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FeFeb._ 5:, 2��8,m�2;33PI��Ty OF ORQIVO +85214A4616 T-1ur�� P?OOi/uD2P F4638 <br /> Sec.I].Oa RIG�OF SUBJ£CTS OF DArA <br /> Subd.l.Type ot aoQ. Tue*�ehts o[Ind'+vidu�l on whom the dscn lv e+ored or ro ae�ored sb.0 bc as sec Torth in ckis 6estio�. <br /> Snbd.2.latormadun re4uirea to bc givea ipdhidual.An iudividnu{aslaed so�wODh P�e o�caofidesti+l Jat�caaeer�iog Ahsset[aAau er <br /> io(orraed of: (')di�pu*Pose a+��Intapded aae ot the reques�ed daco Nimin tq0��o n cAC9Ce aen�e ane'Io�1�n hls PP�Y�6����61°YPP`' <br /> wA.mer ec rosy�aMso or ls�esally n�IWired w�aDPb tl1e reqae�A daes;(c) Y 9 <br /> prirpcc or oopddeatial datn;�ad(d)tbr iden4'q�ot Dt11e1'pels°es or eneiiles andtor�ed by state er ftdcral law te r�eive ehe dsu.TUid�eguirement ehaJt <br /> hos aPP7 WAeo an Indiviau�l u��d to sapply ta•�aa`'e daea,paraw�nc ce uceiov 13.82,subdivlsloo 5�te�tarv entorrxmcnt otY�cR. <br /> The mad iAeer (rcveeue lacc e no e Ira4 edc►�his ubdi '(nh in e io ' dusi i cnme x or m e ref�nd <br /> 'wA � h31�1�CH A �f06T f1R115. • <br /> 5abd.3. Arcess to ds�s►r IndiviAusL Upoo reque�t te a�esponglble trrthoriry,��ddlYttlYNl iAsll E@ IG�orm@d wbMl1�AE�s tLc Svbf e�0( <br /> atot�d dsts oa Indtriduals,aod whothcr It is dassiGeO a5 Pu61iy d�l�ete orconTidenttsl. Upon Ois tMrshcr requoq aa iadividusl who is[he 9ubjcoc at <br /> �nd privase or pnpue daca ep tod'nidu�sha11 pe ahowa rhe Q�d wit�oat aer eAarge m Oim saa,�he des�res,rhau be infocmed ot�he contopt�d <br /> meaniog o(�ti�t A�c.. A1�an individaol Rae l�en ehown[!Ie privAtn data snA in(ora�ed ot irs r�eaaing,m�A�ea need aot be dicciwed m E�lru tor sis <br /> mflnt�s�Rar�nit�s o 1lispute or dalon yure�uaat te th(�seotloA is Pendtag oT Additioaal d�ca oo tLe iodl�nal6ai��11ce�ed ur uq[ed.Tpe <br /> raspops+'ele authoricr ehaU p�o+ldo ceP��o�rhr prlvate er pustic dsm upoo requeat by ihe ladirfdaat suDJea ot�be daee.TDa�pons+�k aut6ori�y o+a�• <br /> req�ire q+e requmtiag�x+rson to paY tse acWal coe�e of maklag,certifyisg,aad eompillrtg ehe eopiea. <br /> Tpe rr�►oniible a�ori�Y 8haa eomply i111{Itcdiateh+,if pa�bla,wi�A aoy requrst mede pur�turoe�o tbis suDd(visioo,or wSshlr�frve da7s ofcbe <br /> aen of cLe requ�s+.m�dWdiag Sa�urd8ys,Suoauys aod tega�holidayry t�immed�ete aomplisnce is eo�poasiwirL che re w�(ez�lu�diw Saou�rda Suadw�s <br /> d�attime�hesAsqaoln(ormWeindlviaaal,sadm�ybavennaddisboaiCvedayswl�fnwhich�oeomply 4 �. °S 7� <br /> nad 1e�1 holidaye- . <br /> Subd.4. ProcodarcwLrn 48ta is aot aecurau o�eompkce.M iudlrid�al may aoaeest�Ae accur�ry or ewnp�cten�s oipabtie ar pHwte d ata <br /> cooexrni�ag Al�elf.To exer��Dis righy ra fadividoat shai l ao6fy in Mritiag tba respon�ipt!authorhy dcscflblos�he saty�c�Of cbc d LsaE►�ent TAe <br /> rrrpencible aat6oriq sball wirnia 30 dpr9 eici�er: (v)correct tbe dAra(oa nd[o be+n�ceurs�e or iorempince md attcmpz so noUty P����pi�u of <br /> inaccnr�ce or iacao�plete aata,in��dtns recrp«o a�ey cne�.divieu�i�s tn�udeQ�w'uhecl�e divcloe�asla.bcliev�Ne Aara co be mrrect.Dara lo <br /> di�pHee sN�!(be Ai�rloeed ooiy if[hc iddivitlual s at4iemcet Of 0�C1'eemen . <br /> 1'pe decel'miQaGon of tUe responsible�ntiwtlty may be op�x�[ed pu*s118Ae�o tAa provtsions at fLe aemini►tralive p►eCW urc sK fdallpq to <br /> watested casr�• <br /> D_TA��►C�YAD�SORY <br /> Yn accordauee wEth M�"•�3.04,Subd.��"Itights n�subjeca of data",we wou[d like to inforan you tLat yonr request <br /> fot a permit ar lieense froa�tbe City of Oraao or any of its deparinsents m3p require yau ro furnish certaln private or <br /> cvnfidea�iat information. � <br /> You are no 'hf'iad tLat: � <br /> 1. The iaforwation you furms�wil!be used co deter�iee your qualificadon ior Ibe pern�ft or licease requ��— <br /> 2. 'You may refnse to supplY da�a,but refusal a�y reqnire t�at tlie Ciry deny the pertnit or license. <br /> 3, x'he inform;�tion wsy be shated witb odtier tocaJ,srace oc federal agencies to 1hc axtenc necessary to process <br /> tbe permit or license. <br /> 4. If your requested permit or ficease tequires Council acrion �o approve��ume informa�ion�nay become <br /> publia <br /> 5, You have certain r9ghts ander M.S.13.04(arailable upoo reques�)eo review priraze data on yot�rse3f. <br /> 6. Your fuU name is re9uired to process thia applicatioo or permiG <br /> � ���-•�� <br /> F� MidAle <br /> ZSSo �ls� �,.� � .�_ <br /> Aee�ess �6 3 z � s��� �2 <br /> �1���� 11'1`'� , , �'S�!u � � a s c� <br /> City Statc . 7rp R onc <br /> 1 undcrstaAd u�y rig�ts as stated above. � <br /> SigDature <br />