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AUG—�3`-2004 04 :33 AM P. 01
<br /> Sec,13.Or RJGH'f5 OF SUBJECTS OF DAT�
<br /> Subd� I, Typo o[deco. The rlghcs ot Indlvldual on whum tMe dats le�tored or to ba stored shall be ae aat tonh In lhii oection.
<br /> S��d,2, infoYmaelon requlred to he Qiven Indlvldual. An Intflvlduol osked to supply prlvqte or contldeotlrl Ja�a cancernln�hlrnself yt�all be
<br /> Infarmetl ot: (n)�ha purpoa�und In�anded u9e of lhe requesced datn wlthln the collrcting rtate ogancy,poll�►cal subdlvlalon,or atnte��ide system; (b)
<br /> ��hcthrr Ile niay rtftl8c o�fe I�erlly�equlred t0 9upply the 1'oqueated daCo;(e)eny known consequencQ orlalrig from hle supplying or refusing to aupply
<br /> prlt ute ur con(idential data�and(d)ehe Identlty of other paraon9 or entitles authorized by st�te or federul lew�o recel�e qte da�u. Thls requl�emeut shall
<br /> no��pply whcn sn IndlvlJu�►I la asked to 9upply lnvestlgative dela,punuant to eeetlon 13.82,aub�l��lslon S,�o a low eiiforeemen�officer,
<br /> '�r�mmltRloner Of revaflllB fnev nIOCC lhB�tOdcc �fl� Ired under thlzaubdtvislon lt 1he InQlvlduul Income t�ix or nnu�em tax,rrfund
<br /> InstniC lon�Insteud 4(��n those�(11'�,4�
<br /> ^ SubJ.�, Acces��o datv by Indlvidual. U��un requcat tu o rcaponelble authorl�y,an lndividual el�vll belnfarined wheth¢r he Is�ha subjcci uf
<br /> �eurad dn�u on indlvldunl',rnd wl�ether It la clusslfled as publle,privete ar confldentlal• Upan hld hanhcr request,un Indlvldual wlio is the aubject i�t
<br /> s�ore�l privute or publlc doto on Individusla shall be aho+vn the dutu wlthout eny charBa to hlm and,I(ho cfe9lra,etiell ba informed of che con�enc nnd
<br /> m¢illlill(�Q<<1id��a��, r�f�er nn Indlvldual ho8 becn ehowa�he prlvetc datn und In(ormetl of tt:meening,�Ile datu nead no�bC dlsClused lo hlm for sls
<br /> munthn cl�creafier unless A dlspute or ve�loo purauonl to Shl9 yectlon Is pendl�g or uddltlonol dOtA Gn the Indlvldual hss becn colloctod or craated, Tl+c
<br /> reapunslble uutllurlty sitall ptovlde copiaaaPthe prlvata or publle ddta upon requelt by the Indlviduul iub)ect o(lho dOta. Tha re9��onalple uuchorf�y may
<br /> rayulre the requC&Cing pe�eon lo puy the actuul Coels v[mnWna,al'tlPyltlg,and complling�he coples,
<br /> Thc responaible authorlry sholl comp�y����m�dlutely,Itpoaelble,wlth ony requcst modc pursuanc to thie subdivlslon,or wltl�ln Gve doys otllie
<br /> du�e of the rnqucat,escludlnq Saturdoyy,SunJaya end leyul holldays,If Immedlota compllance I�nol po�sll�la. IPhe cannac con,ply wltN the i'equest wl�hln
<br /> ehai�imc,lfe ahrll so Inlorm the�ndlvldunl,and may have an eJ�ltlonul flvo duya wlthfn whleh to eomply wlch ehe requeat,excludinQ Sacurd�ys,Sundu�e
<br /> �1i�d lugal twlidays.
<br /> SuG�,�, Procedure when dutu ls not eceurotu or c;omplece, An lndl�lduvl rney conlest the uccuruey or eom��leteness o(publla or privatc Joia
<br /> cuncerning hiinselL Tu nxerelse thls rlghi,an iodlvldual shall nodfy In wrlting the responalbla eutharlry deacrfbinQ tlie natur�o(the dlsugreemen�. The
<br /> reep�nsl6lc aulhurlty ehall wlthln 30 daya eltl�rr: (a)eorrece che Jata found to be lnaccur�►�e or Incumplete ond sctempc�o notlfy p�,a�reciplcnis uf
<br /> inae�ur�le ur In�umpletu data,Including reelpleaie named by tho IOdlvlduRl;o�(6)notlty�Ite Indlvlduul thut he 6ellcvaa thtl ddtG to be correce, pa�a In
<br /> dlspute�tiull Gc dlscloaod only If the Indfvlduul's xtatement of dls�Qrccmont la lacluded wfth tho dtsclacd data.
<br /> 1'h�dc�crminatlan of thn redponyl�le autliorlty muy De appealed puraunnt to tl�e provlslons af tho odnilnlstrutivc pr�cedure act rclaling tu
<br /> conte�tcd c�s�s�
<br /> DATA I'RIVACY rWVTSORY
<br /> Yn necor�lance+vlth l�[.S. 13.D4,Subd.2, "Itights of subJects o[data",we would Illce to i»fnrni y�ou that your request
<br /> t'ur a permlt ur license t'rort�th� City of Urono or uny uf its departrnents muy rcquirc you to fur�iistt certain��rivutc or
<br /> coulidcntial inl'or�natlon,
<br /> You urc notified tl�et:
<br /> l. The tnformAtlun y�ou furnlsl�rvlll be used to determine your qualillcatton for the perrr�it or Ilcense requested.
<br /> Z, You rnay refuse to supply d�ta, b�rt rcfusul may require that the City deuy the perniit or liceusc.
<br /> 3, Tl�e in[orm�tion may he shured wlth other local,stete or federul ugei3cfes to the extent necessary�o process
<br /> thc permit or Ilcense.
<br /> �, IT your requested perrtiit or license requfres Councll uction t� mpprove, some Informatiori m�y beco►ne
<br /> �iubllc. � �
<br /> S. You ��Ave certain rigl�ts under NI,S, 13.04 (nvailable upou rec{uast) to review private clnta oii yourself.
<br /> (;, Your full name!s required to process thls opplicntion or permlt.
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