2005-P09271 - attached deck - Laserfiche WebLink

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Sec.13.0�{ RIGFITS OF SUBJECTS OF DATA Subd. l. Typc of data. "I�he righu of individual on whom the data is stored or to be stored shall be as set forth in this section. Subd.2. Information rcquired to be given individual.An individual asked to supply private or confidential data concerning 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 the requested data;(c)any known consequence arising trom his supplying or refusing to supply private or confidential data;and(d)N�e identity of odier persons or entitics authorized by state or federal law to receive Uie data.This requirement shall not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. Thc commissioner of revenue mav pface the nolice required under this subdivision in the individual income ta�orpropertv taa refund ins[ructions instead of on those fonns. SuUd.3. necess to data by individual. Upon request to a responsible authority,an individual shall be inlonned whether he is the subject of stored data on individuals,and whether it is classified as public,private or contidential. Upon his further request,an individual who is the subject of s[ored private or public data on individuals shall be shown the data without any charge to him and,if he desires,shall be informed ofthe 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 thercafter unless a dispute or aclion pursuant to this section is pending or additional data on the individuai has been collected or created. The responsible authority shall provide copies of the private or public data upon reyuest by the individual subject of the data. The responsible authority may rcquire the reyues[ing person to pay the actual costs of making,certifying,and compiling the copies. The responsible aulhority shall comply immediately,if possible,�vith any request madc pursuant to this subdivision,or�viUiin tive days of the date of the requcst,eacluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request wiNiin that time,he shall so inform the individual,and may have an additional t ive days�vithin which to comply with dic request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure ti-hen data is not accurate or complete. An individual may contest the aceurucy or completeness of public or private data concerning himseif. "l'o e�ercise this right,an individual shall nolily in writing the responsible authority describing the naWre ofthe disagreement. The responsible authority shall within 30 days either. (a)correct the data�'ound ro 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[he data[o be correcL Data in dispute shall be disclosed only if the individual's statement of disagreement is included with Ihe disclosed data. 'I'he determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to cantested cases. DATA PRIVACY ADVISORY In accordance with M.S.13.04,Subd.2,"Rights of subjects of data",we would like to inforn�you that your request for a pernlit or license from the City of Orono or any of its departments may rec�uire you to furnish certain private or confidential infonnation. You are notified that: 1. Tlte infonnation you furnish will be used to detennine your qualifcation 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 agencics to the extent necessary to process the permit or license. 4. If your requested pennit 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. G. Yow�full name is required to process this application or permit. ��,1.� � S�. �� ._ .� Girst Midd c Last 17s�r s�� (,�� A�dr�55 C�u�a,�. ,� � f/�/l � .�5-3�s ? �S�� — �-v�- / � Cit�� State Zip Phone 1 understand my ' rts as st d above. a Signaturc —"� 32