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08/23/2001 10:01 6128088846 ABC PAGE 63 <br /> . _ __ ._., VV�YVAIII i IYUI-1r111 vr uRunu +B522dp4618 T-685 P.003/008 �-BlT <br /> r . <br /> , SGe,13�0�R1G1�'1'S OE'SIlBJF.CTS OF DAT.t <br /> Suhd. 1. 7ype of data. lbe rig�tq of iadivlduet oo�how the d�a Fs storod or m be�wrsd a1w(bs,a��ec for�h m d�s secdoa. <br /> Subd.2. Inform,doa eeq�ed to he yra+�+�.idwiL .1,i aidiridw!a�cd m aupp[y pnvue m confidead�l dw con�eraIDg:�lrasett'ih+�l <br /> be intormed o�; (�We paepose aoe fa�nded xse ot t6e requuaed dae►wid�la ihe ooftc�g�nx saenoy,poliUdeal sub�.isioa.or sarewide sy�m; <br /> (�w'h�tber 6e�y reNse olr is lo�aUy mquiied m A+PP�Y�e:equesmd 3sn:(o)e�►Y imo�va eeasequeeas�rislqa fiom Qis su <br /> p�vare ot roun`denaal d�a;aad fd)�he tdeodry ot odur persoos or eutioa wtLori�by sne or fedanl law m c+eceive�e d�311lir������ <br /> nEJt fpply whaD an indbtidr�al is ea�ed 1�supply urve��ve d3ta,pnr�sn[to recm0 1B.8Z.subhE�ision S,m a law enleeoemeet offxee,��w <br /> The MRldtissioner of_�Aue mav qlace ihe noden �� e� s su ' n ' e' v � � <br /> lnscoic�n� `_t����, <br /> Subd.3. Aece�to data by�dividu�l. Upon requesc to�respoasble aurborid.an iadividuil shall be fifonaod wbe�hec I�ts rEa sub��cc <br /> of'sooeed daa on;ndividnsls.sad whccbcr k ts clessi}!cd as p�py¢,pnvaa or conFidendal. Upoa hit furd�tt requwi,aa iadLvidua!wdo is ttv subjeet <br /> of srecet!privars or publio dam oa iadividusls shalt sa�Own r6e daa wldlwr say ehacge a him aad�'if be aes;oea.�w ae�,,,�ea or m��oac� <br /> 4tld r�saiA;ol ihu d��. ARet an indivldua!pos beca sheur�i6e peivate d4n u►d i�[otmad of iw maerlaQ,the dsn Aad oot be dlulosed ao 6im ibr <br /> six osond�s d�reefur unless a dv�ue or ne�on pursva���o���rt�����qvoa!daa on ehe indiridwl bss bren cotksoed•or ereoad: <br /> The�ponst�sle au�odry shal!provtda eoples o!t4�privaoe er publie a,�o upoa tepuesc by t5e individusl subjeat of the dan. 7ae isspo�lbk suthoriq <br /> �Y�9uioe dit requesAng par�oe ro psy d1�a�!eosc�of�ng.aenifjrir�.�nd complll�g�he eoAia. <br /> The Ksponstble au�odq iqaJt eoaip�y�a�y�����Q�y�,���y nQ�ea m�de pue�uuu m dtii�subdivisSon,or wS�in tive dqys of <br /> ttie•daoe of d�e req►tssr,eseludir,g Saandays;S,ufd�ys and l�s1 holidy�t.it im�nod'aee eot�pliamce!i aoc po��le. If M�snnoa eompiy wiCt�du rcquesc <br /> whhtn fisc dme.he aeell ro infbria d�e iadtaidu�l,aed eaay Aaw in sddlnaul tive days wirh�wblcA to comply wirh ihe nqtus4 axeludlqg Son�rdsys. <br /> Sundays and Jeg�l holidayl. <br /> Suba.4. Prooeduie+rL�u dzta i�aot aeeneo�e or eempkte. M indivlduu�y coAces�d►e acw�sey or eomptamaeas o!public os pd►�s�e <br /> da�¢onca�hiraself. To ex�e�ise d�is d�dt,an iaalrida�l sholl aordy in wridn�4�e responsbk aurho�q drmr�i�G ihe us�um ol�e dW�eeeweae <br /> T''�e�lponsil�le w�horlq nwtl w;du�;0 dsy����er, fa)coma 9�e asa lou�m he It�ccvn�e or�ncoa�pleoe a�d'¢emp�oo no�y p�st recipio�cs ot <br /> ta�ecursee or ineomple�e daa. mctudi�rlcipleaar asmed by dse ia4F�aiaal;er(b)noafY�hc indlvidun!rhao he bellav.e du dw w be co�ec� Dsn <br /> W dispuce shall be 4tsclosed only if�e iadlvideW'�stuanene of disa�{roeroem u locladed widf du di�losed dt� <br /> Tlu de�erminarioA oE tho rrspo�sible authoriry msy�e aPGanled pursu�ac ro�e provisiont of d►c tdmmis�ative pmaedvm ae�°iel�dn��o <br /> ebnoesoed aa�es. . . . • . <br /> D TA A PR1`vACY ADvIso�Y <br /> Iti arxordauce wirh M.S. 13.04,S�bd.Z� "Righ�s of subjecrs af Qatap�we would�ike r.o iaform yeu thas your requesc <br /> fot a permit or liEen9e froQt tbe Ciry of Omao or a�y uf iu deparnueats may reqygre yoy ro fiu�ish cenain private or <br /> ceaf9deatial iaforma�ioa. <br /> '�ou are aoraBed thacs <br /> 1. TPte iaforrr�tioa you il�nish wiU be uted u�de�ermine yoar qu�ificacioa for the permic arlieegse requested. <br /> 2. Yo�t may railase co su�aPly dara, but refusal may require chac cho Ciry deay th�pozmic or lieensa. <br /> 3. The i�fptina�ioa may be s�red wich other iocal� stace or Pedera] agencies �a th,e exteo,t nec�ssary to�process <br /> �e pera�i� er license. <br /> 4. If yout requesud permit ar lica�e requires Cauacil acciva to approve, some informaeioa may become <br /> pub�ie. - , <br /> 1. You have censta righcs ur�der M.S. 13.0� (avsilable npon reques�) �o review privace dara.oa yourself. <br /> 6. Your full name is requind to pmcess thii applisatioa or petmit. � <br /> �% � j(le� <br /> , ` 4��, N�i�l.tet �r� 's` �` � <br /> . �Y1SV`[1 „ Ntlll `7�b �a2-"Ib�l-l�j,� <br /> c� stiv � <br /> Z=P Ptione <br /> I uadets[aztd a�y ti�hts as snred above, <br /> Si$nsiurc <br />