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Y o �v�v �Y•1��w 1 ��rul v!1 1 vl v����1w 1 JJL�1dtY 1 Y I YY`I 1 .YYNf YYJ 1 YLY <br /> t � <br /> sec.13.o4 RIGl3Ts OF SIJRJECTs oF DATa <br /> �uhd. L '(ype o[dara. 7he rigQu o1°indiyiduaJ on whom�he dara ls ssored or co be smred shaLl be as sec forsb m rhis seeeioa. <br /> Subd.3. ]aformadan req�rea to be�i•ea iadlvIduaL .ln indlvidua]askod m supply priva�or conSdand�l d1n eoaeerning himself shall <br /> be intoemcd of (a)dit puepoSt aed iettttd�uSt oF d1e ttqucsaed dad wi�in��ollecat►g 4GtLe a8enay,peiieical subdivision.or srarewide sysxm; <br /> (b)wheihe��he m:�y t`Fu.ae ar is Ierally tCqutred eo Supply dte requested da11:(c)any'atown consequence arising f�am hit supp!ying oe�lltsing ro iVPP�Y <br /> private or confidenoal dao;and(d)rhe idencicy of o�het pnrsons or enapes aud:esis�by sta�e or fadeesl Iaw to r_cGsve me d.ia. This r�qwremenr sos�l <br /> nor apply when an individval is asl'ed m svpply tnvtsdgadve eae,pur:vant ro sccuoa 13.53,subdirision S, co a Isw eafo�seme�ot�'uer. <br /> �a commieaioner oE ro�enus mav otaee th�r+r+ei�r.er.miirr_d under di�s sc�,bdidiaion in tht individaa! ncomt ax or osno¢�titz rcft�nd <br /> ies�rucirons insre*,.d oF on rhnsc forms. <br /> SabC. 3. P c::s:!o dsta br�ndtridual. UQon reouest W a eespoosibte ausao�iry,aa indiv[dual shall be infortQed wherher he is ehr subJecc <br /> oC SmRG datl OR{i101Ylduals.u+nl whe�er is is cl:xsiCed aa pablie,peivs�e ee confid�n�nl. Llpon his[uesher saquese„2n indfividual wEo is d►e subjece• <br /> of scorcd privare or puhl'sc data on individusls shall be sCowa�he daa wi�hour ury ahat8e to bim and;If he desises,shall be iafocmed of�he conxnt <br /> and mea�wig of rhac dan. ANer an i�dividual hu bcrn st+own che priv�tt dxc+and infarmed of ics meami4g,lb�da�oeed aot be diselosed oo bim!or <br /> s;x moNhs therea�Oec u�less a disguae or ac�ion punvan�co �hit secaon is pendi�g or addi000al dara on t4e tndividual bas beea eollecxd or crea�ed. <br /> '1'be responsibie 3uthoriry sdull ptOVide enp�et o!Ute pciva�e oipa6lic tJaw u�,on mqrr.se by rlio individual subjeee of ehr dan. Tlu res}+ne�il�l�eurheriry <br /> may require che reqaesdn�person r�pay rhe acmal cesss of making,eorcfyi�g.and comptlin��a copies. <br /> The c�ponsible aurhodry st�all compty immediacely,ii possfhte,wi�h aay cequast made pursuan�w mis suhdivision.or wid�in five days of <br /> ihr.rlarc of d►e reGtieSf..exClUdifIS Saiu�d�'s.Sundays and legal holidays,if immediate cvmpl'►anee Is�c poasible. If he caacoCcomply wld�t!u reQuesc <br /> within�hec dme,6e shall so inPoem she iadividvai,�d may have an addidaaal nve aays wurtln wn[�h ro cwapty w�u,�he cequess,wwlud;nF Sa�.day�. <br /> S��days and le,qat holidays. <br /> � Subd,4. Peocadure..hP�dan is not acet�te or complett. An indi�idusl may eonus�dto sc�ru.y ur comple¢aess of publie or pti�•�tc <br /> dan conc�mir.6 himsalf. To�xereise rhis eghc,an individusl sh�ll notity in wddn,c�h,e,tspnatib[c�nd�oriry deseribia��hc oawrc o�cha auagrcemene. <br /> '11�c rcsponsible au�ho�ry shall wiU�in 30 days eirher. (a)ao�xccc�he da�a found�o De inAceune�or v�eample�e and aaemp�w noafy pos�reeipier�s of <br /> i,saccvra�o or incomplea dala.including reeiplencs named by We individual:oc(b)noaty�he inds.idnai cnac he'believes�e d��a co be cucsocc. Dan <br /> m OtS�uce snstl be d'u�lwed only it'�e lndividu:J's e�emene of disa�rr.en�en�is iaeluded with�G d'1SCIoSed dard. <br /> . 'I'�e d�rerminadon ot�e responsibtc suthudry msy be appealad pursuu�c�o du pmviseons of che ada+iniscanva proccda�act rclaoag w <br /> CopreSt�d casrs. <br /> �ATA I'IZYYACY ADVISO1tY � <br /> In accordance with M.S. I3.04, Subd.2, "Y�i.gh�s of subjects of da[a".vut wov.id like to inform you that your request <br /> fot a pettnlc or il�c�e fcom tb� Ciry of Ozono or aay of ics depar.rment� may require you to fucnfsh certain pr�v8te ar <br /> confdential information. <br /> Yvu are noci�cd rhat: <br /> 1, Thz infermation you furnish will be used to decermina your qualificat�an for the pttmit oc licens�requested. <br /> 2, You may re�fvse: ro sttpply daca, bUt C�fiusfll mly rco,uitC ihaC chE Ciry deny tbe permsc or license. <br /> 3, The informadoR may be shated with acher local, state or federal ageacies to the eAte�ut necessary �o process <br /> � tht pennit or licease. <br /> a, I�yOl.lT �CQt1ES[Cd peinlli ai licensa rCqulieS Co11�1Ci� aCtiO�. l� ��I'OVC, some i.aformarion may become <br /> public. <br /> g, You have cenain cighcs under M.S. 13.04 (available upoa request) co review privau data oA youi5elf. <br /> 6, Your full r�me is reqr�ireci co process dtis application or pernozt. <br /> �� �. ✓�� . <br /> �►�� u�aa�� �uc <br /> g �� ;,�• �yy �3 <br /> aaa�s � �-�3� (�I z�,G;Y-3�a� . <br /> � �.., sJz1� __ _ <br /> Ciry �M�� 7.ip Pbont <br /> I nndersc�nd my rfghrs as stated above. <br /> ��•�, <br /> ��� <br /> � <br /> Signotascs <br /> �/l 'd L£6l ' �N 0060-�68 (Zl9) NW S�3N91S30-� Wdti£� L OOOZ ' 9 ' I �� <br />