1998-010336 - tearoff/reroof - Laserfiche WebLink

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�_. - . Sec.13.04 RIGHTS OF SUBJECTS OF D�Ta Subd. 1. Type ot'data. The righ�s of individual on whom the data is stored or to be stor�d shalI be as sec forth in this secrion. Subd.2. Information reqiared to be given individual. An individual uked to supply private or confideadal dam concerning himself shall be informed of: (a)the purpose aad inrended use of the reques�dara within the collecdng�tate ageocy, polirical subdivision,or sracewide rystem; (b)whether he may refuse or is legally required co suppiy the r.quested data;(c)any Fmown coasequcnce arising from his supplying or refusing to supply privace or eonfidenaal data;and(d)che idendry of other persons or enarias auchorized by state or federdl law to receive ch�data. This requiremeat sfia11 noc apply when an individual is asked to supply invesdgadve dara, pursuan�[o secdon 13.82,subdivision 5, to a law enforcement offccer. - The commissioner of revenu� r-iav place che noace rauired und�r this subdivision in the individual income tsx or oropem tax refund instrucdons insczad of on�hose forms. Subd. 3. Access to data by indir-idual. lipon requesc to a responsible auchority,an individual shall be inforaed whecher tie is[he subjecc of scored dara on individuals,and whecher it is classified as public, private or confcdenrial. Upon his further request,an individual who is the subjecc of s[ored privace or public daca on individuals shall be shown the dara wichouc any charge to him and,�if he desires, shall be informed of the concenc and meaning of chac data. Afcer an individu�l has bzen shown the privac�data and informed of ic�meaning,the dara need noc be disclosed to him for six monchs chzreafter uriless a dispute or acdon pursuan�to chis secaon is pznding or addiaonal data on the individual has beea co(Iecced or creaced. The responsible authoriry shall provide copies of the privace or public data upon request by the individual subjecc of[he data. The responsible aurhoriry may require the requesring person to pay the ac�ual cos�s of m3king,cerdfying,and compiling the copies. The responsible auchoriry shall comply immediacely,if possiblz,wi�h any request made pursuant to this subdivision,or wi�hin five days of the dace of[he request,exciuding Sanirdays,Sundays and legal holidays,if immediace compliance is not possible. If he cannot comply wich the requesc within[ha�time,he shail so inform[he individual,and may have an addiaonal Five days within which to comply wi[h the request,e�cluding 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 private data concerning himselF. To exercise chis ri¢h�,an individual shall noa"ry in wriang[he responsible authoriry d�scribing che nature of the disagreement. 'Ihe responsible authoriry shall wichin 30 days eicher: (a)correcc chz data found to be inaccurate or incomple�e and attempc to nodfy pasc recipients of inaccurate or incomplece dara, including recipiencs named by che individual;or(b)nodfy the individual thac he believes �he data to be coaect. Data in dispute shall be disclosed only if the individual's sc3cemenc of disagreement is included wich che disclosed da�a. The determinarion of the responsible authoriry may be appealed pursuant to the provisions of[he adminiscrarive procedure act relaan� to contcsced cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04, Subd.2, "RiQhts of subjects of data", we would like to inform you that your request for a pernut or license from the Ciry of Orono or any of its departments may require you to fumish certain private or confidential information. You are notified that:� 1. T'he information you furnish will be used to determine your qualification fo;the permit or license requested. 2. You may refuse to supply data, bu� refusal may require that the City deny the perm.it or license. 3. The information may be shared with other local, state or federal agencies to the ex�ent necessary to process the permit or license. 4. If your reques[ed pernut 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 application or permit. -�' ' � ( f '��,�� ''(.�"'�i(,�;,� >{"—'tti�- � .:lu �_ Firsc ��tiddla� � � Lasc C�� l� `�"�` >'r ��+��- ��-� ��'' — �' �l Add ss �� / ��-/;�J �G�s_ r.j ' C�. {'"��1 c ��+� �"� ��c�� ..< Ciry Sace Zip Phone I understand y ri;hts as stated above. j:� � '"�ci.� - �!_� _ _�, / ��--r`'��"�� - ssg��«