Laserfiche WebLink
� <br /> - - � <br /> Sec.13.04 RIGHTS OF SLJB.TECTS OF D�TA <br /> Subd. 1. Type of data. The rishcs of individual on whom the data is storcd or to be scnrd shall be as se�forch in this secaon. <br /> Subd.2. Informatioa reqirired to be�ven indiridual. ?.n individual azked to supply private or confidenaal data coaceming him.seif shall <br /> be informed of: (a)the purpose and ictended use of the rcquesc�dara wichin the collecang State a,ency, poliacal suhdivisioo,or sntewide rystem; <br /> (b)whecher he may rfuse or is le3aliy requir.d co supply the r:quested data:(c)any Irnown coasequeace arising from his supplying or refusiag to supply <br /> private or eonndendal data;az:d(d)the idanary of other pacsoas or end¢�s aurhorized by s�ate or federdi law to receive the data. Ttus requirement shall <br /> not apply wh�n an individual is as4:ed to suppty invesd�adve dara,pursuanc to secdon 13.82,subdivision 5, to a law enforcemant officer. - <br /> Tne comrussioner of revenue mav olace the noace r_ouird und:r this subdivision in the individual income tax or orooem raz refur.d <br /> inscrucrions inscezd of on chase forms. <br /> Subd. 3. Access to data by individual. lipon requesc to a responsible auchoriry,an individual shall be inforraed whe[her he is che subjecc <br /> of scnrd dati on individuals,and wh�cher it is classif"ied�s public,privac�or confidenaal. Upon his further requesc,an individual who is the subjec� <br /> of stored privace or public dac�on individuals shall be shown the dat3 wichouc any charge to tiim and;if he desires, shall be informed of the con[ent <br /> and meaning of�hac data. Ahzr an individu�!has been shown tha privace data and informed of iu meaning,the dara need not be disclosed to him for <br /> six monchs [f:erca[u.r unless a dispute or acaon pursuanc co chis secdon is pending or addidooal data on the individual has been collecGd or crated. <br /> The tesponsibl=authoRry shall provide copies of the privace or public data upon requesc by the individua!subjecc of the dara. Tne responsible authoriry <br /> may require the requesdng person to pay the acnial costs of making,cerdfying,and compiling the copies. <br /> The responsible au�horiry shall comply immediacely,if possible,wich any reques[made pursuant to this subdivision, or wi�hin five days of <br /> the da�e of the requesc,ezcluding Saturdays,Sundays and legal holidays,if immedia�e compliance is not possible. If he cannot comply with the rqu�sc <br /> wi[hin that time,he shall so inform[he individuai,and may have an addidonal fivt days wichin which to comply with the request,excluding Saairdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or compteceness of public oc private <br /> data conceming hir.:selF. To exercise�his ri¢hc,an individual shall noa"ry in wridng the responsible auchoriry describing che na[ure of the disagremenc. <br /> '!he responsible auchoriry shall wichin 30 days either: (a)correct thc data found to be inaccurate or incomplece and attempc to nodfy past recipienu oF <br /> inaccurace or incompie�:data, including recipiencs named by the individual; or(b)noafy the individual that he believes the data to be correc� Data <br /> in dispuce shall be disclosed only if the individual's sc3cemenc of disagr:emenc is included with the disclosed dara. <br /> Th�decerminarion o(the rzsponsibl� authoriry may be appealed pursuanc to ehe provisions of[he administrarive procedure act retadng to <br /> contesced cases. <br /> DATA PRIVACY ADVISORY <br /> In accordance wich M.S. 13.0�, Subd.2, "Ri;hts of subjects of data", we would like to inform you that your request <br /> for a perm:c or license from the Ciry of Orono or any of its deparcments may require you to furnish cercain private or <br /> confidential informacion. <br /> You are notified that:- <br /> 1. The information you furnish will be used to determine your qualification for the permit or license requested. <br /> 2. You may refuse to supply data, buc refusal may require that the City deny the permit or license. <br /> 3. The information may be shared wich ocher local, state or federal agencies to the ez�ent necessary to process <br /> � the pemut or license. <br /> 4. If your requested permit or license requires Council action to approve, some information may become <br /> public. <br /> 5. You have certain riahts under M.S. 13.04 (available upon request) to review private data on yourself. <br /> 6. Your full name is required to process this application or permit. <br /> %� , _ � ' ^ <br /> ; <br /> d vy'�� ,^ _ � '����f%f� �- ;>� '�' v' � <br /> ��s� '� � �fiddle Last��� <br /> � � <br /> �[���,l.�)��/� �";S i �' 1�, ��i ��� �r ) t r <br /> � <br /> Addr sE s � � ., f/, /� <br /> �'? � � �_ / f,e ', =—�-- ��z_ � � _ T �/, <br /> Ciry � ./ Scate Zip Phone <br /> I understand my ri�hts as-stated above. <br /> �, �, . <br /> �_� _/, <br /> Sigtiatt:re �— <br />