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JUL-20-200�(FRI) 14:22 Greg Zimmerman Constr, Inc. {FAX)7637929710 P. 003/005 <br /> Sea13.04 RIGIITS OF SUWEGTS OT DATA <br /> Subd.1. Typt of drin. TIx rigblai of individuol un whom Ihe duls is xtored or�o be swnd sl�sll f�c av act Torth in this sootion. <br /> Subd 2.Infommdan reqaired to bo given individusl.An ir►dividual asked io snPp1Y priv�le or wotiden�ial dnla cooCeming 6imeelf9ha11 be <br /> infuruwd oC (a)Ihc pwpoce mid'mloded we of 1he requastd dam within the oolle�ding yt�c�gc�wy.politipil subdiY�ion,or sdutewuk sy�l�(b) <br /> wbcthcr Nc m�y�rluse or is legally requined to suPP�Y 16e requalcd ddu;(c)aaY kaown worequarx arising fiom his qu�tyiag o►r�'uaisg to suPP�Y <br /> privaic or cmitidentisl daa;snd(d)t�o idcntiry ofoibcr peisous or entitia auUarita!by stoue orfalaml luw 10�eeeive 1�e cldu.'1'hi,�equi�eme�rt shall <br /> nol apply w6ea un iadividual ir aslcd to au�ply inveeiigalive dar�purnuant ta 9ectioe 13.82,9ubdivision 5,to s l�w eaforcem�nt oll'iar. <br /> Zhs`mmiseirn�er,Qf revcnuc erov elacc dro nQ�j�q��jlrt�Qe�}��S subJivision in Ilie individual inooma lax or�nPeny nuc refunci <br /> inxtruclitmx inmad nf an tboee torma. <br /> Subd.3.Accrss w date by individueL Upon toquesllo a ratpo�ible rul6orily,m mdividual ehslt be informed w6aba hc is the sa�ject of <br /> slaal dsfa on individuola,nnd whethar it is cla�sified aa public.privat�o��dcndal.Upoa 6is SLel�ernqueR,aa individwd w6o i�16e eubjux of <br /> �to�u!priruue vr public dnb an individunle s6all he ahown�I,e Jafa wi�hoac any charge oo him and.irhe dc�itos.shall bo infonnKd of tba eonknt md <br /> mcsning of tAst d�1.A1tar�1 individuoi bas bo�shown t�s pcivuls dnW aal iaCom,al of ilu meaniog.Ihe da�a noal not be disclosod to hin�Tor slx <br /> momhs t�wtesfler onlc�a dispute oraaion pursuaota th�seaion is peucfing or exWilionol data an the individuol has bxn wlloc�d or aeatcd,The <br /> tespons�ble mtlarity shdl pmvide aopim af the�xivate�pa6lic dsts upon roquos�by Iho individual subjen o[U�e dola 11�e tespuogbk authorily <br /> may roquire tl�Kq�sliog pauon w puy 16e aduol coxfs ofmalciog.oacityiog.and campilingtdc coDioa <br /> The�ppoesiblc authoriry�all ootoply iwmodietely.ifposcibl�wiW nuy ieyueat made puryuant b 16ir subdivieimti orwiq�in frvc drys oT <br /> the dme of the requos�escludin(t SsWrdrys.Sundays and kgal Iwlideys.If im�pedioteoompUontx is not pu�wwbk.�fhe cmmotcomply wi�h the�quost <br /> wilhiu Wut time,6e slwll go mtarm the individ�ml,und may Imve an addirionsl tive drys aithin wbich to comply wi16 Uw request,e�eJwlia6 SaWnluya, <br /> Suodnys ood legd bolideys. <br /> Satxl4.l'roxdurewhendu�ianotac�►aa�soropmple�.Anindividwlmeycontesttheeocucar.yor�mipleleoe�ofpublicor�rtivatedam <br /> caoccmingbirnselC ToaueociseWisrightaniadividuul�lmllno�fyinwridngtbera�onnibleaiahoriiydoscnl+ingtbc�amrooTthodisogroemtalllws <br /> �a+po�d+k aueUoriry shell wiA►in 30 days ciWer: (a)oocroct We dmu fuund lo be inwxwale or moompleia und attenyx m notit'y�nsc rccipicna oC <br /> i��^��la ur iocomplde doo�,includ'mg�ecipien�nsmed hy thc individuai:or(b)notily tAe iodividwl Wet Ius believa Iht dulu ty be wrroct. Dam in <br /> dispule sDaU be disclotal ouly it We indivi�lud'r rlatan�ent of d�t iE includod arith the discloscd deta. <br /> 'i'bc dco�+miaadon ofthc respoowbic autboriry mey be eppeulal puaurot w We povioiau af 16o a�ini.ea�ve pro�xduro act�obting� <br /> conlatled caees. <br /> DATA PWVACY ADVISORY <br /> in accordance with M.S.13.04,Subd.2,"Rlghts of subjee�s of data"�we wvuld 1'ke to infonn you thatyour coquest <br /> for a permit or liceosc tmm thc City of Oroao or any of its departments may require you to futtish certain privat�or <br /> conSdential iaformatioa <br /> You are notiGcd ths[: � <br /> 1. The inf�onnatian you fwnish will be used to det�armine your quali�cadan for thr permit or licea�se <br /> t+eqaested. <br /> 2. You may refuse to suppty d.�,but refusal muy ncquicrne that�he City dcny thc permit or licx�se. <br /> 3. Tbe int'ormatioa may be shsrod with crther local,state or fedcral agancies to the ea�oent neeessary w <br /> pnocass the permit or license. <br /> 4. !f your nqu�stcd pc�mit or licanse r+equires Council action w approve,some information may bec;ome <br /> public. <br /> 5. Yvu bave cerd.in ri�hts under M.5. 13.O�i(availabk upon request)w review private data on yoursolf. <br /> 6. Your Cult namc is rcquircd to process this application or permit <br /> GreBM' Ailcn �� <br /> F1�t MWdle I,a�t <br /> 310184th Y.wc N� <br /> Addres� <br /> IItain� MN 554a9 (9G3)z29.4932 <br /> C1ty Sare 7,fp P6uoe <br /> i underatAnd my rig6ts as st�tcd abova <br /> �•� � <br /> 9itoala <br /> . � .. . , • •ReAet Fam ' . � ' 32 <br />