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, 1C�'19:'99 TL'E 11: 16 FAY _ C�003 <br /> FF..Or1 •1CHOELL & MFID50hJ 612 S46 9Qf65 199'�. 117-19 09: 15 #73C�1 F.u2;'C�c <br /> Sec.t3.Od RIC.$TS OF SLTBJ�',CTS O��IA,TaI, <br /> Subd. 1. '1�pe oP daka, The rights of individual on whom rhe daca is stored or to be stnred shall�as 5��forrh in chis sectioe. <br /> 5l�bd.:. Tnf'orcaaqon required to be�ven fiadferidual. Aq individual asieed tn supply �,ttirate or eunf,dential dara concccniug lumse(P shz11 <br /> be Infot'med of; (a) Che plerpo5e flud inteoded usc oE�he rt�pcsttd da�wtthin rhe cpllce�ng sffitc agcncy,poliaca]subdivisioa, or statewide sy5�cm; (b) <br /> whclhcn c�mAy �(u9C�r lg 1cgrJly re.quitr.d to s�pply tbe aequcstUi data; (c) any known coa,eq�ence arising frvm,his supplyiuK vr refusiu� ta�upp{y <br /> pnvare oe��ntldeacial dats; eac"(d) �ha id�nnry of ochcr p�ssons or entities autharized by sratc ar fedctat law np rceciVc tbe data. 'I'his requiram�.�c shall <br /> not apply whea ya indivldusl is 1Sked ta supply invastigauva data, ptt�uaat tn secduu 1z.S'�, SU�1VlS106 S, [0 3 1dW cnfo�e[7;CIIC AfCICBf, <br /> T�te comtnissioner of revewe mav plag t�c noecz ttrn�,}red u,xirr ih;�ti71LY�VLSFUq lII fbC iL•(LLVI�t13� �ncom��ar m asx rettind instnicnons <br /> i.astead of u��as� forms. <br /> Suht, 3. Accc�to daa by individuQl, Upon�equest ta a respoasihle authoriry, �indivlduaE shalL be uitormed whet}icc hc is thc 5ubject of <br /> srored daa,on iadi�idusls, and whesher ic is cfass�ed as pnblic,pd•,�ate or co�dentl�il. Vpoo hic ti�rr,har r�quest, ;in ind.ividual whu is chc subjcct of swre�i <br /> priva�e or pubLic daw en indivuluslb sbrs]].t�e shnuv ihe dara wir�oui any c&a.�'�C ta him aad,if be desltes, sball l�informed of thc copt:nt�d tueaping <br /> of tbac data. Afrer sn iodi�iduzl h�s been sho�n the privste data and infornxed of its mean111R, fht d�ta need 6ot 6e discioxtd co him for siz months <br /> thatr.after unlass a dispu�e or bcrioe pu:suaa[[o tktis stcrian is�nding or oddili�nal data on Ghe iodividu3!has been coLln�[cd or croatcd. '('hc resForuiblc <br /> autboriry shai]provide copias of tha private or public d�C apon zequeat by the Indi��idual subj4ce of�tco da�. 1'he rasponsible auLho:i�v may require the <br /> :eque�ting persou[e,,pay tL�sctu�l costa oF inabing, cerCfyiag, a�d compiling t�c copics. <br /> 1hc rr,sponsihic audloriEy shaTt cor�p]y immpd3�s1'y, if po.3�ible, with any requcs[marlc pursuwft tn �Lis subdivisiuri, or withia fr�e days nf tt�e <br /> d��of tbe�eqqest,e;ccludi4g SaWtdays,S'uacJays and Ieg�l holidays, ]f'lInmediatc CumPll�nc�iv not possible, If hc cannot cnmp;y with the r-quest u ichin <br /> mac dme, he shall u infom��c imiividua�, arrd may have axt addiuonaJ five days wirbin which io complV wi�h [he rtques� ex�.luding�aturdays, Sundays <br /> and le�a1 holidays. <br /> SUbd,�, Yra.e�dure when d�ta i�nae aaurate or compI�e, .An iudividual may con�5c thc accv�acy �r comDlctc��css of publ[c or private da� <br /> ��a�eming him�nLf. To acerciso�his righ� un iu].ividual shall aolify in wriliag We respo�sil�]e sutllnCi�y deScrlbLpq d!e u8�t�s of l6e cLi�y�reemaul. ;"i�: <br /> respoosible authority shall within 3U'days eirher, (a)cart�st the dala found to be inaccurats or incomple�and aarmp�tu rotify p�st tecipients of in�c:urate <br /> or in�»apl�r�e}xa�., ir�ctuding�ecipieap named 6y [he iddividua]; oc(b) notify the indiVic7uai,that he baljeves tbe data to be correcr, pati in dispute shall <br /> `�e disclosed only if ihe individual's statsment oF disagreeme¢[is iacluded�ith the discloscd dam. <br /> 'I7u determina�nn ot thc te,�nnsiblc enibvriry may 6e xppe;�n1 pur�laYrt Eo the pmvisioo5 o1'the ad.Gllnisu'+ttive prc�cedure ac[rela[ing �contested <br /> �ases. <br /> , DATA PRIVACk �D'VYSORY <br /> Tn eccordance ���ith M.S. 13:04, 5ubd. 2, "Rights of subjects of daca", We�w•ou14 like to inform you that your req�cst <br /> for a pezlDi� oi �icen�e from the City df Orona or any.of its departmenis may'require you ro furaish cercain priv,ue or <br /> contTdential info�mation. <br /> You are notified rhat; <br /> 1. The iaformatio�yp� furnisll will be uscd to detei-mine your qualificarion for rhe peimi� ar license requested. <br /> 2• YQu may re.fuse �o su�ply d�.ta, but refusal may require that the City deny �he permie or license, <br /> , 3.. The informaaon may be shar�d with other Iocal, skate o.[ federal agencxes to the e�ctent necessary to prac�ss <br /> ihe pctm.'tt or liccnsc_ <br /> 4. If yvur requestcd permit or license xtquires Councii ac[ion �o approvc, some infonnation may become puhlie, <br /> 5. You have certain rights under M.S. 13.�4 {available upon request) to review grivate data on yourself. <br /> 6. your fvl] ame is r quix� to pmc,�ss this agplication or permit. <br /> - � . <br /> FirSt � dle � ---T�t <br /> Addre • � '� ,.� lo " c�..3� ��^'- �'J O�-'� �" <br /> City SL9I� �ip Phono <br /> I uadcrst y rights as st� d a e. <br /> . / - l / �_. - <br /> C�� <br /> i �atu - -- <br /> �d <br />