2003-P06805 - attached deck - Laserfiche WebLink

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r � Sec.13.04 RIGHTS OF SUBJECTS OF D�TA Subd. 1. Type of data. The righcs of individual on whom[he 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 privace or confidendal data concerning himself shall be informed of: (a)the purpose and intended use of the requested data within the coilecting'state agency, poliacal subdivision,or statewide system; (b)whether he may refuse oT is legally required to supply the requested data;(c)any lrnown coasequence arising fmm his supplying or refusing to supply priva[e or confidenrial data;and(d)the idenriry of other persons or enriries authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply invesdeaave dara,pursuanc to secaon 13.82, subdivision 5, to a law enforcement o�cer. The commissioner of re�enue mav place the noace rewired under this subdivision in the individual income tax or property tax refund instructions instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whecher he is the subject of stored data on individuals,and whet2�er it is classified as public, private or confidendal. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown che dara wi[hout any charge to hun and,'if he desires, shall be informed of the content and meaning of chat data. Afrer an individual has been shown ehe private data and informed of its meaning,the data need not be disclosed to him for six months thereafter unless a dispute or acaon pursuant to this secrion is pending or addidonal data on the individual has been collected or created. The responsib(e authority shall provide copies of the privace or public data upon request by the individual subject of the data. The responsible authoriry may require the requesring person to pay che acrual costs of making, certifying,and compiling the copies. The responsibie authority 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 no[possible. If he cannot comply with the request within that time,he shall so inform the individual,and may have an addiaonal 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 private data concerning himself. To exercise chis right,an individual shall nodfy in writing[he responsible authoriry describing�he nature of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccutate or incomplete and attempt to noafy past recipients of inaccurate or incomplete data, inciuding recipiencs named by[he individual; or(b)notify the individual that he believes the data to be correct. Data in dispute shall be disclosed only if the individuai's statemenc of disagreement is included with the disclosed data. Ttte determinaaon of the responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act relaang 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 permit 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 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 pemut or license. 4. If your requested pemut 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. 6. Your full name is required to process this application or permit. i � ��l� ��u. � l�a<�e�� . �z�+- First ,.r. � iddl�`/J Q Last ��'��7 I-� - �?►�KQS� f v� Address �� S .,3L/( �f 5 L �7�f(/�7� G1�<�Y�2-�� Ciry State Zip Phone I unders d y rights as st e. �,� �-�sr-G,�� sy�,�C�'�-�` � Sign e