2002-P05321 - attached deck - Laserfiche WebLink

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. . Sec.13.04 RIGHTS OF SUBJECTS OF DaT,� Subd. 1. Type of data. 'Ihe righrs of individual on whom the data is stored or to be stored shall be as set forth in this section. 3ubd.2. Information reqirired to be given individual. An individual asked to supply private or confidenaal data concerning himself shall be informed of: (a)the purpose and iatended use of the requestcd dara within the collecang"stare agency,polidcal subdivision,or statewide system; (b)whether he may refuse oT is legally required to supply the requested data;(c)any Imown consequence arising from his supplying or refusing to supply private or confidendal data;and(d)the idenriry of ocher persobt or enrides authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply invesrigadve data,pursuant to secaon 13.82, subdivision 5, to a law enforcement o�cer. The commissioner of revenue mav place the notice reauired under this subdivision in the individual income tax or oroperry tax refund instructions inscead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject of stored 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 data on individuals shall be shown the data wichout any charge to hun and,�if he desires, shall be informed of the concent and meaning of chat data. Ahzr an individual has been shown[he priva[e data and informed of ics meaning,the data need not be disclosed to him for six months thereafter unless a dispute or acdon pursuan[to this secrion is pending or addidonal data on the individual has been collected or created. The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry may require the �equesring person to pay the actuai costs of making, certifying,and compiling the copies. The responsible authoriry shail comply immediate(y, 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 compliance is not possibte. If he cannot comply with the request wichin that time,he shall so inform the individual,and may have an additionai five days within wtuch to comply wi[h the requesc,exe!uding Sarurdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or pri�•ate data conceming himself. To exercise[his rieht,an individual shall noofy in wriring the responsible authoriry describing[he nature of the disagreemeat. The responsible authoriry shall within 30 days either. (a)correct the data found ro be inaccurate or incompfete and attempt to nodfy past recipien�s of inaccunte or incompiete data, including recipiencs named by the individual;,or(b)nodfy the individual tha[he believes the data to be correct. Data in dispuce shall be disclosed only if the individual's sta[ement of disagreement is included with the disclosed data. The decerminarion of the respensible authority may be appealed pursuant to the provisions of the adatinistrative procedure act relacing to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04, Subd.2, "Rights of subjects of data", we would like to inform you that your request for a pemut or license from the Ciry of Orono or any of its departments may require you to furnish certain private or confidential information. You are notified that: 1. The information you fumish will be used to de[ernune your qualification for the pemut 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 with other local, state or federal agencies to the extent necessary to process the permit or license. 4. If your requested permit or license requires Council action to approve, some information may become public. 5. You have certain ri�hts under M.S. 13.04 (available upon request) to review private data on yourself. 6. Your full name is required to process this applica[ion or permit. �� S``�`-�—��'�9 � First �tiddle Last C (O ( S� '�.1 `�--� '1��'�� C--�f�� Address ��-S U�� >>`i l 5 . Ciry State Zip Phone erstand y rights as stated above. �� Signa[ur i