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<br /> sp�.ia.n� Kuarrsui��i!uiucr�urunrn,
<br /> � tiuhd I I'y�oi'd�ua. I hc rignts of individuul�m wt�oin�hc dal�i��nu�i�ki rrr In ho atnral�hail lN:uy ycl fuitli in this:rrunn
<br /> Sul�il 2 Ir�fin moiion rn�uired lo he qrven mtliViUual. Atl Ipdi�iduul i�Yk�J lu supply p�ivaie nrcnntidenunl dala curn�������g hinisel Ibh;ill M�
<br /> ,nti�rn,ed of (a)�he purposc ond mtcndcd uyc af�ihc.rcyu�:sleJ d�d,i.v��ld�i ihc cnllecung s�a�e�gcncy,�hlicul sulxli�i;i�in�i�r SI��r.�aiAe s,yslem_(b)
<br /> �vhclhcn c�muV«.lusr.iu is Ir..etdly iaquir�rd t�.aq��ily the royueKl��data.fC)tln,y knpwn wnsoyur.nCe cuiginF,fYom his�upplywg vi rcfuiing�o supp�Y
<br /> �u�v;d�,r�r r„ni idcm i�l d,in;snd(d)ihe iQzmiry ol'utl�cr persons o�cnuucs uutl��vir.r.d lrv:�1:���'i�r tsderal IawtU PCCCIVC thc duw.'1'his i��aui��uie���sh+ill
<br /> noI lpply ufien an mdividunl iv uykeJ lu supply invr�:l�r;�i��H da��,�ursuant to seetlon 13 82,suhdivisiun 5_Iu a L�w�:ninrcemenl oll'�ccr
<br /> "f1��.��q�u�i;•inm+.r i�f rnv�+,nuc mnv nlaco th�aoiice re�nrcd unJ�r�his:;ubdivisiu�n ihc individ • i r ru�uity liil�_.1:!+li�nd
<br /> instruc�innF ins�aaJ.s2f on thusc turms.
<br /> Su�ai i A�ress�i�da�n hy indiuidual Upcm rcqucsl[o u respun:aiblc uullwi ily.�m individual shall bC intortncd whcUui Iw i:�Ilx�subjr.cl ol'
<br /> siorod Jata on individunls,und�vhc�hcr u�v clusyificd us pul�lii,p�ir+ia nr cnntidential. Upon hls furthcr rcyucst_a������i�vidunl who is thc su�Icc�of
<br /> slurcd pnvule�+r publu:dul��u�r����I����I�a�l.:l,oll Iw.shrnvn rhe dau,without any churgr lulum�u�J,�fl�r,d�nire.x,shull bc inFomud ol ihe cuulr.nl u��tl
<br /> mcaninF af ihat clala AR�r:�n inAiviAu�l hac hccn!�hnwn thc pnvutv Jula�wd inl'i�rnxud nf its m�n1nR.lhC datu nc�d nul br.di�a+lnscd io him I'or six
<br /> mnnthv�hcrenlirr unlesr u disput�ur ucuun yw;;�ud lu Ihi:.s�ntinn i.a pendin¢nr�ddifionnl dalu un lhe wJividi,�I h:�s heen cnllected Or cfcatcd flio
<br /> �e�p�ne.�ble wtl�oi iiy shall provide copies nf th��nv:�ie or public Aata upon ru�uc;l L�y(Ilr,.inilivii�uAl 611I1JCl:l O�IMC(IQ[F1 I'FlC(l'Spu�V��dr,.:ndhnriry
<br /> m���rcquirc Ihc rcquc.rtmR pervnn tu puy lhc.uctuul cu�ls u��n;'ikint,��enitping,and cmm�ilii►R chc con�cs.
