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m:LES JONES ROOFING 952 881 7009 10/09/2008 12:11 #514 P.003/003 <br /> .. <br /> 6ea13.04 AIGH1'S OF SUBJ�CTS OF DATA <br /> Sabd.1.Typo of dete. The rigbb oPin�vidael oa�vbom ffie dale is e�ored ot to be dored aheri be e�aet foa�in this wotion. <br /> 8ubd2.Iafa�nuimieq�uiedtobei��indlviduaL Aniodivi�alaflrodtoeapplypeiva0oarcamfidamtialdaa�aocam�6imtelf�hallbe <br /> int'artnoed ot(s)the p�upo�e andinEaoded aae o�tl�e requesled da?a within the oo�actia6��6'�Y.Politied�abdivi�iao,ar st�wide�YsEsn�;(b) <br /> p�v���oam�8a�a.��i-,lm�d(��i�� or������.,�����Led�l���ve`m`e��zbi.�m`�ply <br /> not app�wLem�m mdividaal is esked to supplY imve�i�ve dats.Piaw�t to�ecda�I3.82,subdividoa S.to a law�offic�. � <br /> 'Ibe coom�ioeer of tevmm mav nlece the nodce rmotted under this aubdivi�QR jp the L+����a+��a�p�y�y t��t�� <br /> iast�actl�s ioewd of m thon foxme. <br /> Subd.3.Aooees to detabyiodivi�i.11Paa�qu�tm at�tPo�ibba�ha�hY�eaiadividual�II I»iofomm�dwh�tl�isb abj�aR of <br /> aaed d�o�iodivlda�L.end wLefLarit u clu�ified ae pnbHG P�vate�cooBAmtid.Upaa hit fartharreque�t,an iadivldael who i�4u�abjeot a� <br /> sfared psivab«ppbUo dsb m individueL shaU be�Dmvn tho dde wiffiout e�y o6�e W Lim md.if be deaita.ahs�be iafo�ed offfie oontent ead <br /> mamio�ofthse d�h.At�ot an iadivtdwl ha bem�howa the privste dus and i�!'aamed ofih a�oin�,ffie dafa ueed naR be disotoxd t0 him fac si: <br /> mmths�unleas a diipute a�aceimporwame to 9�seodon u paodm�or�ddtdoml daa an tbe iadiri�el hi�u bam cblleatad ac ctested.The <br /> �P°O���4��P►�►���P�����P����bY the individml w�ject ofthe dda.Ths�epoo�ibls wffiodty <br /> mq'iequiro the reqaestio�Pecwn to psy tl�e aotoel ca4 ofaukiog,cattifyio�.�nd ca�mp�iog d�e copia. <br /> The�'��h�00��5'�r.ifro,.+b1e.wi��w��cm�p�w�e w+hi..nbdivitiam,or.vitlnns.ro aQy.of <br /> aba��me��.��.s����r�.�'����.�c�b.��c�►�r.�.m� <br /> whhia�t tima he�tlaiofamma�udividwl.aodmryh.ve m addtflomlavs day�wtffiiawhichtoaamp�+wiOtLereq�wt,aacoludina S�hv�ds� <br /> Smdayr ond fegal holidaye. <br /> Subd.4.Pe�oadu»wlwudwi�aot�oa�naaroomplea�.Aaindividualm�yoamrtacmeaooma�yaeamplKmeesof�bBaaepdvatedata <br /> oonoemimghiordL Toa�aevieeffiis.rl8pt.anindividndeballaotiiyinwtiting�ezerpawibbaumoritydaaeibios6uaapuea�tbsdite�to�nt Tbe <br /> tayoaa�ble authail.Y ihW withip 30 dsy�aitl►ec: (a)ooaoot ffia de�a found t�ba io�cauate or iacampie0e and atte�qrt to aotllY P��� <br /> ia�wr.a or 9uoo�a�alete d�Er,�olp�ns roo�imt+m�odbr�e mdivifiw:«N)amifYmo i�ivlaoel thabebexevesmo aat.to be oo�med.n�siu <br /> dirpuoe�6�IL be msdasad aoly if�e iadividmPs ststa�ant of die�oemaot is iacluded w�ith ffie di�c�aad dsts <br /> The aeD�mti�of die ra�pmabk wthazity mq ba sppe�led poawant to the provlaoa.o��e edmini.h�liv�e prooeaiae.ac�to <br /> oaateWed anas. <br /> DATA PRIVACY ADVISORY <br /> In accordeace with M.S.13.04�3ubd,2,"Rights of Qubjcct�of deta",we would liloe bo info�n yon that yo�r raquest <br /> for a permit or licease�+o�the City of Oromo or aay of ita depattmemts msy require you to fiunish cerlain p�ivate or <br /> con8denubel infornostion. <br /> You ara notified eha� : _ <br /> 1. The iafaama�ioa you fiunieh will,be vaed to determine your q�alification�o�the peamit ot licenae <br /> recNoated. <br /> 2. You may refiiee to supply dsta.but refusal may require that the City da�qy the penait or licenee. <br /> 3. The information may bo sbared with other local, stata or fedeisl sgwciae fo the ext�t aaxsa�y bo <br /> pz�oces9 the pezmitd�licaoae. <br /> 4. If your reqnested pesmit or license requines Council action to app�mve�some infor�mntion may become <br /> public. <br /> S. You have certaia rl�hts under M.3. 13.04(available upon iequest)to review pzivate data on yqurselE <br /> 6. Yoar fiill naa�e is required to proces�ti�is applicarion or pe�it. <br /> Ftrst Middk Lut <br /> Addrea <br /> Cl�y 8t�te Z�p Pho�e <br /> I anderstand my riehb ar atated above. <br /> �� <br /> �. � r� ,� �?� 32 <br />