Laserfiche WebLink
�� OF ORAN9 � b�247305�0 09/24/96 14:00 � 003/03 �0:5�� <br /> Sac.13.04�IGliT3�F�[IBJ�C'�S OF DA'P•, <br /> �ubd. i. 'Ty�se cf dssta. `�Ae ei8bts of individuoi ou whom the 9a�is srored or�o be scomd 9h�➢1 be ss set forth in this aecdan. <br /> Subd.3. InPo�atlum rAq�rAd'to ba glsen indi•iduai. M lndividuoi asfced to suppiy privece or oonfidendal data wncarning himself,�hall <br /> be(t�Pormed oP; (e)dle pu[pose 3ild irlt�nded use oP the eequestal d�ta wirhia the eollecdn¢9nte agenay,poildcal aubdivision,or atstewidc sysetm: <br /> (�)�rhethar bs may rafl►se oi is lega!!y required m supply ilfe eequ�ssed dsa;(c)nny�sum eonsequenee arising from his supplying or reliising to suppiy <br /> privau or oon?lden�i�i dara;and(d)�he idenriry oP odier p�rsona or enddes aurho►ized by s�a�e or federal I�w en eec:eive�he da�a. ThU requiremenc Shall <br /> wot apply when an individuel i�asked co suppty fnvesrig4dve da�.pur�am to secdon 13,83, subdivision S.to a law anforcemenc oPPFaer. <br /> ,.� <br /> o cammieagner rzP��enue mq� �lace the�ndce reauitad under�'p subdi�isiqn in �he ind(vfdu�l income tax or orooertv r�x�ne(Sind <br /> _ , lnEttucdonc i�stauct uf on�u,so fortns. „ <br /> 3ubd,3. Arc��s to dat�by 6ad[vid�i. �lpon request ro a respunsible authonry,an lndiYidual shall ba informed whather 6e la the sttb)ect <br /> o[otorod�rra on individuafs.aiad whedtmr ic is eiassified as public,ppvue or confldenual, Upon 6is lUrther Rques[,an individu�l who i9�he subjtet <br /> of sa�d pti��e or public dan en individuals shsll be sho�+m the dars withouc any chaeQe w him end;iF he deairea,shail be infoemed of the conCenc <br /> rt�d m�aning of dfat date. Afcer�n individusl has been shown ahe p�i�sta da�a eatd[nformed of irs mesning,the d�u naed noc be diaclased to him for <br /> ni:�tondu thereafter uiiles�a dispuee ar acrinn pursuanc eo ohis seedoa is pendfn�or addidonal dara on the individual h�a been oullecced or crcarecl. <br /> �s tsapnnaible authpriq thill provide copiee�f rhe privam or public da�upon requesc by�he individual subjec�of�e data. The responsible autho�iry <br /> tf�sy requiro tho mqueadn�pmrson ro pay die ae�ual cosu of making,csrtifyino.and eompHiag rhe oopiea. <br /> 'Ihe responaible authoriry shall comply immedlately,if possiblo,w6ch anY rcquese mado pursuant cq Wis subdivision,or wiihln fi�t days of <br /> +�a date of ehe raquea[,excluding 9uutdays.Sundays and l�g�holfdays,iP immedlata com�llancn is not po9sibtc. If'he cannot comply with iha reques� . <br /> �virhin rha�clme,ho shall ea inform eha lndividual,and may ha�e an addlrional five days wld�in which m cornply wi�h the request,excludlag Saa�rdays. <br /> �rultya end le�wi ho{(d�ye. <br /> Subd.4, �roteduee wh�e dn�a is not aceurate or eompl¢te. An'tndlviiival m�y wntest tlta�ttwracy ur complerenoa�of publIc oc privute <br /> dva aoncom�bimselB. To exarcise this right,on indi'viduel shsll aooP�in writing�ho respunsible wrh�dry daezibing�e nsn�ea of the dl�egreemcni. . <br /> T'he teapenafble authoriry al�ell wid�itt 30 days eirher. (a)eorrecc t}ie dam found ta lu inacwrate or incnmplece and saampt te nudfy paF�reelplents oE <br /> inaecu�ta oe fn,camplete dpra,Including recipien�s named by �e individual;or(b)noqt�the indiviclual that ho belleves the dsu�so bo corneee. Da�a : <br /> iA d�pu�e ehsll be disclo�ed aaly if the us�llvidual's saament�f dlsaQreemene is included with�ha di9cloud dara. <br /> '�'he detormina�ion oP ihe responsible au�lioriry moq ba apprrled pursusn�eo o6s prv�isionc of ehe adm►nisuadve proeeclure aet zelacing eo <br /> concested ttecs. . <br /> ' ��TA PdiT,��CY A.DVY�QR�I - � <br /> !n accordance with it�i.S. 13.04,Subd.2, "Righu of su6jects of data°, we would like co inform you that your requesc <br /> for �permit or licens� feom the City a�f Omno or any of its departments may sequlra you to Curnish certain pri�a�e or <br /> confidential information. <br /> �'ou are no[Ified ch�r <br /> 1. The inform�tion you furnisri w111 be used to dccermine your qualificacion for the permit or iicense requesced. <br /> 2. You may refuse to suppiy dara. but rcfusal an�y require tha[ the City deny the permlt or licctlse. <br /> 3. The information rnay be shared with othcr laeal, state or federal agencies to the eAtent necossary ro procass <br /> Sh�p�rmic �r liconse, � <br /> • 4. . If your requeeted pecmie or license t�quires Couucil aetion co appeove, some infa[matl�n may become <br /> ' public. <br /> 3. You have certain rights under M.S. 13.04 {available upon r�qucst) to review private da.ta on yourself. . <br /> 6, Yaur fult name is required co process_thts ]9ca�ion or permic. <br /> . Fi� �O - — L � � I <br /> . <br /> � � . ' ' �� �O �' <br /> cJ�y . - �dw ztp PhonO <br /> ' � ���� <br /> ' t•uaderst iny ' ht� �a sta[ed uba e. <br /> Signw <br />