Laserfiche WebLink
09f17�2068 15: 15 7632410395 DONE RITE RESTORATON PAGE 63/63 <br /> l <br /> . � ' ` <br /> Sc�.13Aa RiGHTS pr SUBJECfs Or AATA <br /> Subd. I. 'T)�pe of data llie righ�s of individual on Whom the d�m is storcd or lo be stored shall be as scl fbrtlt in�his geCtion, <br /> Subd.2. Iflforl'ndlionrequiredlobegivenindividuai. Anindividui�ltlskedtosupplyprivateorconfide�ttialdalaConccminghimselfsh�libe <br /> infprmod of: (a)lhe nurppse and mtended u5r of tlie requesled daf�wilhin the r.pUecting 5late agaicy,poHtical subCivision,or statewiQe system:(b) <br /> whether ha may refuse or is lepally�'eqtlired to SUpply thc requasted data;(c)any known consequence aris�nB f�om his supplying or refusing to supply <br /> prj��ate Or conl'idantial data;and(d)O�C identily o�o�her persans or ontities authOrl7.ed by afate or federsl law to rcccive the data This�oquirementshall <br /> nol apply whcn An inJividua��a askcd to supply in�cslig�livo dtuo,pursuont to scctio� �3$2,suNdivision 5,tp a law enforcement officer. <br /> 'I'he cominissl0Yt5 C ol'rev�nue mav olAce chc notice reauirc.d und�r this subdivision in the individual income cux or aronerlv tax rofvnd <br /> inslruclions insfead ol'on thnsc forms. <br /> SuhA.3. Ac;cesslodetahy�nJ�vic�uAl. Ulx�nrequestto2resppnaihleauthority,anindiYidualsha{Ibeinformedwhetherheisthesubjectof <br /> stored dal2 on individuels,end wliethor it is ClassiliCd AS publiC,p�i�aSe o�con�denli¢I. Up�n his furtheP PequCsl,2n individual who is the subject oF <br /> slo*ed privale or publ ic dete ai individua�s shalt hc shmv+�lho daia without ony chnrgc ro him and,�f he de.��cas.sh�ll ba in(ormed of dto ept�tent and <br /> meaning of that data. Aftcr an individtu+l has b�n 5hown the priv�te data and informed�f ics meaning,�he deta need»ot be disclosed co him for six <br /> mondis ihercaflcr unle95�diSVute pr actioi�pursuaitt eo tl1is SCcUon I5 penQing or Add��io��deta on the individual}tas C�een collected ol Ctcattd. The <br /> responsible authorily shall provide Copies of lhe private or public data upon fequest by Che Indlvidual subjea.of the data. The raspansible authority <br /> may require the requestirtg pCl'son to pny(lie Hctual eq5t5 of making,�eRifyin�.and Compiling Ihe coples <br /> 7he rc�n�nsib��au�1'�ori ry sh�ll comply immediate�y,�f possihle,w�t1,any reaues�inade�ursuant to thi9 subdivision.or wi thin five days of <br /> tludateol'therequeSt,C�eeludingSa�u�dayS,Sundaysandlogalholidays,ifimir�ediAfeComplis��ceisnotpo55ibla Ifhecannotcomplywid�therequest <br /> within thac Um�,hr Shal I gp infbrm the inAividu�l,and may havc an addiuo��al fivc doya within which to comply with the�cquest,oxcludiag Sawrdays. <br /> Swidays and legsl holidays. <br /> Suhd.4. ProceduPewl1cndataianoteccurt�teorcompletc.Ani„dividualibaycontestlheaccurac,yorcompletepess�fpublicorprivatcdata <br /> conccrning hiinSolF.To e;x�;h.isc this righl,Dn individunl shal I nqtify in writii1g the fespottsiblC aUiho��desc�lbing the nature of thedisegreemerrt.The <br /> rc9pon9b�c�uthoriry shol)within 30 daya aithar: (a)correct the dAta Found to b¢inaccurate or inco�+tp�ete and attempt to nptiFy paat recipiants of <br /> inaccura�eor incompleee daia,including recipicnts named by th,;indi��idual;or(b)noufy�I,e individual that he bel icves the dut�m be correct, Duta in <br /> dispUte sball l�di5��o5�d only il"du i�tdivl0u�l'S st2tement of dl5agreemenc ia included with du diaclOsCd tlel�. <br /> Tl�e dcter+nina�ion oF d,e resn�nsihlo auchority may be appealcd pursunnt to tbe proviyions of the adminishatiYe procedure act relating to <br /> Conteslecl caSes <br /> DATA PRIVACY ADVISORY <br /> ln accordance wiU�M•S. 13.04,Subd.2,"Rights of subjecCs of data",we would like co infor�ro you that your request <br /> fof a pennit or license firom the City of C�rUno or any af its depat'tmencs may ►�quire you to furnish certain private or <br /> confidential irrfo�7�ation. <br /> You are nocitied that: <br /> 1, Thc infarmation you furnish will bz used to determine your qualification for the permiC or liceose <br /> requested. <br /> 2. Y�u may refusc to supply data,but rcfusal may require that the City deny�he pet�mtt or 1►cense. <br /> 3. The inforn�ation may be shared with other local, statc or I'ederal agencies to the exCent necessary Io <br /> prucess the permit or liconse. <br /> a. If you��equested pennit or li�;ense requires Council action to approve,some information may beco�r�e <br /> public. <br /> 5. Yau havc certsin righ[s ul�der M_5. 13.04(available upon request)to i^eview private data on yourseff'. <br /> (�. Your full name is rc:quired to process this applicalion o��p�rmit. <br /> MYRON ROCiGEMAN <br /> First Middlc ILesY <br /> 13713 196TH AVE Nw <br /> Addresa <br /> �f�K RIVER MN 55330 (763)441-7580 <br /> ���y State Z.ip Phone <br /> 1 understand my rights . ted above. <br /> Sf nat rc <br /> , . . <br /> ,. <br /> ":. : ' Rescti�orm '. :` , <br /> 32 <br />