|
Sep-06-2001 08:llam From-CITY OF ORONO +9522494616 T-770 P.002/002 F-836
<br /> . .
<br /> * � � �
<br /> S�c.13.04 RIGHTS OF SYJS.1'ECTS OF D�TP,
<br /> Subd. t. 7ypc oP data. The rig��s of individuaF 9a whom the dasa is smre3 or�o be srorod shalI be as se�forth in�his secrior.,
<br /> Subd.Z. Infa�macion required to be g.iven individval. .1n individuai asked to supply privace or confidenrial dara coacerning hirrsclf shs11
<br /> be informcd of: {s) cha purpose sad inundcd use of the requessed da�wichin rhe collccring�tare agency,poIiocsl subdivision,or s�ccwide system;
<br /> (b)ahe�hen c�may rfuse ar is fegaily required�o suppiy thc nquesced Q.�w;{c)sny'�own consequence arising from his supplying or rcfusing ro svpply
<br /> privan or co�der.tial data;and{d)d;c idenricy 4f ocher parsons or cnridc�auchorized by e�te or federal law�o reccivo nc�dara. This requiremeac shaIl
<br /> no�apply wncn an individual is asked �o supply invcsdgarive dan, pLruant co secdon 13.82, subdivision 5, co a law enfotrcmenc otficer.
<br /> The commissioaef of�evrnuc mav cJacc :he nocice reauir_^_ unddr thfs s�bdivision in the iadividu2! incomc taz or nropeRV �ax rcfiind
<br /> inscructians ins[ead of on chnse rorms.
<br /> Subd. 3, Access�o data by individuat. Cipon requesc to a rr;ponsi6le auchoriry, an individusl shsF]bc infonnrd whaeher he is Lhc s�bjcc�
<br /> of scared dsrs on individuala, and whether ic is classificd as publi:, pri�zce or coi�fidenri�l. Upon tus furher rcqucst, an individusl who is�he subjecc
<br /> of swrcd privace or public data on individuals s;tall be s�own chc data N�thou�atty charge to him and,�if he desires, shall be informcd of�-�e con�er.:
<br /> �nd mcaning af chac da�s. Afur an individu:,1 has been shown nc�priv�,ie da�a and iniormzd of iu rncasing, cha duci need not be discloscd co him for
<br /> �iz mor.r3rs cl:crcaf�r unless a dispute or acrion punuanc co �his sccrion is pnnding or addidonal dara on zhc individust tia�bccn eollected or c:caced.
<br /> Thc responsihle suchQriry shall pcovide copies ot rhe orivase or public d.ta upon teques[by�`:c individual subjccs of nc�dara. 'fhc responsibte au�horiry
<br /> may require �hc roquesGng person to pay the acnsal coses of makinF, e.;rcifying,and eompiling�he copics,
<br /> . The responsiblc authoriry sna11 compty immadiazefy, if possi�la, wich any rcquzse made pursuant w ihis subdivision, or within ftvc days of
<br /> che dare of thc rrquzsc,excloding Sancrdxys,Sundays and Ic;a1 hoiidays,if irr�m�d:aze complisnca is not possibte. If he c�.-inoc comply wi�:che request
<br /> wi�hin et:ac time,he shail so inform�he individu�i,and may have sn add:uonaI five dsys within w�ich w compty wich chz request,exc!udin�S�n:rdays,
<br /> SLndays and t�gal holidsys.
<br /> Subd.4. Ptoeeduze when d�tII LS not aCCsuate ar tompletr, ,�.n individua!may contcst che accuracy or campleuncss of pubiic ar pri�•acc
<br /> darn conceming himself. To exercise;his right,an individual sha[!:ocify in wri�ino cn�responsible authoriry describing she naiure of thc disxgreemeut.
<br /> Tt�e resporsiblc authonry shull wirhin 50 days ci,hcr: (a)coner,ihc d�ca found�o be inaccuraec or incomple�e and aacmpt to norify pasc recipicnu of
<br /> inaccur,�ze or incflmp3ece dac�, inctuding recipienu nar.zcd by che individusi; ar(h)no�ify�he individual cha�he beiieves 4`�e d��.w bc corrett. Daea
<br /> in dispuce shall be disclosed only if ihc individuul's sta�emem of disag�c�meni is inclueCd wi�h d:e discioscd daca.
<br /> The deurmir,urion of she responsiblc auchoriry may be appzaled pursuanc co tha pro�isions of uhe adminisuaavc p�cedure aci rcla�ng �o
<br /> concesud cases.
<br /> DAT� pRT�VACY A17�'TSORY
<br /> In aeeo:dance wiLh M.S. 13.04, Subd. 2, "Rights of siibjects of da�a", we would like to inform yoa thzt your reqeest
<br /> for a permit or license frorn �he City of Orono or any oi its �epanments may requirc yon to fumish cenain private or
<br /> confidential information.
<br /> You are notified that:
<br /> I, The information you furnish will be used to cjetermir_e your qualifcation for the pe:mit or license rcquested.
<br /> ?. You may refuse co suppIy data, but refusal may require that t�e Ciry deny the permit or Iicense.
<br /> 3, The information may be shared wi�h o�her 1��cal, scace or federal agencies to the exzent neeessary to process
<br /> the permit or license.
<br /> 4. If your requested permit or lieense requiies Couzieil action to approve, some information may become
<br /> pubiic.
<br /> 5. 'You have certzin rights undez :VI.S. 13.04 {available upon re�uest) to r�view privaEe data on yourself.
<br /> 6. Your fuil name is required to praczss this applica�ion or permit.
<br /> Firs� VSidale � Lzs�
<br /> Address
<br /> Ciry -- S�« Zip Phane
<br /> I understand my rights as s�aze�i_a�e�,
<br /> � � �
<br /> i." �", �-�.,
<br /> �naiu re �
<br />
|