1998-010046 - tear off/reside - Laserfiche WebLink

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� . � » Sec.13.04 RIGHTS OF SLBJECTS OF DATA Subd. 1. Type of data. The righcs of individual on whom[he data is stored or to be scored shall be as set fonh in this secdon. Subd.2. Information reqirired to be given individual. �.n individua!asked to supply privare or confidendal dara conceaung himself shall be informed of: (a)the purpose and inrended use of the requesred dara within the collecdng"state ageacy, poliocal subdivisioo,or sratewide rystem; (b)whether he may refuse oY is legally required to supply the requested data;(c)any Fa�own consequence arising from lus supplying or refusing to supply • private or confidenrial data;and(d)che idenary of other persons or enrides auchorized by stace or federal law to receive rhe data. This requirement shali not apply when an individual is asked to supply invesdeadve dara, pursuant to secdon 13.82, subdivision 5, to a law enforcement officer. - The commissioner of revenu� mav place the nodce reauired under this subdivision in the individual income tax or propertv tax refund instrucdons instead of on chose forms. � , Subd. 3. Access to data bv individual. Upon requesc to a responsible authoriry,an individual shall be informed whecher he is the subjecc of stored data on individuals,and wherher it is classified as public, priva�e or confidendal. Upon his further request, an individual who is the subjecc of stored private or public dara on individuals shall be shown che data wirhout any charge to him and, if he desires, shall be informed of the concent and meaning of chat data. Afrer an individual has been shown che privace data and informed of ics meaning,the data need not be disclosed to him for six monchs[hereafter unless a dispute or acdon pursuanc to this secrion is pznding or addidonal data on the individual has been collected or created. The responsible audioriry shall provide copies of the private or pub(ic data upon re4uest by[he individual subject of che data. The responsible authoriry may require che requesring person to pay u4e�aca:al•costs of ma;:s3, ee u�fying,'and compiling the copies. The responsible aurhoriry shall comply immediately, if possible, wi�h any request made�ursuant to this subdivision, or wichin five days of the date of[he request,excluding Saturdays,Sundays and legal holidays,if immedia[e compliance is not possible. If he cannot comply with the request within that time,he shall so inform rhe individuai,and may have an addidonal five days wichin which to comply with the requesc,excluding Saturdays, Sundays and legal holidays. , Subd.4. Procedure when data is not accurate or complete. An individual may conrest the accuracy or completeness of public or private data cdnceming himself. To exercise this.right,an individual shall noafy in writing the responsible au�hority describing the nacure of the disagreement. The responsible authoriry shall within 30 days either: (a)correcc the data found to bz inaccurate or incompiete and attempt to noafy past recipients of inaccunte or incomplete data, including recipients named by the individual; or(b)noafy che individual that he betieves the data to be correct. Data in dispute shal(be disclosed only if the individual's statemenc of disagreemenc is included with the disclosed data. The de[erminarion of the responsible authoriry may be appealed punuant to the provisions of che administrarive procedure act relacing to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04, Subd. 2, "Ri�hts 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. The information you fumish will be used to determine your qualification for the permit or license requested. 2. You may refuse to supply data, bl�t refusal may require that the City deny the permit or license. ' � 3. �The information may be shared wlth other local, state or federal agencies to the extent necessary to process the pernit or license. 4. If your requested pernu[ or license requires Council action to approve, some information may become public. 5. You have cenain rights 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. �a�T.r�-�`d�-- ��.,4•,.�.,.� /''> `=C��-f�� First vliddle Last D o Address 1�, C1�„/� � / �/ ��`n�a � ' /�N� .�S 4 l � / o i .«� E� Ciry State Zip Phone I understand my ri�hts as stated above. .� � � �— � a i�Y� - Signa[ure