2002-P05776 - windows - Laserfiche WebLink

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Sec.13.04 RIGHTS OF SLIB.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 reqirired to be given individual. An individual asked to supply private or confidenIIal data concerning himtelf shall be informed of: (a)the purpose and intended use of the requesced data within the collecting"state agency, poliacal subdivision,or sratewide system; (b)whether he may refuse or is legally required to supply the requested data;(c)any Irnown consequence arising from his supplying or refusing to supp(y private or confidential data;and(d)the identiry of other persons or endries au[horized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investigadve dara, pursuant to secdon 13.82, subdivision 5, to a law enforcement officer. The commissioner of re�enue mav place the norice required under this subdivision in the individual income tax or propertv tax refund instructions insread of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals,and whe[her it is classified as public, private or confidendal. Upon his furthec request, an individual who is the subjecc of stored private or pubiic data on individuals shall be shown the data without any charge to him and, if he desires, shall be informed of the content and meaning of[hat data. After an individual has been shown the private data and informed of its meaning,che data need not be disciosed to hirn for six months thereafter uriless a dispure or acrion pursuant to this section is pending or addidonal data on the individual has been collected or created. The responsible authoriry shal(provide copies of the private or public data upon request by the individual subject of the data. The responsible authority 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 within five days of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannoc comply with the request within that time,he shall so inform the individual,and may have an addirional five days within which to comply with the request,exciuding 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 exercise this right,an individual shall notify in writing the responsible authoriry describing[he narure of the disagreement. The responsible authoriry shall within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipients of inaccurate or incomplete data, including recipients aamed by the individual; or(b)�otify the individual that he believes rhe data to be correct. Data in dispute shall be disc(osed only if the individual's statement of disagreement is included with the disclosed data. The deterrttination of the responsible authoriry may be appealed pursuant to the provisions of the admuustradve 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 pemut 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 pemut or license. 3. The information may be shared with other local, state or federal agencies to the extent necessary to process the pernut or license. 4. If your requested permit 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. (. Your full name is required to process this application or perm.it. �.J�t Yl Yt �e- I i iY► :� First � Middle Last 7�{� .l�l�ke .�aK� ��'}v� Address / / L m f�/) ,�j _`��, ��jZ 4Z� J �C� �(,U yll�" �C,c I.C- City State Zip Phone I understand my ri hts as stated above. �� Signature