06/03/2008 TUE 09:�2 FAX 76� 542 9001 DOLPHIN-MINNESOTA POOLS C�002/002
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<br /> Subd. I. Type uf dula. 'fhe i'�ghls pf individual on whom tha dillil 13$LOYCd Of t0 tlC 5[OICd SfIF1II bC il$5!1�OIlII IIl iHIR ACCTIQiI.
<br /> Subd 2. Inf�rmuliun rzquifed�u be givcn indi�idunl.An indivi�ual 7�k��1 u�supply pnvnte or contidentill dST�conccming himvclf shull b,;
<br /> iu fi�rme�ol": (o)che purpose antl inre.ndeA use afche requcs�od d�un+viQtin�ha eolleeting ssa�e r,gcncy,pulitical sulxlivisi�n,or sta�ewide system;(b)
<br /> wl�cdun c�mny reFusc ur is legaily re.qu�rr.d ro su��ply�he requetiiod dais;(c)any known cpnscquence nrisin�,lium l��s Qurp�vin�or rcfusing tu supply
<br /> privak or confidcntinl dmn;�mJ(d)111e i������iry of othcr perso»s or enliliw�iulbori�,ed b}�sratc or fcderol Iaw W recei�z iha dar.�t.This rcquiremont a•h.tll
<br /> nol apply�vhcn an indrviduul is askrd ln supVly invcs�iga�ivc duru,pursuanl lo saclion 13 A2,suhdivisinn 5_�u a law anforccnunt otTiccr.
<br /> Thc commissioner of rtl�enlle m�y nlacc thc noticc rcumrod iuldef lhls_�uhdivision in the individual in�oiP�txx or nroncrtv tnx refund
<br /> i�13I1'Uc i,qnc iiiotcnd oFon thwc li��rns.
<br /> $ubd,3. Aeccss to dulu by individuel. Upol�requcst to n responsible aullloi ItY.�+n individunl shull be infurmzd�vhaThznc�i.¢thc subjeci af
<br /> �lordd dAIA on indiv�duuls,un�wholhzr i[is cl:�sslficd s,q puhlic,pnv�ic or eonl'idaiuial, Z l�n his furthar reyuesl_a�I iuAividual who is che subject uf
<br /> stotdd pfl��+fc or puhlic duw on inJiviJunl�ah��ll b�sl�own thc dutn without any Ch�1�gc to him und,il'hc dcsir�s,Sllnll Ue Illfqrmed ofthc con[enL and
<br /> mtw�i�ig of Ihar dat9. At�er an individual has Hech shmv���hc privnte duW and inCohl�c�i nf its me¢nm�,the c1atS nadd f1ol be discloscd to him tor six
<br /> monihs lhdf2a(tcl'unlcss a dispute or uctiun purSu,j��t m thi�scction is pcnding or ad�litionsl dsia on�hc individuul hus baen aU��acmd or crca�cd. Thc
<br /> rospunsibla aulhai iry shall provide copies uf lhe privala oi'puUl ic da�upon reyuest by Il�e individuel suhjcet oF the dula. "Pha fasponsih��Authmity
<br /> m�y royuirc lhd taquas�ing person ui pliy lhc aclual Cosls of making,ccrtirymg.und compilinR dic copics.
<br /> 'l�t1d tdspousihle autho�iry shull cumply Imnlediatcly,ifpossihle,wuh any ie��ursl macic pursunn�t�this subdi�;sion.or wi�hin fi�c days of
<br /> [he dnte of the reqUes�.eacludins Saturduya,Sun�nVs oitd lapol holidays,ifimmeJiala compliA��ec is not possihle.ifhe wnnut cOmply wilh rlx.rr.�ucs�
<br /> wrthin lh�tl time,bC shall cn infnrm the mdrvi�u�l,3�1d tTlgy 118Vc an additionnl Livo il,yys wi�hin which ta comply with the raquesl�CXCI l�[I1i16 SBNfdflyS,
<br /> Sundoys nncl 1eg91 liol idays.
<br /> SubJ.4. 1'focedurc whcn d�m is nui�ccu(aca or cpmplcrc. An inJividu.d may cunlesl Ihc�curscy or complcteness of public o�nrivacc datu
<br /> eonceming himsdlf. To cticrcisc this right,un m�i�idual sh�ll nntity in writin6 ihc respo��sibl�flu�horiry dcccribing the nulurc of ihe dic�prccmcnr Tlu
<br /> responsible ilutkloflry SliAll tivi�hin 30 days eilhcr: (a)corrc r.r thc.dnrn fnund to he inaCCuiate of IncomU���a�id attcmpt to nolify p�s�i'�cipicn�5 af
<br /> inuccumte ur incumplet�data,ineluding recipients n��mcd by the individual;or(b)nolily lhe ind iv iAual ihst he bclicvesthe dutu w bc coffac�, Data iii
<br /> disputc shull bo disClusad only if thc individuul's s�utemz�il of dls;+gmcmcnt is include�wilh Ihe discloscd da�a,
<br /> 'I'hc deldfminatlon ofthc respnnsible;tulhordy rt18y ba appealcd punuunt lu lhe pto�islons of[hc adminisutt[ive prucaduie ncl ielating lo
<br /> � contcsted caecs.
<br /> DATA PRIVACY AAVtSORY
<br /> In accurd�nce wi[h M_S. 13.04,SubQ.2."R.i�hi.s nf suhjeccs of datu',we would lika co inform you Iht�l yuur request
<br /> for r�permi[or license from thc Cily of Qron��r any of its dcpr�rtmems may require you to furnish cer�ain private or
<br /> contidential inforn�atiun.
<br /> You Are notitied thai�
<br /> I. �I"hc informtttion you fiirnish will hc uscd lo detarmine your qualiiiculiun li�r tha permit or Iiccnsc
<br /> rcquested,
<br /> 2_ You may refusc to supply dula,but rzfusal may rcquirc lhnt the Ciry deny the pern�il or licer�sa.
<br /> 3, 'I'he information muy bt sharzd wi�h pthcr lucul, stata or federal agcncics to lhc ex�ent nacessary to
<br /> proccss thc perniit nr I icense.
<br /> 4. If�our request�:d rerm ii or liccnsc reyuirzs Council action lu�pprove, soma information may hecome
<br /> public.
<br /> 9. Ynu have certain rights undcr M.S. 13.U4(av�ilrablc uP�m request)to review privr�lc d�.ta on yoursclf.
<br /> fi. Your full namc is requited to process this r�pplicalion or pertnit.
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<br /> I underst�my ri�hts�ted �vc.
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