Laserfiche WebLink
1�' � r'� �' <br /> Sec.13.04 RIGHTS OF SUBJECTS OF DATA <br /> Subd. 1. Type of data. The righcs of individual on whom the data is stored or to be stored shall be as set forth in this section. <br /> Subd.2. Infom�ation required to be given individual. An individual asked to supply private or confidential data concerning himself <br /> shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide <br /> system;(b)whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or <br /> refusing to suppty private or confidendal data;and(d)the identiry of other persoas or entiries authorized by state or federal law to receive the data. <br /> This requirement shall not apply when an individual is asked to supply investigative data, pursuant to section 13.82, subdivision 5, to a law <br /> enforcement officer. <br /> The commissioner of revenue mav olace the notice reauired under this subdivision in the individual income tax or nrooertv tax refund <br /> instructions instead of on those forms. <br /> Subd. 3. Access to data by individual. Upon request to a responsible authoriry, an individual shall be informed whether he is the <br /> subject of stored data on individuals,and whether it is classified as public,private or conf'idential. Upon his further request,an individual who <br /> is the subject of stored private or public data on individuals shall be shown the data without any charge to him and, if he desires,shall be informed <br /> 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 <br /> disclosed ro him for six months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been <br /> collected or created. The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. <br /> The responsible authority may require[he requesting person to pay the actual costs of making,certifying,and compiling the copies. <br /> The responsible authoriry shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days <br /> of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot compty with <br /> the request within that time, he shall so inform the individual,and may have an additional five days within which to comply with the request, <br /> excluding Saturdays,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 or <br /> private data concerning himself. To exercise this right,an individual shall notify in writing the responsible authoriry describing the nature of the <br /> disagreement. The responsible authority shall within 30 days either: (a)conect the data found to be inaccurate or incomplete and attempt ro notify <br /> past recipiencs of inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data <br /> to be correct. Data in dispute shalt be disclosed only if the individual's statement of disagreement is included with the disclosed data. <br /> The determinadon of the responsibie authoriry may be appealed pursuant to the provisions of the administrative procedure act relating <br /> to 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 <br /> request for a permit or license from the �ity of Orono or any of its departments may require you to furnish certain <br /> private or confidential information. <br /> You are notified that: <br /> 1. The information you furnish will be used to determine your qualification for the permit or license <br /> 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 <br /> process 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 /> ` ' <br /> �� � y�� < <, l �o ��� � �1� - ��� �'� �Y�� <br /> F rst Middle Last <br /> ��� �- C� �� t�c �'�"'�� — <br /> Address �(rl'r" I l `'7 1 / f�� � ��� ! �/ � 5 � •,,��7 <br /> I 1� �/' 7� �'X�� � '�-� "�'�s'�� <br /> C��y State Z�p Phone <br /> I unders d my rights as stated ove. <br /> � � �, <br /> C <br /> c <br /> � GF'Z-�l _ ; C't� � <br /> Signature � <br /> 6 <br />