2001-P04080 - attached deck - Laserfiche WebLink

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. � _ �,� Sec.13.04 RIGHTS OF SUBJECTS OF DATA • �� Subd. 1. Type of data. 'Ihe rights of individual on whom the data is stored or to be stored shall be as set forth in this section. Subd.2. Information reqirired to be given individual. M individual asked to supply private or confidential data concerning himself shall be infortned of: (a)the purpose u�d intended use of the requested data within the collecting state agency,political subdivision, or statewide system;(b)whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply private or confidenaal dara;and(d)the idendry of other persons or entiries authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked ro supply invesrigative data, pursuant to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav olace the notice reauired under this subdivision in the individual income tax or orooertv tax refund instructions instead of on those forms. Subd. 3. Access to data by individual. Upon request ro a responsible authoriry, an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classified as public,private or confidential. Upon his further request,an individual who is the subject of srored private or public data on individuals shall be shown the data wirhout any charge ro him 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 ro him for six months thereafter unless a dispute or action pursuant to this secdon is pending or additional data on the individual has been collected or created. The responsible authoriry shall provide copies of the privare or public data upon request by the individual subject of the data. The responsible authoriry may require the requesting person to pay the actual cosu of making,certifying,and compiling the copies. The responsible authoriry shali comply immediately,if possible,with any request made pursuant to this subdivision, or within five days of the date of the request,excluding Sarurdays, Sundays and legal holidays, if immediare compliance is not possible. If he cannot comply with the request within that time, he shall so inform the individual, and may have an additional five days within which to compiy with the request, excluding Saturdays,Sundays and leeal holidays. Subd.4. Procedure when data is not accurate or complete. An'indTvidual may contesf thZ ac��uracy or completeness of public or private data concerning himself. To ezercise this right,an individual shall notify in writing the responsib(e authoriry 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 ro nodfy past recipients of inaccurate or incomplete dara,including recipients named by the individual;or(b)notify the individual that he believes the data to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disdosed data. The determination of the responsible authoriry may be appealed pursuan[to the provisions of the administrative procedure act relating 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 permit 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 furnish 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 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 pernut or license requires Council action to approve, some information may become public. 5. You have certain rights 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. �l PS��r' �I�/ /�0/�s } ��✓'�'�:/lrS First . Middle Last .��J�� f,olN'-f"iS 1 ri�' �t,�� Address / /- .. {1 '�Q�TE,. �i.�✓ �� d �1��?�—�y�'�C%~��` C(�y State Zip Phone I understand my ri hts as sta above. / _.�:= � , L� !: --�'��-��-- Signature 6