Laserfiche WebLink
� <br /> Sec.13.04 RIGHTS OF SUB.JECTS OF D?�T?. <br /> Subd. 1. Type of data. The righrs of individual on whom[he data is stored or to be stored s6all be as set forrh in rhis secaon. <br /> Subd.2. Information reqirired to be�ven individual. ?.n individual asked to supply priva[e or confidenaal data concecning himself shall <br /> be informed of: (a) the purpose and incended use of[he requested data within the collecang'stace ageocy, poliacal subdivisioo, or statewide system; <br /> (b)whether he may refuse or is legally required ro supply the requested data;(c)any lmown consequence arising from tvs supplying or refusing to supply <br /> priva�e or confidendal dara;and(d)cbe idenary of other persons or enaaes authorized by stace or federal law co receive the data. This requirement shall <br /> noc appty when an individual is asked co supply invesrigadve dara, pursuan�ro secnon 13.82, subdivision 5, to a law enforcemenc o�cer. <br /> The commissioner of revenue mav place [he noace required under ehis subdivision in the individual income tax or orooertv tax refund <br /> insttucrions inscead of on[hose forms. <br /> Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whe[her he is the subject <br /> of stored data on individuals,and whe[her ic is classified as public, priva[e or confidenoal. Upon his further request,an individual who is the subjecc <br /> of stored private or public data on individuals shall be shown the data withouc any charge to him and, if he desires, shal]be informed of the concent <br /> and meaning of thac data. After an individual has been shown�he private dara and informed of ia meaaing, the data need noc be disclosed to him for <br /> six monchs thereafter unless a dispuce or acdon pursuant to this secaon is pending or addirional data oa rhe individual has been collec[ed or creaced. <br /> The responsibie au[horiry shall provide copies of the privace or pubtic data upon request by[he individual subject of che data. The responsible authoriry <br /> may require the requesring person to pay the acnial costs of cnaking, cerafying, and compiling the copies. <br /> The responsible authoricy shall comply immedia[ely, if possibie, wich any request made pursuant to this subdivision, or wichin five days of <br /> the date of[he reques[,excluding Saairdays,Sundays and legal holidays, if immediate compliance is not possible. If he cannot comply with the request <br /> wichin that time,he shal(so inform the individua(,and may have an addidonal Five days wi[hin which to comply with the request,excluding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public ot private <br /> data conceming himself. To exercise�his right,an individual shall noafy in wriang che responsible authoriry describing the nature of the disagreement. <br /> The responsible auehoriry shall wichin 30 days either: (a)correc�[he data found to bz inaccura�e or incomplete and attempt to nodfy past recipienrs of <br /> inaccura[e or incomplere data, including recipients named by �he individual;or(b)nodfy [he individual that he believes the data to be correct. Dara <br /> in dispuce shali be disclosed only if[he individual's statement of disagreemenc is includzd with the discfosed data. <br /> The determination of the responsible au[horiry may be appealed pursuant to che provisions of the adminiscraave procedure ac[relating to <br /> con�ested cases. <br /> DATA PRIVACY ADVISORY <br /> In accordance with M.S. 13.04, Subd.2, "Rights of subjects of data", we would like to inform you that your request <br /> for a permit or license from the City of Orono or any of its departments may require you to furnish certain private or <br /> confidential information. <br /> You are notified that: <br /> 1. The information you furnish will be used to determine your qualification for the perm.it or license requested. <br /> 2. You may refiue to supply data, but refusal may require that the City deny the permit or license. <br /> 3. The information may be shared with other local, state or federal a;encies to the extent necessary to process <br /> the permit 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 cenai.n rights under M.S. 13.04 (available upon request) to review private data on yourself. <br /> 6. Your full name is required to process [his appiication or permit. <br /> , C <br /> �-�� r��� � ����� _ <br /> First Middle Last <br /> 1[O� � vJ � <br /> � ( <br /> Addre l� ����� (�1�j�� ! ���1 � ���,� <br /> ��������� V� 1 <br /> Ciry �� <br /> State Zip Phone <br /> I understand my rights as stated abov�_, � <br /> � � � (� <br /> � � ,'- ` � �� <br /> � � � � <br /> Signacure <br />