2003-P06873 - attached deck - Laserfiche WebLink

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Sec.13.0=! RIGHTSOFSUBJECTSOFDATA Subdivision!. Type ojdata The rrghts of individua!on whom the dota is stored or to be stored shall be as set jorth in this section. Subd.2. Injormation required to be given individuaL An individual asked to supply private or confidential data concernrng himselj shal!be rnformed of. (aJ the purpose and intended use of the requested data withrn the collectrng state agency,polrtrcal subdrvision,or statewide system;(b)whether he may refuse or is legally required to supply the requested data;(c)arry known consequence arising from his supplying or refusrng to supply private or confidentia!data;and(dJ the rdentrty of other persons or entities authorized by state or federa!lmv to recerve the data. This requirement shall not apply when an individua!is asked to supply investigative data,pursuant to section 13.8'.subdivisron 5, to a lmv enforcement officer. The commissioner a{'revenue may place the notrce required under this subdivision in the individua!income�ar or properry tas refund instructions rnstead oI on those forms. Subd.3. Access to data by individuaC Upon request to a responsible authority,an rndividual sha!/be informed��hether he rs the subject of stored data on indrvrduals, and whether r!is classrfied as public,private or confrdential. Upon his furlher request.an individual who is the subject of stored private or public data on indivrduals shall be shown the data ivithout any charge to him and, if he desrres,shal!be injormed of the content and meaning oj'that da1a. Ajter an indivrdual has been shown the private data and rnjormed of i1s meanrn,;, the data need not be diselosed to him for six months thereafter unless a dispute or action pursuant to this sectron rs pending or additiona!deta on the rndividua!has been collected or created. The responsible authority shall provide capies of the private cr pub/ic data:�pon request b}�rhe indivrdual subject of the data. The responsible authorrty may require the requesting person to pay the actua/costs of making,cert�ing,arrd comprling the copies. The responsible authority shall comply immediately,ifpossible,tivith any request made pursuant to this subdn uion,or within five days of the date o.jthe request,excludrng Saturdays,Sundays and legal holydays,if rmmedrate complrance rs no�possrble. /jhr cannot comply with lhe request within that trme,he shall so inform the individual,and may have an addilional frve days tivrthin whrch to comply i�uh the request,excluding Saturdays,Sundays and legal holydays. Subd.4. Procedure when data is not aecurate or eomplete. An indrvidua!may contest the accuracy or complerzness ofpublrc or prrvate data concerning himse f To exercise this right, an individual shall notify rn writing the responsible authority descrrbrng the nature oj the disagreement. The responsible authoriry shall withrn 30 days either: (a)correct the dafafound to be inaccurate or incomp,'ete and attempt to nol� past recrpients of rnaccurate or incomplete data,rncludrng recipients named by the indivrdual;or(bJ not�the indrvidual rhat he belreves the data to be correct. Data in dispute shal!be disclosed only if the individua!'s statement ojdrsagreement is included with the disclosed data. The determination of the responsible auihority may be appealed pursuant to the provisions ofthe admrnistratne procedure act relating to contested cases. DATA PRIVACYADVISORY In accordance with M.S.13.04,Subd.2, "Rights ofsubjects ojdata",we would like fo inform you that your requestjor a permrt or license Jrom the Crty of Orono or any of its departmenls may require you to furnish certain private or confidentia!rnformation. You are notified that.• 1. The rnfarmation you furnrsh will be used to determine your qua/iftcation for the permit or licens2 requested. 2. You may refuse to supply data,but refusal may require that the City deny the permit or license. 3. The injormation may be shared with other local,sta[e or federal agencies to the extent necessan•to process the permit or lrcense. �l. Ijyour requested permrt or license requires Counci!action to approve,some information may become public. S. You have certarn rights under M.S. 13.04(see following pageJ to revietiv private data on yourself. 6. Your jull name is required to process this application or permit. PLEASE PRINT ,�2,�t ��I��,,...�m u� �- I- First Middle Last /7 s 5�� ;� � Address �— �(.l Fcy�.. �' O� �t'�..._ J S � / rry State Zip Phone I un e/� ights as stated above. Signalure 10