2007-P11070 - attached deck - Laserfiche WebLink

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Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. I. Type of data. The rights of individual on whom die data is s[ored or to be stored shall be as set forth in this section. Subd.2. Infonnation required to be given individual. An individual asked to supply private or confidential data conceming himselfshall be informed ofl. (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b) whether he may refuse or is legally required to supply[he requested data;(c)any known consequence arising from his supplying or refusing to supply private or contidential data;and(d)the identiry of other persons or entities authorized by state or federal law to receive the data. This requirement shal I not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement ofticer. The commissioner of revenue may place the notice required under this subdivision in the individual income tax or property tax refund instructions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be infonned whether he is the subject of stored data on individuals,and�vhether it is classitied as public,private or contidential. Upon his fuRher request,an individual who is die subject of stored private or public data on individuals shall be shown the data�a�ithout any charge to him and,if he desires,shall be informed ofthe content and meanine of that data. After an individual has been sho�vn the private data and infonned of its meaning,the data need not be disclosed to him for six months thereafter uniess a dispute or action pursuant to this section is pending or additional data on the individual has been collected or creaced. The responsible authority shall provide copies oFthe priva[e or public data upon request by the individual subject of the data. The responsible authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or�vithin tive days of die date ofthe request,e�cluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. lf he cannot comply with the request within that time,he shalf so inform the individual,and may have an additional 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 concerning himself. To esercise this right,an individual shall notiiy in writing the responsible authoriry describing d�e nature ofthe disagreement. The responsible authority shall within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determination of the responsible authori[y may be appealed pursulnt to the provisions of the administrative 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 infonn 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 �vill 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 permit or license requires Council action to approve, some infonnation 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. Fii•st /��/'��'� Middlc �, Last ��j�.� � Address L, �7 �/1 - �3f�3e� ��U U��"l �� /I/L� �7•�ti J S—�� City StAte Zip Phone f understand mv--rfi as ated abov / � % ' Sign urc: /,, / Resef Form 32