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Jun-JUN. 1.2001�m 11�35AM TY OFSPECIALIZED TURF +85ZZ494616 T-�NO.89902/OO�P.3/1ap <br /> Sec.13.04�RtGHTS OF.,RTBJECTS OF D.�T.� <br /> 5ubd, l. �pe of data. 1be righ�s oP iadlvidu�l qa whom eLie daei is s�osed or ro be siored shall be as srt PoN�!p 1'bis se aa. <br /> Suhd.3. Lnforcrsatioa reqidred to he giam indfv�dt�l, ,�n ind,�idual agked ro supp�y privare or eonfidcneal daQ cooce - himself s4aI1 <br /> be ltlFo[p�ed of: (a) rhe purpose aad iurended use oP���rqueatnd daQ u�i�hia tbe caUeedris i�t�agenry.Po�idca�;y,bQfyision,ar s� 'de sysxm� <br /> , (b)wheehe�he may tefuse or is legspy rtquired�o sapply�e reqaesxd ds�;(c)aqy fa�owu eonscqucaee a�siag fro��,s yvpp►y(a�t orre ing to,vpp�y <br /> plNyDe o�eoufi�+enosl dsra;snd(d)she edaaeiry ef o�her pe�ons oe ertQaes authoraed by saoe or federsl L�.,r m cee�ive che daGa. 11tf5 req Stemeac sball <br /> noi apply wh�n an individus!is asl•ed ra,upg�y jqvestigadYe daa,p�xcs�wc io seorioa 13.$2.suhdivisian 5, m a law cr�{o�eerpeo6 o�C r� <br /> TAc ea misaioner of revenue av I�ee rhe narice rcauired under�T1is SvbdNision i e " "v" inCorpe las or ro u.�e l9ind <br /> Ensrcucsions inscead o�on rhose Porms. <br /> Subd� 3. Access�e d�ca by individval. Upen reque$��o a I'cSpoRsibk aucbatiry,ae iadiVidual shall be inFormed wha�har Eta rha sulZjcct <br /> nf srnred da[a on i�dEviduals,and wheciur ic is classified ss puhlic,p�vuco or coRfidenoal. rlpaa his Pur�her request,aA iadiv'tdual�+ho rho�ubjtet <br /> of sZoted pcQvate oe pub[ic da�on indlviduals Shal1 be sGourn d10 daL�u�i�hou�aay eharge io hia�snd;if he dcsires,sti3U be irtforaud i th�eoarent <br /> un�mean;ng of d�a�dnr� .aE�er an individu�llus been shown ehe privare da�and iriforu�ed of ics me�aiog,�z dd,ta aced pot be disNos d m him fa� <br /> six mon�hs�acstrer arile�s dispam er acQou pursu�nt ra this secQon is pending or addidoeal d�ort�te iAd(vfflual has been coUe� or crcaad. <br /> 1"he responsbla authoriry sha11 p�evide eppies o�r1►e pdvy�o�publie dara upon sques�hy rhe individual subjccc ef tha dura. Zhe reypoa bla sudtoriiy <br /> ntsy tequiee rhe requesiing person R�pay�he acmal eosa oC rtlafung, eetpfjrfrss,and compiling thc copies. <br /> 17fe 1'eaponsible aurhariry shall comply immediaaefy,if posslbla. With aAy tequesC inade parsuant�o dus subdivisinn,er wi►h' tCvc dqys ef <br /> a�e a�m oe�e c�quesc.cxoludiag Sa[ucdsys,Sundays and legsl qolidsys,fP frtunediar�eom�linnce is eoc pnssiblc_ If he caimo�cernp[y wi che rer�ues� <br /> wirhin rhu rime,he sball so inform dto individual,and may havc an addidonsl fivc days wirhfm whScN oo cflmply W Srq�he r�quesG eacl�d' Suurdays, <br /> Sqnday5 and Legal hoLi4ayS- <br /> 51�hd,a, procedure when data is not aecarste or eemplete. A.0 Indlvldual moy eon�esL�ha aceue5cy or comple�eness oFpub io o�prira�e <br /> da�coruc�ning htmsolf. To e:erase�hu righ4 an individuol shall aodFy in wririag�fc r�spo�sible au�ioriry describiiwg�he nacure vF We sagse�raeu�. <br /> �e t�spoissibLe authol7ry sha11 wid�isi 30 dsys either; (�)aon�cc►he dara Found w be Irfaoeutate or uuomplece aad aCtcmpr to nodfy pas� alpjent5 of <br /> �naccurace or incomple�e da�a,irteluding reciPiaacs namcd by rhe i�ndtvtdual;o�(b)noRfy the f�adividual tha�he bdieve�rhe dara.ro be c rr�eG DaLz <br /> in�ispuK shalt be discloscd only if d�c i�divid�al's araremane of dissgr�ement is induded wirh rhe discrosed da�a.. <br /> Z1�a dececminz�on of�e responsible nurhority msy be appealed pursuauac to rtu pra�{sinas af the adm,inisRanve procedure a e 1+�ladpg m <br /> con[es�e8 ascs. . ' <br /> DATA �`RIVACY ADYI50RY � <br /> 1a aocordance wich M.S. 13.04, Subd.2� "Rights oFsubjects of data"�vre would like to informyouLha�yo r�equ�se <br /> for a pernsi� or lice�.se f�om the Ciry of Oroao or aay of i�s d�par�alanxs may require you �o tv,taist� certaia rivate or <br /> confideacial in.focroscion. <br /> You are aoti��d ChaC: <br /> 1_ The intorma�ioR you fumish wiil be used�o deie�r your qualifica�ioa tor the permit or Iicense queste•cl. <br /> �. Xou may reEuSe �o suppiy data, but refusal may x�qui�e chat[he Ci�y deay Cb�o petmit or lice <br /> 3, TEie iaforma�ioa may be sbared wirh other local,s�are or fedenl a�eucies to the exr�nt necassaty o pmcess <br /> the pernut or liceose. <br /> �. If your reqneseed peemie or licease reqvires Couacil accion �o approve, some iaforn�acioa becou'�e <br /> public. � . � <br /> S, You have cenaui cigh�s under M,S, 13.Q¢ (avaftable upon raques�) co review priva�e daca on y urself. <br /> 6, Your full aasae is required �o process ihis applicacioa ur permi�, � <br /> �� cRass C�,�o����r ���>> <br /> Ft=sc �Siddle Lost <br /> z z S.s �Q f� S-�. S <br /> �ddrezs <br /> ST�N6S !�'oN 55033 f/-y3?— 6yy` <br /> Ciq� Stgx Zip Phone <br /> I understaad my riahts sra�ed above. <br /> Si <br />