2002-P05275 - attached deck - Laserfiche WebLink

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Sec.13.04 RIGHTS OF SLIB.TECTS OF DAT.�+. 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 reqtiared to be given individual. An individual asked to suppiy private or confidenaal dara concerning himself shall be informed of: (a)the purpose and intended use of che requested dara wichia the colleccing�tate agency,polidcal subdivision,or sratewide system; (b)whether he may refuse oY is legally required to supply the requested data;(c)any F�own consequence arising fmm his supplying or refusing to supply private or confidential data;and(d)the idendry of other persons or enriaes authorized by state or federai law to receive the data. This requirement shall not apply when an individual is asked to supply invesrigadve data,pursuan[to secaon 13.82, subdivision 5, to a law enforcement o�cer. The commissioner of re�•enue mav place the noace reauired under this subdivision in the individual income tax or oropertv tax refund instructions instead of on those forms. Subd. 3. Access to data by indi�idual. Upon request to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals, and whether it is classified as public, privace or confidennal. Upon his further request,an individual who is the subjecc of stored private or public dara on individuals shall be shown�he dara wichout any charge to him and, if he desires,shall be informed of the contenc and meaning of that data. Afrer an individual has been shown the private data and informed of ics meaning,the data need not be disclosed to him for six months thereafrer unless a dispute or acrion pursuanc to this secdon is pending or addiaonal data on the individual has been collected or created. The responsible authoriry shalt provide copies of the privace or public data upon request by the individual subject of the data. The responsible authority may require the requesring per5on to pay the actual coscs of making, cerrifying, and compiling the copies. The responsible authoriry shall comply immedia[ely, if possible, with any request made pursuant to this subdivision,or within five days of the date of che request,exciuding Saturdays,Sundays and tegal holidays,if immediate compliance is not possible. If he canaot comply with the request wichin that time,he shall so inform the individual,and may have an addicional five days within which to comply with the request,excluding 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 pri�•ate data conceming himself. To exercise this rieht,an individual shall noofy in wriang the responsible au[hority describing[he nacure of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccutate or incomplete and attemp[to noafy past recipienu of inaccunte or incomplete data, including recipients named by the individual„or(b)nodfy the individual that he believes the data to be correct. Data in dispuce shall be disclosed only if the individual's stacement of disagreement is included with the disclosed data. The determinarion of the respensible authority may be appealed punuant to the provisions of the administradve procedure act reladng to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04, Subd.2, "Ri�ts of subjects of data", we would like to inform you that your request for a permi[ 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 permit or license requested. 2. You may refuse to supply data, but refusal may require tha[ the City deny the permit or license. 3, The information may be shared with other local, state or federal agencies to the extent necessary to process the permit or license. 4. If your requested permit or license requires Council action to approve, some information may become public. j. You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself. 6. Your full name is required to process this application or permit. �� -� p.� Sc h ��+_� 4�-��`-� _ First �iiddle Last �� ` � �l /1 C1��— �. (l — Ad�essC` (v n\�. � J �^-�" �5 �� 'Sz -y y z - J .�� Ciry State Zip Phone I understand my rights as stated above. c,� �h ��— � L Signature