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� i �r vRvlrv � o�cyr�u�'IU 09/24/y6 14;00 [� ;03/03 N0:52�
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<br /> S�o.1��04 RIGIIT9 DF SUBJ�CTS�F D�TA
<br /> .SuF+d, L, '!'�rp�of d�ta. The c1Yhu o�Indlvldutl on�vbom�he Aa4 I■•smrcd oe�u t+e scomd���I!b��t�ee Ibnh In d�l�oeectan.
<br /> Subd�7. Wonnotlae riqudnd to be�Ir�ladtvtdwd. M Ittdividurl vkad[b�upply pdveoe o�aonfidoodd don eonasmins bittuelf Rhell
<br /> be Intolmed of: (�)d10 pUtP01E�fkl IDIaRded I/Ie o�d�e Rf{tlase�d datq WId1tA df!C011eadllj ITite sge.l�ay,pelidF�l aubdtyidon,or�tite�vida s?ntem:
<br /> LbI whether b�may rafl�u oR b IrogWy nqufrod ro s�+PPly th�rrques�ed dou:!c1 rrry known�onsequence ariUng frnm hls eupplyln�orcelliaing tn supplv
<br /> prlv�a orooqlldendo[d��;and(d101e idlnriry of odie�peRon�or tedoes aud�otlzed by sue orladstAl leu►m recelra tha dau. 'i'6ti roqulratrtopt shul!
<br /> nos�pply wAen on fndiriduel ls ndce�!eo supply�n��9dg�dve daa.purtuont ro caodoM1 13,81.subdlvla�on S,to a lew eN'oresment o(Pi�t.
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<br /> �o �Qmml�itener ol rovewc m� alac�,�e nn ce r�rn,�g,d under rhis,�y,b�i�i�inn_.____I�,ih_e in�lvldual tn�ome ax q,r oronmtv_r���.nlund
<br /> __..w 1�u�Ncdoi�a,t��d���l6��..[Q.�t� . � � - : , . ` - , , • � ` ,
<br /> . Suhd�3. Acc��a eo data by indhrid�ol. [lpoe hquee�!o�ra�punsiEk authori,ty.�n ladlvldu�l shsll ba info*med whath�t 6�le the supJace
<br /> o�rta�ed d�ea an iadivtdnas,ind whed►or it ia clafslAed it public.p�lva�s o�confldandal, Upon bia Nrd►er te�uss�,an Indivldu�l who b the subjde�
<br /> q�.,�ored pdv�ea o�publlo deu on�indlrlduel��htll b�ehown�1+e dau wi�ow e�ry cho�[�a W hla�•and;I�he deetres,ahali be infenned of d►e eonnenr
<br /> ' �ni1 meaidna of d��Rdaa. AMr on fndi�idu�t ha�baen shown Uii pilviu�:ra�nd info►med of[u�eening,t�!d�ta need mrb�dlselooed ro.hlm for
<br /> d:amnthr ther■rhor unl����dl�pu[a er�odon purouanc m �hls seedbn is pat�ln�or addi�on�l dnai on the IndlvWuoil har been eollec�ed n�crea�ad.
<br /> 11,e mpnneible�u�hpdg��h�ll pmvlGe eop�e,ot�p��aoe or pubNc aea upon�equese br�+c indtvlduai NbJ�ca or tlro da�a, The rerpn�aible ou�hodq�
<br /> tn�y trquil■the mquesdnr p�rfon N MY�e�u:iusl cosw et niaWn=.cerdlSrinO.ard eom�lll��ho copt�e.
<br /> Th�rosponcible sutbo�ity.�h�ll comply irMudl��sly,if pot�lsla.alth any rcqueet m�de pursuant�bcis�ubdlvlelon,or ai�ftl�A�e dsys of
<br /> the dele of q�e nquaec,excludlnt�aaN�Ys.Suadays�nd leesl hollday�,If Unmedla�e eampl�snca is not po9efhlo. INhe camno�aompty wlth d�e roque��
<br /> N►IUlln tlut dme,ho al�ll W in(urm tha Iridlvldu�l,and maq haw rn.ddiuonpl flve d.ys wld�in whlcfi oo aornp�y wld��requ�e�,���ludlag 8qwrday�.
<br /> RvnJeye nnd I�rl holldty�.
<br /> Snbd.4, Atoeodue�whY�ds�a:�net veeurota or camplete. An I�dl�utu,l m�y aona�i iMe uoeunay or complerenoa�oPpubtk orp�r�ce
<br /> d�u ooneom�nR h����• To ucorciie rAis ri,ht,u+iedi'viduel sh�l 000ly in wcidna ihe rosponslble aurhodb desertbin��e nemro af�ho dl�nemene.
<br /> 71te�e�ponelbls�u1h�ry d�e11 wl�hl�30 d�ys ei�her. (a)wmat d�e data foa�d tp be ouecuewte or incumplm[e end�uymp��o nadfy pue r�elplepta nf
<br /> (taomun�e or Mcompl�te dpm,lncludin�aciplentr named by �e indivldnal:or(b)nodl�dro iadiYiduol th■e he belle�ez tl�e dam w be eorroo� Daca •
<br /> In dl�pu�e,hall be dl�sbasd only If�he indlvidusl's sa�amdnt o/dlsaorcemonc Is Ineluded wtrh�6e diactns�d�4m. '
<br /> �'Ito deoerminndon o/�he n�panaible au�horicy msy bo�ppeal�d puraueni ea du pro�l�tonc of the adminlewd�e proeeduro act relatinR�
<br /> aante9Ged C�bts, .
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<br /> ' �d�A i'atYA�Y.��
<br /> In accordao,ce wl�h M.S. 13.Oa,Subd.2, "Iti�6cs af subJa�[s ot da�s�', we would 11ke co inPorm yyu that your requesc
<br /> for a pecmit or Itcense froro che Ciry af Omno or su�y of its depanm�ar��a may requfre you to 1limtsh certatn priYate or
<br /> confidentlal info�rmation.
<br /> 'Yoa are no[[fiad ther;
<br /> 1. 7'he 1nPormec�on you furnish wiU be used�to decermlae your qunlificacion for�he Qermic or lieen�o roquea�ed.
<br /> 2. Yau�may tofuso to supply daia, buc teltisul may re�ulre chac the City deqy the pejmlt or lioat�e.
<br /> 3. The informailon mey be�shaced w[ch o�her loeal. s�a�e or federal ageQoioa �che excenc nec�ssary to procese
<br /> the permlt or lkenae,
<br /> • 4. . lf your roqueece� pecmii or IL'cense requlros Couacll netinn co appmve. �ome inforrrittbn may become
<br /> ' pubti�.
<br /> S. You have ccrcain righ<<a under M,S. I3.04 (sv�llable upon tequeat) to�review pdvate dst�on yourself,
<br /> 6, Yaur full nnme is requiced to proce�s tbls appllcuion or parmic.
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<br /> CIW ' �nn Zip P6utu
<br /> ' 1•ut�det�and �my �iglite uz staccd ubove. • �
<br /> Bi�nonn � .
<br /> £/£ ' d 8ti�ti' �N Wd£O � ZI ZOOZ ' ZZ ' Ga�
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