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2001-P03916 - pool
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3620 Eileen Street - 05-117-23-21-0014
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2001-P03916 - pool
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Last modified
8/22/2023 5:19:15 PM
Creation date
7/18/2016 2:22:18 PM
Metadata
Fields
Template:
x Address Old
House Number
3620
Street Name
Eileen
Street Type
Street
Address
3620 Eileen St
Document Type
Permits/Inspections
PIN
0511723210014
Supplemental fields
ProcessedPID
Updated
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Sec.13.0-1 RIGHTS OF SUBJECTS OF DaT� � t <br /> Subd. 1. Tppe of data. The riehts of individual on whom the data is stor�or to be stored shall be as set foczh ia this secdon. � <br /> Subd.2. Information reqirired to be given individual. An individuai asd:3 co supPtY Privace or confidenrial data concerning himself shail <br /> be informed of: (a) the purpose and intended use of the requested data w:�in the coll�cang'stace agency,polidcal subdivision,or statewide rysum; <br /> (b)whe�her he may refuse oY is legally required to supply the requested daca:(c)any]�o�'n coasequeace arising from his supplying or refusing to suppty <br /> priva�e or conndendal data;and(d)the idendry of oeher persoas or enddes a�chorized by scate or federal law ro receive the data.,'Ihis requiremenc s6a11 <br /> noc apply when an individual is asked to supply invesagarive dara,pursu=.t[o secaoa 13.82, subdivision 5, to a law enforcemenc o�cer. <br /> The commissioner of re�enua riav place the nodce reauired erd�r this subdivision in the individual income tax or propern rax refund <br /> inscructions inscezd of on�hose forms. <br /> Subd. 3. Access to data by indi�ldual. Upon request to a r:s�oasible aef.^.oriry,an individual shall be informed whether he is the subject <br /> of s�ored data on individuals, and wherher it is classified as public,privac�or confid:nBal. Upon his funher requesc, an individual who is the subject <br /> of s�orzd private or public data on individuals shall be shown che data w•i�.ouc any ci�rge to him and,�if he dzsires, shall be informed of the contenc <br /> and meaning of that data. After an individual has been shown�he privaw�ac�and i�:ormed of ics meaning, che data need not be disclosed to him for <br /> six mon�hs ehereatcer unless a dispute or acaon pursuan�to [his secdon is cending or addiaonal data on the individual has been collecced or creaced. <br /> The responsible au�horiry shall provide copies of the privare or public da�a a�on reques:by the individual subjecc oF�he data. The responsible authoriry <br /> may requir� [he requesring person to pay the acmal costs of maicine,cer.::;ing, and compIling the copies. <br /> The responsible authoriry shall cornply immediaczty, if possib!=,wich any r=quest made punuant to this subdivision, or wirhin five days of <br /> the date of the request,e�ctuding Sacurdays,Sundays and legal holidays,ii ir..media�e compliance is not possible. If he cannot comply with the requesc <br /> wirhin�hac rime,he shall so inform the individual,and may have an addicor.al five days wichin which to comply with the request,excluding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. �i individual may contest the accuracy or completeness of public or pri�•ate <br /> dara concerning himself. To exercise�his rieh�,an individual shall nod"ry ia wridng c-:�responsible authoriry dzscribing�he nacure of the disagreemenc. <br /> The responsible au�horiry shall wichin 30 days either: (a)correct the dac�icund to te inaccurate or incomptece and aRempc to nodfy past recipien�s of <br /> inaccurate or incomplete data, inctuding recipiencs named by the individL�l;or(b) codfy the individual that he believes the data to be correct. Data <br /> in dispu�e shall be disclosed only if the individual's stacement of disagre=�=nt is i_c:::ded wi[h[he disclosed data. <br /> Ttie de�erminadon of the rasponsible au�horiry may be appea�e�'pursuan:to the provisions of the adminisaarive procedure act relaang ro <br /> contested cases. <br /> DATA PRIV�CY AD�`ISORY <br /> In accordance with M.S. 13.04, Subd.2, "Rights of subjects ot data", we would like to inform you tha[your reauest <br /> for a permit or license from the City of Orono or any ot i�s dep�:..ents may require you to furnish certain private or <br /> confidential information. <br /> You are notified that: <br /> 1, The information you fumish will be used to de:zrmine �'our qualification for the permit or license requested. <br /> 2. You may refuse to supply data, but refusal nay require that the City deny the peraut or license. <br /> 3. The information may be shared wich o�her loc�l, scate or federal a;encies [o the ex[ent necessary to process <br /> the permit or license. <br /> 4. If your requested perm.it or license requires Council action to approve, some information may become <br /> . public. <br /> �. You have cenain riQhts under N1.S. 13.04 (2vailable Lpon request) to review private data on yourself. <br /> 6, Your full name is required to process this aoplication or permit. <br /> First �fiddle Las� <br /> Address <br /> Cirv State Zip Phone <br /> I understand my ri�hts as stated above. � <br /> / <br /> / �,—�— <br /> iG/ � <br /> Signature <br />
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