|
. � �
<br /> ,
<br /> Sea 13.UA RIGHTS OF SIJSJECTS OF DATA �
<br /> Subd. I. Type ot data. The righis of individual on whom the data is stored or to be stored shall be as sct forth ia this sectioa
<br /> Subd.2. 7nfonoation tequited to I�e g��en indiv��_ ��ividual asked to supp(y privac�or confidential data co�erning himseif
<br /> shall be info�of: (a)d�e purpose and interded use of the requested data within the collecdeg srau agency,potiaca!subdivision,or statewide
<br /> system;(b)wherher he may refuse ot is legally required;tq supplY ttu req�esteci dara;(c)any k�wa��g����s�fmm his supplyiag or
<br /> refusing m suppty private or coafidential data;and(d)the ideutiry of other persons or emities authorized by state or federal law to rcceive the data.
<br /> This requirement shail not apply when an individual is asked oo supply invesdgative data,pursuant to sacpon 13.82, subdivision 5, w a law
<br /> enforcement officer.
<br /> 'The commissio�r of revote��mav olacs roi�„t�g�Jimi��.rinr�,hi�subdivisia–in th,t in ivi:y�at;,,�.n.�. � or�roQertv taz�
<br /> ��m+Mtions tns�of on ��rohn�.
<br /> Subd.3. Access to data by indivldual. Upon request to a responsibte au�ority,an individual st�all be informed whether he is the
<br /> subject of stored data on individuals,and whether it is classifiai as public,private or co�dendal. Upon 6is further request,an individuai who
<br /> is the subject af stored private or pub[ic data on individuals shall be shown d�e data without any charge to him aari,if he desires,shall be informed
<br /> of Ux conunt and meaning of that data. Afcer an individual}�a,y been shown the private data and informed of its meaning,the daffi need nat be
<br /> disclosed to him for six monrhs d�ereafosr unless a dispute or acdon pursuant to this sxdpn is pendu�g or addifional data on the individual has beea
<br /> coUected or created. The responsible a,uuthority shall provide copies of tfie private or public data�upon request by the uidividua(yvbject af the data.
<br /> The responsibla authority may requice the requesting person to pay the actuai costs of makin�,certifying,and compiting the copies.
<br /> The resportcible authoriry shall comply immediauly,if possible,with any request made�rsuazu co this subdivision,or witlun five days
<br /> of rhe da�of d�e request,excluding Saturdays,Sundaye arui legal holidays,if.immediate compliance is not possible. If he cannot compiy with
<br /> the request within that ame, he shall�inform the individual,and may have an addidooal five days within which to comply with�e request,
<br /> excluding Sauudays,Sundays and legal holidays.
<br /> Subd.4. Procedure when data Lv not acc�rste or complete. An individual may contest the accuraey or comple'tenoss of public or
<br /> private data concoming hims�(f. To enercise this right,an irtdividual shall no6fy in writing the respousi�le authoriry describing the t�awn of the
<br /> disagreemern. The responsible aurhority shall witivn 30 days eirher: (a)coirect the data found to be inacwrare or incomplete and attempt to notify
<br /> P��P�ents of inaccurate o�i�omplete data,inctudidg recipieirts named by rhe individual;or(b)notify the irniivIdual tharhe beHeves che data
<br /> to be correct. Dara in dispu[e shali be disclosed only if the irxiividual's statement of disagreement is inciuded with the disclosed data.
<br /> The detemunaaon of rhe respon4iMe suthocity may be appealed pursuant to the provisions of du administrative proceduie act relating
<br /> w contested cases.
<br /> DATA PRIVACY ADVI�ORY
<br /> In accordance witb M.S. 13.04, Subd. 2, °Rights of subj�ets of data", we would like to infortn you that your
<br /> request for a permit or license from the�ity of Orono ar any of its departments may require you to furnish certain
<br /> private or confidential information.
<br /> You are notified that:
<br /> 1• The infarmatio�a you furnish will be used to determine your qualification for the permit or license
<br /> requested.
<br /> 2. You may refiise to supply data, but refusal may require that the Ciry deny the permit,or license.
<br /> 3. The information may be shared with other local, state or federal agencies to the exte�t necessary to
<br /> process the permit or license.
<br /> 4. If your requested permit or license requires Council action to approve, some information may become
<br /> publia
<br /> 5. You have certain ri�;hts under M.S. 13.04(available upon request)to review private data on yourself.
<br /> 6. Your full name is required to process this application or permit.
<br /> �� / �,,,�
<br /> ����slPt' �,/�Or�r.��r� �rsc�i�_s � �
<br /> F►rsc / Mi e �� -° —.
<br /> 3 y7.� : .,�v o s 7`a vcr ��lG
<br /> A�adro s � T—
<br /> Q -�"5�.��J S�- 5�71-0�"'�,
<br /> City State Zip Phonc
<br /> I under d y 'ghis as stat�d a
<br /> Signamrc e..
<br /> ,,�' :
<br /> �,,.
<br /> 6
<br />
|