1997-009456 - tearoff/reroof - Laserfiche WebLink

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� � Sec.13.04 RIGFiTS OF SUB.fECTS OF DATA Subd. i. Type of data. "Ihe righ�s of individual on whom the data is stored or to be stored shall be as set forth in this secaon. Subd.2. Information reqirired to be given individual. An individual asked to supply private or confidendal data conceming himself shall be informed of: (a)the purpose and inreoded use of the requesred data within the collecdng'state agency,polidcal subdivision,or statewide system; (b)whether he may refuse oY is tegally required to supply che requested data;(c)any known coasequence arising from his supplying or refusing to supply private or confidendal data;and(d)the idendry of other persons or enriaes authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investigadve dara, pursuant to secdon 13.82,subdivision 5, to a(aw enforcement o�cer. The commissioner of revenue mav piace the nocice reouired under this subdivision in the individual income tax or propercv tax refund instrucrions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of scored data on individuals, and whecher it is classified as public, private or confidenaal. Upon his further request,an individual who is the subjecc of stored private or public dara on individuals shall be shown the data without any charge to him and,-if he desires, shall be informed of the content and meaning of that data. Afrer an individual has been shown the privare data and informed of its meaning,the data need not be disclosed to him for six monchs thereafter unless a dispute or acdon pursuanc to this secdon is pending or addidonai dara on the individual 6as been collected or created. The responsible authoriry shall provide copies of the private or public data upon request by the individuai subject of the dara. The responsible authority may require the requesdng person to pay che actual costs of making,certifying,and compiling the copies. The responsible authoriry 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 compliaace is not possibie. If he cannot comply with the request within that time,he shall so inform the individual,and may have an addidonal five days within which to comply with the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or camplete. An individual may contest the accuracy or completeness of pubiic or private data concerning himself. To exercise this right,an individual shall nodfy in wriring the responsibie aurhoriry describing the nature of the disagreement. The responsible authoriry shall within 30 days eicher: (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipiencs of inaccurate or incomplete data, including recipiencs named by [he individual; or @)nopfy the individual that he believes the daca to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included wich the disclosed data. The determinaaon of the responsible authoriry may be appealed punuant to the provisions of the adaunistradve procedure act relaang to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04, Subd.2, "Ri;hts of subjects of data", we would like to inform you that your request for a pemut or license from the City of Orono or any of its deparcments 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 permit or license. 3. The information may be shared wi[h other local, state or federal a;encies to the extent necessary to process the peruut or license. 4. If your requested perm.it 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 da[a on yourself. 6, Your full name is required to process this application or permit. `Z�; ;�Cv C�` _;C�l-1c..5":�� First Middle Last '-t j�-C S �S c L-� �� S _ Address . 2 ��1��`�-r;. �,'�' SS-t,t Z�1i City Stace Zip Phone I understand my rig s as�,�y�ted above. � ; �✓ Signature