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• e <br /> Sca13.04 RY(`rATS OF SC�JECZ'S OF DAT�► • • <br /> �hd. 1. Typ�o[daes. T6c rigbcs o[indivfdua!oa whom t�e dam is t�oeed or m be aoted shai[bs as set fa�iu rhia aecdaa. <br /> Subd.3. Ynformatloa req��to be pvea indivWwl. An indlvidual�ted co�PPb�Privaae or wti0deod�l daa concerain�himsalt sba11 <br /> bo iMDcsled a�: (�the puipcse zod i0oended use Of d1C[equa�Dd dao withlII ibe C011eCCog�tati a�eepeY.Poliatal 3ltbdiv;sion.ot=D�Cwide sys�m: <br /> (b)whether he may teti�se or is IegaUy nequi�ed m supply the mqueaxd dau:(c)wY kaowu coas�qusas�a�isia6 fmm h!s supplYing oe sefusing m supP�Y <br /> priw,ue o�confidead�l dara:a�+d(d)she idand�y of odur peesons or enfld�:s aurhoeized by�nta or fedeisi law to roceive me daa. This requtreroaec shall <br /> ' not apply when an individual is aslced w�PP�Y�vesdgaave dam,pur.vanc w seccoa 13.82,subdivisioa 3,to s law enfoecemonc of�eer. <br /> cam�si ss ner f rev u v I�ce n ' e 're under tlfis wbdiv►sion in �he iadividua! income tu a�r4�ee�v csx R�+�d <br /> insRuccions ins�ad of on rhnse_far�. . <br /> Subd.3. Aceess eo d�ta by individuo[. Upon�eqaes�m a�t�poosible au�ori�y,an iadividual shall be inFocmed whetl�c he is�tu subject <br /> of swied dan on individual+.and Whe�loer is is elassifud as public,priva�e or contidanall. Upon hls t�srher requuc,aa individual a1w is�ha subjzcc <br /> of uored prf�ace or publk da�a on iudividuds slfal]be showe du dsa a►fiouc any cha�e m Eim aM:if bs desur.s,sball ba info�med of the concera <br /> and mwain6 of d�s�daa Afoer nn individva!has been shown rhe pdvsie da�a end iatomud of i�a mcaaiag,rhe daa►need ooc be disciosed ro him fo� <br /> si�c mondu rhereafser unlasx a dispute or ac5ae pursusne so this secdon is pes+dinF or eddicons�l dan on�e iadividual bas beon colleoc��'e��� <br /> The respoasible surhociq shall pcovide copias o[d�e pdvate ar pubtic dan upon�equess by c6e indlvidual subjccc of du dsn. The�sP <br /> may requin d�e requecdng person ro pay dte aco,al cosrs af making.cerrifying�aad compiliag du copies. <br /> . The e�espensible aud�ocicy sbsll comply immediawly.it possible,widi.ny«quosc made Puzsu'a'm�iis subdivision,or wi�hia fiva days of <br /> d�e dax ot dio rcques�,axcluding SaNNaYs.Sundays aod legal holidays.if immedisx complianec is not possibla If he canno�coraply wich dse requesc <br /> widtin�hat mae,ltie shaU se infarm rha individual,and may l�ave tn addiaonal&ve days wid,in which to comply wi�b che�ques��excluding Saacrdays. <br /> $updays snd legal holidays. <br /> Subd.4, proeedure�+hea daca is no�eo�tu'��°or aomplece. M individusl�Y conaos�fie accuncy o�completeness of public oc privare <br /> dan concornins himself. To exa�cise this righc.an individual ahall nodty in wridn��ha responsible au�ho�ry describing rhe aatuie of�►�i���of <br /> The�esponsible aud�oriry shatt widfia 30 days eirhee (a)correcc�he d��a fou�ro be inaccoca�e or iacociplek and amampc m nedfy P <br /> inaccu�ate or ineompleoe dats.iaeluditf8�ipienn natn�d by du indiv�duAl:or(b)ttodfy th�individual�ha�he believes d�e da�s w be correcc Da�a <br /> in Qispux shall be disclosed entY if d'c individual's sa[emenc of disag�emnn�is includad wi�h�he disclosed dara. <br /> 'fie deresminadon of rhe rcsponsible w�horiry msy ba apP�:aled pucsuanc to t!►e provisions of die admiaisorscive procedure act relaaag w <br /> contesrod eases. . • <br /> A A P 'ACY ADViSOYtY <br /> � In aeeordauce wich M.S. 13.04,Subd.2, "Ri�hts of subjeecs of da�a",we would like to inform you tha�your requesc <br /> for a permi� or lic�nse from the Ciry of Oroao ar any of ia departmears maY re4uire you to furnish cenain privace or <br /> confidencial informa[ion. <br /> You aze notified rhac: <br /> 1, The inforanaciou you Piun.ish will be eued to de�ermiva your quali�ication for rhe permit or license requeszed. <br /> 2. You inay refuse to supply data, bu�ret'ussd maY ra4uire that che Ciry deny �he permit or license. <br /> 3, 'Ibe informatioa may be shared wi�h other local�state or federal ageacies to che ex�ent necessary to ptoe�ss <br /> che perulit or Iicease. <br /> a. IP your requested permic or license requires Couucil accioa co approve. some iaformation maY become <br /> public. <br /> S you ha�,e cer�aia rights under M.S. 13.0�4 (available upon request) to review private data ou yourself. <br /> 6, Your full name is required co process chis applica[ioa or peruv.c. <br /> Fira� <br /> Middk �� <br /> Address � <br /> 5� Z;p Phone <br /> Ciry <br /> • i uaders�and my righcs as srsted above. . <br /> Signsate • . � • <br />