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r r �r unvnv � 0'1�4�SU510 pg/2!�/g� ��;� <br /> . L� :03/03 NO•SZ2 <br /> . . . <br /> Ses.13.o4�RIGfl7D D��t18JP,CTS OF DA1'A � <br /> Supd. 1. Type nf dals. ?hv�6�s ot fadlvldu�t oa�hom tb�Ja�U•�oo�ed oe�o be smiad�hall be ai ret roetb In dW uednn. ' <br /> Subd.l. [aYoda■tlas riq�.d to�e�Indlvid�L An iadlvldud a�ked�o n,pply priv�a or oonf{deed�l daa ooacsralnO hlmeeif;h�ll <br /> be In[ortaed oft (e)dle ptupo�n ana�cioadcd u�e o�dut n�quos�a0 d�e1 whhln du coll�odnt Ataia agenoy.paUd�►1 wbdl�Itlan,ot rbtdWWs ryclam: <br /> Lb)�d�e�h.rnq iafllu oT 4 Iepllr,nqufred m supply me laqueaed dw:(e��'knowh eoneequence a[f/ltfg from 4ls eupplylt�or Re11ti1qQ w dupP�Y <br /> pth�•a oe eoaAden[L�[dro.;s�d(d)tha idendqr of adie�peRons at enddes aud�orlud by wte o�I�deta(Lw u�racqlve d�e daau. TAl��+equleamane shrJl <br /> pnc�pply when�n indiriduwl li e�ked m mPAly l�e���clve daa,punu,uie w��adda 13;8�.subdlvteion S.po�Inv eafo�centm�t o!'lto�r. <br /> � . � <br /> 'Ru� cnm�lulaner eP roy�twe mgr alaoe d�e no�{ce n�oulnn!t�C,dsr d�(t:ubd(�ialon la d�,i� dual ��„sr oroncnv ae,�:rel�sid � <br /> -`"" l�lEyG�ion�laioo�d_u[on'rhoap_fQ�,�g�. . . • . . � � <br /> �Ed,3. A�tn dat�6y(edMdusl. Upon.requea�to�ro�putt�lbla wmo�14�.�n ladivldwJ�hall M InFomted wl�etl�er 6e b the suaJect <br /> o[rooced dru en{adlv(�u�lr,riad wlvd�ar fe is olxa�ifiod a�publl�.Ptiva�s or coaMeNW. vpon ba fUnd►ar requos[,�ut ladlvWwl wq�o I�d�a�u4ieet <br /> oi,ro�ed pri.�e or putilk dw an Indtvkiud;�hsll be�hoWn rhe d�u wllheur ury e6up m h�end;V he dalsa.thell be ieEot�nd oi d�e wntnnr <br /> �M n�nla�nf dutdam. Ahar on Ieal�vldutl.lut be�a�hqwn ilu'p�vtue daea�nd fulbimaA M io meu�in6.�i t�a4 e�dld mt'b�dl�eeJo�ed re.41m�ar <br /> d:mnmhs iheroalker unles��dJtpure or+�ction punutnc m th�s�eden Is yeqdlat or addi�loro)drra oa U1e lndlvWud hu bean aoll�rtcd o��ronrbd. <br /> Tla tppaiftibl��u�hpriry e(ult pro�We wpie�o�d�e peiviro ar pubilc daa upoa.requcs br che indlri�ud wl��ea ofthe din. 71te nerponable tuthprfq� <br /> a�s9�qulti tlw raqwNdny porsnn ro�ny d�e acnusl ooea oE en.ktaa.oaesHyin`.uid eompllln�da ooph�, <br /> 7'he�rspnndbu sud�udd�thall aomp�y immcdiataly,lf posa{bla.ald�a�p requeec mtda pnrsuenr w�ir wbdlvltian.or wl�hla fiw dqr of <br /> �due of d►e nqueA�,e�ccludlr�S 8anudsys.SunQays ond 16�a!holldiy,l,iP b�dl�ea sompllanen N not poss�+la IFAe earorwt comply widi the ceqwsc <br /> wltbtn�u da�,ho ehsU w I�fortn C�e todlvidual,�f1Q M�y have�11 oddldDpql flve dtys wldd�l Whkh h�cofqp�y wldf ILO t���,AkWUdIOg S�Q1rdYyf. <br /> : �iamd�lyj�ed ks�lholld.ty4. , • <br /> �ubd,1, Proe�dure v6i�d do�a 4 net occunt�or eomplate. An indl'viduN nyy ca��the orct��aoy or eompluanoa�oPpuMlc or privua <br /> dut�acerninj Eiimself_ '!e eKotci�rhis tight..n indiYiauel rh.�l oafl�W aetdna�e rrsponaibk�udwda dacribin��n ns�uro ef dw dle�eeem�ni. <br /> T1u cespowlbla�u�ho�iq d�ell wld�ln 30 days eid�er, fa)eor►eoc dre dam fopnd io be ii�cur�ca or�nam�ptue wnd■coemp�m nodf�►y.�e realpkne�oE <br /> lnaoaueue or Ir�omplece d�a�Ineludls��rocipknrs n�med br d�e IndivfdaRl:ar(b)eo�iFy dm indiv�l qiae he bellev�e,d�e d�a m�earreec D,ca <br /> ip oltpwe itt�ll be dl�clo�ed only ff�ha i�flvidu�l's awemeat ol dlaQra�m,am b Includrtd Wid►d�e d�clo�ed dam. .^ <br /> �'he defe�min�tfon o!�he rosponeible autholiry m�y ba�ppmqlsd purauwt eo tlw previsions of the adrtJnise�sdve proeeduro aet cetllcina w <br /> eonai�md et�es. <br /> . �. <br /> - . D�TA PANA�Y ADVIBOI�Y <br /> Lt�card�aee with M.S.13.04�Subd.2� `ltighcs ot 4uBjecte oY data°, we would Nke to infacm yeu thet yoa�requeet <br /> fior a pernt�c or lEconse fmm the Ciry of�rona oc avq► of i�a depannsenca may requira�you to [umish certe[n privs�e or <br /> contldendel Infarination. <br /> You are aoc[tied the[; <br /> 1. The iaformettan you Nmish w�ll be used�to decermtne your qcu�lificacioa for tha petmic oriicenae requosced. <br /> 2. You nuq► rofuse to supplq dac�a. bur�cclkisei uuay i-equlre ihat the City deay She Qermlt or Iicollse. <br /> � 3. 77ne informotion may be shered wi�h orher 1xa1� s�au or fedecal sgenctea �a the extent nexe�sa:y ro p�rocess <br /> tl�e petmit or.11cet�e. . <br /> • 4. . If your �quae�od pecmic os lic,ea�e r�quuree CovacU scllon �a approvsr come informacloa may beeome <br /> ' .publk_ <br /> S. You have ctrcain righcs under M.S. i3.04 (aveilable upon roqu��) to roview private dara an yourcclf. , <br /> 6, Ynur fu11 ntme is required co proeeas.tbls application or permit. � <br /> , ' }rirtt� Midale I.stc <br /> � i�ao � �o'�^�s� _ � a�� , . � . <br /> '�`�, -, ' -, . � �. � s� �ao 9sa•3 s•(o��� . <br /> Gpr ' _ • Bo� 2ip Phuna <br /> . ? <br /> '. t� eratand my rlgflce a6 sraced abovo. � �. � <br /> �IBnaaro . <br /> E/E ' d � 161� ' �N Wd�ti�ti ZOOZ ' l ' add <br />