2001-P04133 - re-roof - Laserfiche WebLink

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ri1L-18-21301 12:18PM FROM-LES JONES ROOFING 952-881-7009 T-782 P.001/001 F-008 4111I-Ie-4YYI I I.TW M . ..... -. .... ' Seo.13.O4=Gins OF SUIUECTS OF DATA Subd. 1. Type of data. The rights of individual oa whom the dam is stored or w be cored shall be as set forth in this Peden. • Subd.3. Inforhmdon required to be given individual. An irdividual asked to supply private or coufiidendal dam CG@Cetninls bimtett shall be Wormed ofs (a)the purpose and intended we of the requested dam within the eoTiesdng into agency,political subdivbiaa,at statewide mew (b)whether he may refutar oris legally mgnlred to supply the requested dug(c)any itesowa eoosequence etlsing from his supplying ur refusing to supply Fir=or confidential dare:and(d)die identity of other papal or caddis autl3otized by state or Meal law to receive the dats..TF.is requiremeot shall not apply when an b:dividual Is halted to supply inveadgadve data.puma=to sect on.13.82.subdivision 5,to a la.w enforcement officer. a ,,,,, •f- . w - ata .Isco to ogee ii,_ r-' , 5V-•.i. 'i ..x 4. "LI i .71 i- _I' to i- 0 • . .. - r_ Wrh talons Intaad of on t ose forms. Sobel.3. Access to data by individual. Upon request to a rapanst�la au*.atlty,an individual shall be informed whether be is the subject of stored data on individuals,and whether ii Is Classified as public,privat:or confrdroial. Upon his further request.an individual who is the subject or stored private or public data on individuals shall be shown the data without any chuge to him and;if he desires,shall be informed of the contras end nteaning of that data. After an individual has beets shown the privies dant and Informed of its meanies,the data used not be disclosed to hila for six months thereafter unless a dispute or semen pursuant to this seeton is pending or additional dam on rhe individual has been collected or created. The terponsible authority shall provide copies of die private or pubtie data con request by the individual subject of the data. The responsible aedioriry c may require die requesting person to pay the actual costs of making,cc_ging.and compiling the copies, The responsible authority shall comply iimmediately.If patrol:.with any request made pursuant w this subdivision,or within live days or the date of rbc request.mccluding Seasrdaye.Sundays and legal holidays,if immediatecompliance which Is to ecosible• If he ply with the request,ecCiel with theSatrequest within dear time.he shall so inform tic individual,and may have an addi..a.sl live da Sundays and legal holidays. Subd,4. Procedure when data is not accurate or complete. An individual nay contest the accuracy or congslectoess of public or private dam coneeming himself. To exercise this right.an individual shall way in wniong the responsible authority describrog the matte of the dkagmement. The responsible authority shall within 30 days atter (a)correct the dam tend to be language or incomplete and attempt to nodty put recipients of inaccurate or incomplete data,including recipients named by the individu l;or(b)cadty the individual that he believes the dam to be correct Data . in dispute shall be disclosed only if the individual's statement of disagrr--nt is ixe uded with the disclosed data. The detennination of the responsible authority may be appear pursuant to the provisions of the administrative procedure act=Wag to contested cases. DTA FRTVA.0 : •N SOR • In accordance with M.S. 13.04,Subd.2, "Rie,,,ihts of subjects of data",we would like to inform you that your request fora permit or license from the City of Orono or any of it, departments may require you to furnish certain.private or confidential information. You are notified that: 1. The information you furnish will be used to de ermine 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 i><lformadon may be shared with other local,state or federal agencies to the extent necessary to process the permit or license. 4. If your requested permit 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 mere is required to process this application or permit. • Eidc Middle Last L\�L • <g (2 "` y MS e ' nail,A ) Si" aO Se) ,'ra L/1 City Sate Zip Phone • I undue y rich las $t above. '' �_ r t - Signature 0 ' r