Laserfiche WebLink
Sec.t3.04 RIGHTS OF SI;BJEC"�S OF DATA <br /> Subd. I Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section. <br /> Subd.2. Information required to begi�en individual.An individual askedto supply privateorconfidential data concerning himselfshall be <br /> informed of: (a)the purpose and intended use of the requested data���ithin the collecting state agency,political subdivision,or statewide system;(b) <br /> whether he ma��refuse or is leaal ly required to supply the requested data;(c)am�known consequence arising from his supplyi ng or refusing to supply <br /> pn vate or contidential data;and(d)the identity of other persons or entifies authorized by state or federal law to receive the data. This requirement shal I <br /> not appl} ��hen an indi�idual is asked to supply investigative data,pursuant to section 13.82.subdivision 5,ro a la�>enforcement officer. <br /> The commissioner of re�enue ma�olace the nofice required under this subdivision in the individual income tax orpropertv tas refund <br /> instructions instead of on those forms <br /> Subd.3. Access to data b�individual. Upon request to a responsible authority,an individual shall be informed�ihether he is the subject of <br /> stored data on individuals,and�uhether it is classified as public,private or contidential Upon his further request.an individual who is the subject of <br /> stored private or public data on individuals shall be sho�vn the data without any charge to him and,if he desires,shall be informed of the content and <br /> meanine of that data After an individual has been shotin the private data and informed of its meaning.the data need not be disclosed to him for sis <br /> months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been col lected or created. The <br /> responsible authorih shall provide copies ofthe private or public data upon request b�the individual subject ofthe data. The responsible authority <br /> may require the requesting person to pa��the actual costs of making,certifying,and compiling the copies. <br /> The responsible authority shall compl�immediately.if possible.�vith an�request made pursuant to this subdivision,or within fi�e days of <br /> thedateoftl�erequest,excludingSaturdays_Sunda��sandlegalholida}�s,ifimmediatecomplianceisnotpossible Ifhecannotcomply���iththerequest <br /> �vithin that time,he shall so inform the individual,and may have an additional five da��s�ti�ithin��hich to comph�vitl�the request,escludi��g Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure��hen data is not accurate or complete. An individual ma�contest the accurac}or completeness of public or private data <br /> concerning himself To e�ercise this right.an individual shall notify in�tiriting the responsible authorit�describingthe nature ofthe disagreement. The <br /> responsible authorit��shall within 30 dacs either (a)correct the data found to be inaecurate or incomplete and attempt to notify past recipients of <br /> inaccurateonncompletedata,includingrecipientsnamedbytheindi��idual�,or(b)notifytheindividualthathebelievesthedatatobecorrect. Datain <br /> dispute shall be disclosed onh if the individual's statement of disagreement is included with the disclosed data <br /> The determination of the responsible authorit�may be appealed pursuant ro the provisions of the administrative procedure act relatine to <br /> contested cases- <br /> DATA PRIVACY ADVISORY <br /> In accordance�vith M.S. 13.04,Subd.2."Rights of subjects ofdata°,��e would like to inform you that��our request <br /> for a permit or license from the Ci�� of Orono or any of its departments may� require you to furnish certain pnvate or <br /> confidential information. <br /> You are notified that: <br /> 1. The information }ou fumish will be used to determine �our qualification for the permit or license <br /> requested. <br /> 2. You ma}'refuse to supply data but refusal ma�� require that the Cin�dem�the permit or license. <br /> 3. The information ma�� be shared with other local, state or federal agencies to the e�tent necessary to <br /> process the permit or license. <br /> �1. If y�our requested permit or license requires Council action to approve,some information mav become <br /> public. <br /> �. You have certain rights under M.S. 13.04(available upon request)to review private data on�ourself. <br /> 6. Your full name is required to process this application or permit. <br /> <�)cs���H /JE�� L-�. l�lt7T����i2��1/ <br /> First �7iddle Last <br /> 71v� �E��l�a« '�D ,�l. <br /> Address � <br /> t,c.7Ayz`7-� �rxl 55�3`>/ �!�'1—�f�4--I1/L� <br /> Cih Sta[e Zip Phone <br /> 1 understand my rights as stated ab e. <br /> �.. , <br /> __.___.__ <br /> � <br /> \-� ;- � -��-- ,� <br /> Signatw•e <br /> � <br /> �2 <br />