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FROM : NORTHWEST EXTERIORS MINNESOTA PHONE N0. : 952 926 5960 Apr. 24 2003 12:54PM P3
<br /> Acr-24-;0�3 0?:2Twn From-CIT� OF OROMQ +9522dfid"o16 T-3d2 P•009/OOb F-52E
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<br /> 5c�.1?�J�12ICrEiTS OF SUB.f�:(.'TS oE bATA i
<br /> Scbd. 1, T',�o[d:u�. Tt�c ri8brs of L�d:vidua!oa whom�e dan ie seoead or:o be�orsd SYall E�u se�fordi ia;�is secdon.
<br /> Subd�:. 1cEormasica rcQ�red ta he 6ivea indivEdusl. �1n indtv�us!asYed�o s�PP1Y Dri++ax ot eonF,dcaaal dap epTcoriag lucL•elf 51:211
<br /> be{nformed ot: (�he puryesu aad iaaeded uae of ihe reque��ad ds�wi�ia�hc eallecung F�arc agency,poll7cai suCciivisJen.vr�ms�widc s.r3�c�;
<br /> (p)w'j�o�;��he�ay refux o:is 1tQally tequired u su�DlY�he�zquested dam;(c)any i�avm.4:15tquenc�S6SlCg 7om 0.:s sUpQlyi}1g Or�efusing ya�PFI�'
<br /> pt�vom or oet�idm�sl�an:aaci(�7�tie ideR�U�of orher pecsaAs a[rnU�ss aueffol±std b�J st¢le er fedsr.11 laa!Do rorA��e tho�arx. Thic raq�ir�mee:s��li
<br /> fA[Dppjy wh�n¢�1 lr,di•idun! i�asked�o s�tpo:Y is�vesegaore d�t}.pa [o sec�on 13.63,subdivislon 5,:o s iaw enfoccamea,officer.
<br /> 'I11t ce n S " er nf r v +a mav !��e che nv�ce r ��' ' n division i0 ��te indi�idva! incOme rax ar orooervi nx�eF�nC
<br /> �;15[NChO 1 FIC d OSC�. ,
<br /> i Subd.9. Atess�o��ntn Ey indi�'tdual, :Fp�s saq�tess w z m:pon9ib{e av�IIo'i�'.8�indiridUal sh�1!be informed�vh�mer ba is G�e r�bie�.
<br /> oF ar�red�a,a an Indi�iduuls,���d vl1a�er i:i�clasuFied oa p�:blia,pciv��Q vr eonfldcndv. Upaa nJs ts�ar requcsc,sa iadividull wbo is�a s�,�D��er
<br /> af s�eced pnvxce oc publ;c tlaw en inaividuals stf�ll De shown�:e dsm win�ou�nny�n�ge zo him a�d:if he d�sues,s�BLL be�n,'armed a!^te c�r.wne
<br /> ud:nr.ania6 oe d�ac�a�, Afwr�n sdividust ha�beea shawn�d9 pdvsoc da�a.ad iutbrmcd oi'ru meHaa►g,me dacs ne�e.i a�o�b•dis:1osed�c h;m P�r
<br /> s����hs ehereaiu�urileas u aispuw or ucsion pv�suQnc ro�his sec�n is pendlnq ar addiiioasl daes or.�he individusl6ss ban ooueoted or cceaced.
<br /> ;he raspanslblc aurhortqr shzll�novide caFiea of;ha privase or publia da�a upon rrq�eesi by�te indhi�ua�svb�ecc o�iha daa. T�C C�'f70n9�IlIC S4�'Ac7N
<br /> x�ay tequua r�rcqaes6rtg per=on�psy�u az��l coss of making,cer_'f�ing,and comoiLing r�a copi�s.
<br /> . 1'�e r�spoaaibla au�horiry snall comply isce�2dk�cely,i!possibk,wKh a�y requas:�,ade puriuent��th:a wbdivsien,o-Wid�in f ve:!ays cf
<br /> Q�e esu of:hc rcqueac,escl�dfng Saardays,Sundays z�d legz�oltaays,(f insmt4laca cvmpl'raruc is aos poosibia lf ha canaoe eomFly winc�he requos:
<br /> wiuun mac�r�e,l�sha11 so infc,rm c.'�iaa!vidasl.u�maY F.ava an aBdSdonal ffve f�yX witlllt�uDlq�x complY�;:��'�reques[.excl�sting Sa�:rdsys,
<br /> S�a�=ys and logni hollCsys. �
<br /> Subd,Q� F�cedul't whca 3a�is noc accul'ate ar co9plete. Afl lrsdividual may contesc skw G�uraey or compit�c'ssS 0.p�bl1-o:p[iv1f8
<br /> ds�eaxeming himaolf. To axer�iea ehis rigb�,an individual chsil necit�In wririnp fho TeSpansible Su�ho�iry�'e3cr.bieg tM!e saaue uf chu Ciax�s�Cc,ao�,
<br /> Tne i�spensible aud�ria+3Rit witSui 3G dsys eicl�er; (a)eer.au t'he d��fbund co be iaaceurace or seempl�x and atsempcto nonfy Fas[��ipiana aZ
<br /> ;�,r.ourau or mcompl�r�dsra.:nciudio8 rsaipienrs named try ihe indiYid�sl;oz @y aorify she i�iVi�ua;�hac�a eeuaves mc dasn.co�e wcr�e:. ��r�
<br /> :r,disp�a gAall be diselased anly if ttie inQ�viQsai's aateencrt[o[alsa�rcert��is inoiuded wirh z�e disdosed da�,
<br /> The ds�errnic�anon of tna rms�ons�bla aud�vriry may De appeals�pucsuan�tu�e ptovlsicns af;he odatin.Ls�radv�pma�dure a��rala_��g,�
<br /> oun�scefl cases,
<br /> flATA..._pRTVA� ApVxSQ�'y
<br /> In accardance wich M_S. t 3.04,Subd.2, 'Ri�hts of suEjeces of daca',we woulc iixe ro iniorm y�u:ha�you,::���ew�
<br /> :or a pzrmic or li�.ense fi•om the.�i:y aE Orano or sr.y of its depar�mertts m�,y require 5��u[o furnish cerc�in �rivay �r
<br /> confidmiiai infcr�a�:on, ` (
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<br /> You ate notified �ba�:
<br /> 1, TI:e iaYotr_►ation you furnisl�w�ill be used to de�,ecmiste your quallPlca�ion fo:Clze ge�;:ti�or license requ�s��d.
<br /> � 2, You msy r.efuso �o supply da�a, bu�rcPusal ma� requlre tl�az the Ciry dcay thr per�ic o-licease,
<br /> 3, 7�e ir.fof�tion maY be Sha:ed wit�o�he�r�oc21, staee or federal agaAcies ro i�a ex�eot necess�.y to proeess
<br /> �"te pernsic oz [icease.
<br /> a. IF yous rc�;�cssad permiz oz license requixes coun�L' aaion co app�vo, somc infoz�tsuioz zaay 5nco�e
<br /> gublic.
<br /> �. You rave ceRain rights undor M.5, 13.04 (available upon requ.'SS� C7 ICYIC'W PTIVh1[d l�3Cfi UII YUL[SCIg.
<br /> 6, Ycur fr:�; name is requirad �o QsoC�s tti��Plicattoa or pe�mi�.
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<br /> ��ry, S�su ZiD Phune
<br /> unders an.d Y t-S��s st d abovc_ .
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