2002-P05067 - pool - Laserfiche WebLink

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Sec.13.04 RIGHTSOFSUBJECTSOFDATA Subdivision 1. Type ojdaJa The rights ojindivrdual on whom!he data is stored or to be stored sha!!be as set forlh in rn;s s��cr:'c�: ` Subd 2. Injormatian required fo bt given lndivlduaL An indrvidua!asked to supply privale ar confidenlial dala concerning hims�, shall be injormed o,J (aJ 1he purpose and intended use ojthe reques�ed data wi�hin the collecrrng smre agency,political subdivrsran,or statz}via�� system;(bJ whelher he may refuse or i.r legolly required to supply the requesled da�a;(c)any known consequence arisrng from hrs supp(yrng or refusing to supplyprrvate or confrdential data;and(d)the idenlity ojother persons or entrlres authorized by slafe orfederal!aw 10 receive!he datc. This requirement sha/l not apply when an individual is asked!o supply irrveslrgative da1a,pursuant!o sectron 13.81, subdrvisron 5, to a(a�v erforcement o�cer. 77re commrssioner o�reverrue mav place�he no(rce required under lhis subdivrsion in 1he indrvidua(income tax or propertv rar reh�� instructrons instead af on those�orms. Subd 3. Accas to data by IndivlduaG Upon requesl lo a responsible aulhority,an indivrdual sha!(be injormed whelher he is�he subj�:r ojstored dala on indivrdaa[s,and wl�e�her if is classified a.s public,p�ivale or confidenlial. Upon his further request,an individuol who is r�;, subject ojstored private or public data on indivrduals shall be shown the da�a withoul arry charge to him and,ijhe desires,shall be injormed oj !he eontent and meaning oJlhal data. Afler an individua!has been shown the prrvale data and rnjormed ojils meanrng, 1he data need not be disclated to him jor six monlhs lhereafter un/es.r a dispute o�action pursuant to this sectron is pendrng or additiona!data on!he indrvidual has been collected or crealed. 77re responsib/e authority shall provide copres ojthe prrvate or public dara upon requesl by�he indrvidual subjecr oj the data The responsible aulhority may require lhe requesting person to pay!he acrua!costs ojmaking, cerr�rng,and compiling the copies. The responsible authorrty shall comply immediately,rfpossib(e,with any request made pursuan!10 this subdrvision,or wilhin frve day s oJthe date ojthe request,excludingSaturdays,Sundays and legal holydays,iJimmediate complrance is not possible. IJhe cannot comply ivith�he requesl within lhat lime,he shal/so inform fl�e individual,and may have an addilional five days wilhin which!o comply wilh the requesl,excludirtg Sanvdays,Sundays and lega!holidays. Subd 4. Procedurewhendalalsnotaecurateorcomplete Anindrvidualmaycontes<<heaccuracyoroomplerenessoJpub/icorprivate data concerning himself. To exercise lhis righl, an individual shal/notrfy in writrng the responsible aulhority describing the nature oJ(he disagreement. Tlre responsible authority sha!!within 30 days either: (a)co�rect the datajound to be inaccurale o�incomplete and attemp(lo not� past recipienu oJirraccurate or incomp/e!e data,including recrpients named by the incfividual;or(bJ not�the rndividual thal he believes the data to be conect. Data in dispute sha/!be disclosed only rf 1he individual's stalement ojdisagreemen�is inc/uded with the disclosed data. The delerminaJion oJ1he resporuib/e aulhoriry may be appealed pursuanl to the provrsions ojthe adminrslrative procedure act re/ating to contested cases DATA PRIVACYADV/SORY !n accordance wilh M.S.13.04,Subd.2,"Righls ojsubjecls ojdala",we would like 10 injorm you lhat yourrequest jora pe�mi!or(rcer�s� from(he Cily ojOrono or arry ojits depa�tmenls may require you to jurnish cerlarn prrvale or confrdentia!rnformation. You are no�rfied that: l. The injormation you furnish will be used!o determine your qualificalron jor rhe permit or/icense requesled. 2. You may refuse fo supply dafa, but refusa!may require that the Crty deny rhe permr�or license. 3. The injornwtion may be shared with other local,sm(e or jedera!agencies to!he exlen!necessary to process 1he pzrmit�- license. 4. I,jyour requested permit or license requires Council action!o approve,some injormation may become pu6/ic. S. You have cerlain righls under MS. 13.04�see jo1/owrng page)�o revretiv prrvare data on you�se(j. 6. Your fu!!name is required to process lhis applicarron or permit. PLEASE PR1NT rGkL�S E Gf�Gf(Nv S' First Middle Last �7�5 �/.:2N�r4G�:= �D JU Address G�10 N o r'I�J S� 3 �' / City Sla1e Zip Phone 1 understand my righu as stated ve. � /�/� Signature !0