<br /> Tl�e r�apinuiblc au�hurity sh�ll eamply immtdia��ily ifpnssihlc;wnh uny rcyur;;l u�:�ile�pursumri to thiti SubdlYi9i0n,ur+ruliu�I��vr.il;rys nf
<br /> Ih�c4��n nl'ihc ri.q�K..i.e�chiAinp Smurdn,ys,tiundnyv UnJ Icgul hu6�luy:�.if i�imuuiistc comrli�ncC IS nof pos9�ble. I I hc c,uu�(�t�'��m�ly wii.h thd n�quC9I
<br /> uilhm tl�ut Ume,he shull si�iuicr��u U�e i�xlividual,and may hav�an,�dd��innal tive days�Mlhm whic6lu�a�mply with the roquCsl.CxCluJing SulwJu,ys_
<br /> SwUiays nnd Ic�al hoG�l,ys
<br /> SubJ .t P�iwcduic whcn dnin is not occurme nr r.nmrletr. An mdrvuluul muy cunlr,.t tl�e a��:ur�c.,y or r.nmplc�cnc.�ti nl'puhlic ur pirv,�l�iLd:�
<br /> i.on�.cmmr him;:r.lf Trt�xen.i4c ihia ri�,h[an mdrvidulil�thull nulily m w�iti���Lhe irsponsible a��lh�xiry dcscnbmg lhe nutuie uflhi:dis�prennenl, ThC
<br /> r�,�„�,��ni����n��ruy.hnu��,u�,��30 days citll�i. �n)cu�rcet the data fi,un�i 1n hr.•innccurate ur uicumplrle:���d attempi In nnlily paai recipicuL ul
<br /> iiwccu�ulc C��uiromplcic dnta meludin�rrcipienl�npMiul hy nc�mdrvieluaL or I,bJ�wlify Llie iiidividual thae he h��lieves the duW tu be e�niecl n�1�in
<br /> di::pulc o6;dl l�r Ji,�lcned imly if'tNc inAiy�dual'S�tatemcnl ul d��ayicctncul i:,inoludcd with thr di:.clnacd dnlu
<br /> I'h0 de�crm�nalion of lhC[c5ponsihlc uuihurily muy L+u aF�pr..,il�il��wsi��nt to the piuvisiun��I ll�c udniinishnhve�rn�^eAurc nct roluung tu
<br /> contcslcd cuscs
<br /> un•rn Ptt�va�v A�v�SORv
<br /> I n t�ccurclrvicc wil.li M.S. 13.04,Subd.2,"Rights of subjects of data",w��wuul�l like ta inf'orn�t you th�t ynur rcyuesl
<br /> for��ermir or licensc frnm �hc C'ity uf Uninu ur culy of�iLS dep:irhttcnls m�i.y reyuirc you co furnish certain privsdu c,r
<br /> cnnlidenlial infnrmati�n.
<br /> Ypu�re notiY►ed that�
<br /> I. 7'he intormalion you furnish will hc uscd to ��teiti►llne your qu3lit.icaiinn fiir thc pernliC UI' liccnsc
<br /> req uested.
<br /> �. You mt�y rel'use ta supply data, bu[rcfust►I mtry n+yuiiz thac clze City dony�he pccmit nr licens�.
<br /> 3. The inEorm2�inn may he sharcd wi�h u�hcr luo►il, scate ar fedcral .iLr.��cie, ti� ehc cxtcnt nec•essary to
<br /> process d�c pern�it or license
<br /> �4. Ifyour requested pormit or license requires Cauncil su:lic,n in approve.some inf�rmalion may btcome
<br /> publi�.
<br /> 5. Yau havc ccrtai��riklus unde��M.S. 13.U1 (�vailable ur�n rcyuc��)�u revi'rw privatc dala cm yuunclt:
<br /> (i. Your I'ull nurnc is rt:quired lu prucess this applicalinn nr rermit.
<br /> c��� JQ�� C .�f�,� .
<br /> h'I�xt MiJrll� L�►sl
<br /> l.� �a �2 � � /l�- . �
<br /> nuu�ca� / A ,q
<br /> � G / . Y '�YI� ��� ! 7��a " a,3o r ���✓�
<br /> Vl/ / 5
<br /> c���� si�i� i�� Phnnc
<br /> l ui�deistoiid my right s �ted�boue.
<br /> �
<br /> $ipnnlure .
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<br /> �; ,�r,'r�:ti%'�''�'��Cf'Fotsta ;,•�,i'•.`'����1��; 3?
<br /> ' '''::,,�h i•c c � _:a:�S�Cs�i{�IeOOi��u
<br /> z�Z'd 9Z9b6�zzS6+:ol 68T6 0�Z 0Z� N3W�f10�IdWI 3WOH �If10l,�w��� bO�ZZ 900Z-ZZ-83�
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