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� <br /> 9ec.1S.04 lU.NT�OHr SUIIJBGT3(D!'DATA <br /> Subd. 1. Type ot duta. The nghta of individwl on whom thc data ix shmd or to bc stored skull k�e ec set forth in thia section. <br /> Subd.2. Infornuoc�n xaquirod w be given individual. An individuat esked 40 9upply prevate or arnf`idcntial dafa cortcemieg trimself�hall t�e <br /> inf�rmad of: (a)the purpox and irrtn�s3ed use�aff i}+e rcquatcd date within tfie collect�ng state agcncy,politice!subdivpsion,�ar statawide sy�tem;{b1 <br /> whothor ho mey refuse m is Icgally xequi rcd tn euppiy thc rac7ur.s�A data;;c)�ny known consequenca ansing fmm hia supplying er refuaing to auppty <br /> pnvatt or ootdidentiai de04;and(d)tFne id�nGiV of Mher perxms or eotitics nuthorizcd by�tete or fodaral law to r�cei�+e the deta This rcq�ircment nhal I <br /> not appl,y when an individual�s�aksd to aupply inveatigative data.ptuauant in sectron 13.$2,subSivieion 5,<o a law enforcement ad�icer. <br /> ��miro�cac�r of revorwe mav nlace thc noti�gµircd unda thi�ubdivi�ion in the individwl income taa or or+�pe,�t�ts refw�d <br /> .SkO.S�1QiU�otms. <br /> Subd.3. Acce�e w data by individtwL Upon reguost t�a teaQonsible authonry,sa inaividutl shell be infom+ai whother he is Uac aubjxt e�f' <br /> �wrcd 6ate on individuata,arrd whether it is clreuified as public,priv�te or u>nfidcnaa] Upon hia further requ�t,en individuaE who ia the subjxt of <br /> sta�red ptivetc or public data on individtnls ahall be shown the deu witbout any chargc Co tum and,ifhc desires,shnll be informad of the caMeM end <br /> ma�ning of that dita. Aftor an mdrvidual hse been shc:wn the pnvete deti and informed of iLs meaning,tire deu+need+iot be d'+xtoxd to him for eix <br /> moeitha thersafia unle�a a d'sapute or actim pm�uant to th�s xcZion ia pcnding or additicnal data on ttro inAiv{dua!hsx becn colfeated or crc,�ted 'Ilr, <br /> roaponsible authority shell provide wpiee of+he private or public date upon rcquest hy the individuai sub�ect ef the deta. 1'he rospnnsible xuthority <br /> rn�y requirz She requeating ponon to pay ihc ectwi cosU of ttuking.certiPying,ami cc�mpiling the cop�os. <br /> The respansible aukhonN ahrll comply immediately,if poe.vblo,with sny requeAt medo purnuan4 ta thin sulydivision,or within five daya af <br /> tlx dsie of thc req��est,exclu�ding tauxniaye,Sundays mnd legal hoiidays,if irnmediete comp}iance is not pas»�blo.If hc oannot a>mply wikA ihe requost <br /> withm ttut tirne,ho sha11�o inform thc individual,and m�y have an add':tionai five dey a within which w:amply witt�the re�ussrt.excluding Satuodevs, <br /> Su+xlaya�nd teg�!kx>lidays. <br /> Subd.4.Procedurc when d�ns is not eccuratc or corc�lete.An i�iviJ.ial mny conteet tht accutacy or acm�pletcnese of Exabiic c>x Fxivate dW <br /> cancernmg himaelf. Tn exerciz this righf,an individuail shall rotify in w�riting the responsiblc nuthotity descri4ring the ruhve ofthe dieegreemetM. The <br /> naQonsiblc aufhonty ehall+vithin 3Q days eitAer. (a?corroct the d�ta found to be inacciurete or incomplete and attemQt to notify past rxipients of <br /> inaccunte or irroomplete dnta,includictEt recipients na�rnd by the ind�vid;ul;crr(b)euatify the individua!th�t he bclievea the detwto be corroct. Data in <br /> dispute�hall be diaciosod ottly if tht inda•riduaPA eMtement ofdisapcsamern is included with tAe dixlused daia. <br /> The detarrrunation oCthc twponsible authnrity may tic a�peslcd purnuan.to the provisions ai thc admin��trative praxduce nct rclemn8 eo <br /> cm�tested cases. <br /> �1A�'A PRIYACY AILVISORX <br /> In�cordance with M.S. 13.04,Subd.2,"Rights of subtects of�ata",we wc�uld like to infonn you thst yoi,u rec{uest <br /> for a per�rrit or licanse from the Ci�+of�cmo nr any of its deparur�erst�may require you t�fumish certaire prisate ar <br /> confiderytial infom�ation. <br /> You aro notifiad that: <br /> l. The inforrs�s�on you furnish witl be �d to determine your qualificat�on for the perctut or I�cense <br /> requasted. <br /> 2. You msy refuse to sta�ply ci�ta,but refizsal�ay reqwre that the City deny the permit or iicense. <br /> 3. The infom�ation may be shared with other local, st�te or federal agerscies to the�tent nece,ssary tn <br /> process the pemvt or license. <br /> 4. If your requested pertnat or licer►se requwres Counci:action to approve,some inforrnation may bacome <br /> public. <br /> 5. You have certain rights under M.S. 13.t�(available tipon request)xo rr.view pneate data an yourself. <br /> 6. Your fisll name is req�uired to proctss this ap�licatian or permit. <br /> �• <br /> ���ti�Z-'sl`' �" �M i (� <br /> Rtrst Mld�e Luc <br /> (���S� Svv'{-1�! S���.;71-_S �--:�_1�,�—� r'��`�- --._�. <br /> Address <br /> ��L� �ti:�e�Ir�.t� � 1M r� �"S�� U � 5�-.- � >�: -GS-� �l <br /> c�y s�.� �P e�� <br /> I nY�oy ri�b atAted above. <br /> _ � ���. _._�_�.�_.� �— ___. <br /> �• <br /> � � � 3� <br />