arising from his supplying or refusing to supply private or confidenoal dara;and(d)the idenary of other persons or enuaes authorized by sate or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investigative data, pursuant to seccion 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav olace the norice reauired under this subdivision in the individual income taz or oro�ern tax refund instrucrions mstead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classified as public,private or confidenrial. Upon 6is further request,an individual who is the subject of stored private or public data on individuals shall be shown the data wi[hout any charge to hirn and, if he desires, shall be informed of the con[ent and meanin�of that data. Aher an individua]has been shown the private data and informed of its meaning,the data need not be discloszd[o him for six months thereaher unless a dispute or action pursuant to this secaon is pending or additional data on the individual has been collected or created. The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible au[hority may require the requesting person to pay the actual cosu of making,certifying,and compiling the copies. The responsible authoriry shall comply immediately,if possible,with any request made pursuant to this subdivision,or withia five days of the date of the request,excluding Saturdays, Sundays and legal hotidays, if immediate compliance is not possible. If he cannot comply with the request within that time, he shall so inform the individual, and may have an addirionai 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 dara conceming himseif. To exercise this right,an individual shall nodfy in writing the responsible authoriry describing the nature of the disagreement. The respoasible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to aodfy pasc recipienrs of inaccurace or incomplete data,including recipients named by the individual;or(b)nocify the individual that he believes the data to be correct. Dara in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determination of the responsible authoriry may be appealed pursuant to the provisions of the adminis�aove 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: � i. The information you furnish 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 permit or license. 3. The information may be shared with other local, state or federal agencies to the extent necessary to process the permit 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. �� ��.`� N ��,�-� ��,.�,1,�(�� F�rst (' _ Middle �\Y d � l.ti �.1� � � �� .jL Last �" � v, Address + (`; �C,�Gti C7 1'�6`�,' �j 3 S Co z�S Z—�-t 4�Z-4`f `l (F C��' State Zip Phone I understand my rights as stated abov . � Signature 6