1997-008885 (Re-roof) - Laserfiche WebLink

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. � Sec.13.04 RIGHT'S OF SiJB.TECTS OF DATA Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this secdon. Subd.2. Information required to be given individual. An individual asked to supply private or confidential data conceming himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting'state agency, potitical subdivisio�,or statewide system; (b)whether he may refuse oY is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply private or confidenrial data;and(d)the iden�iry of other persons or enriries auchorized by sta[e or federal law to receive the data. This requirement shall not appty when an individual is asked to supply investigarive dara, pursuant to section 13.82, subdivision 5, to a law enforcement o�cer. The commissioner of revenue mav place the norice reauired under this subdivision in the individual income tax or propercv tax refund instructions instead of on those forms. Subd. 3. Access to data by indi�ldual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of stored data on individuals, and whether ic is c(assified as public, private or confidendal. 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 content and meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to hirn for six months thereafter unless a dispute or acrion pursuant to this section is pending or addidona;data on the individual has been collected or created. The responsible authoriry shall provide copies of the private or public data upon tequest by the individual subject of the data. The responsible authority may require the requestine person to pay the acrual costs of making, certifying, and compIling the copies. The responsible authoriry shall compiy immediately, if possible, with any request made pursuant to this subdivision, or within five days of the date of the request,excluding Sa[urdays,Sundays and leeal holidays,if immediate compliance is not possible. If he cannot comply with the request within that time,he shall so inform the individual,and may have an addidonal five days within which to comply with Ihe request,excluding Saturdays, 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 ri¢ht,an individual shall norify in wri[ing the responsible authority describing the nature of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipienu of inaccurate or incomplete data, including recipiencs named by the individual; or(b)notify the individual that he believes the data to be correc[. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determination of the responsible authoriry may be appealed pursuant to the provisions of the administradve procedure act relacing to contes[ed 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 City 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 determine your qualification for the permit or license requested. 2. You may refuse to supply data, but refusal may require that the City deny the pemut or license. 3. The information may be shared with other local, state or federal agencies to the extent necessary to process the pernut or license. 4. If your requested permit or license requires Council action to approve, some information may become public. $. You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself. (. Your full name is required to process this application or permit. � v Cl '__i �-'2, � e -- � � �i � G�.,�-2 � 3 G,;,� First Middle Last � I � ( 1 � 3 � �--� � �' Address � 2 � 4-- 1�-e �r--`-'� 5�.3� 3 � �� . Ciry State Zip Phone I understand my rights as stated above. � �� . Signature