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<br /> Sac,13.OA�RIGHTS OF SURJECTS OF DA1"A
<br /> Sqb4. 1. Typ�af data. The nyht�of individuai on whom d�e data it scorod or to bc sto�d chall be as set fordi in thb aection.
<br /> Subd.Z. taformatioa nqdred to be avep it�dlvtdu�l. M individuai asked w suppiy privau o�conf'bendal dau�conceminQ hiuuelf chall
<br /> be intornted o(: (a}du pu�pose u�d incendod use ot�,e raquescad dia withit�ffie colle¢dng kn�e�geecy,palioca!aubdivi<ion,or�tatewide system:
<br /> (by whethar he psay�efuss ar is la`�lly aquired W supply rha esquatad d�ta;(c)any known eontequrnce��isina fmm Ai�applying or rc[uxin�to supply
<br /> private or coafidoacial dat+�;and(d)the i�lentiry of othcr parsons or enodes suthorised by snta or fede�a!!aw t4 receive the da1a. Thia reqviremant shsll
<br /> noc�pply when an individu4l ia asked�o wpply invosci�aa�e dac�, purauant to secdon 13.E2, subdivision S. �o a law vaforcomoac offlcer.
<br /> �]�p �,�issi�ner Q rsvenuq�+ay,,,place the notise roauiitd yqder thia visfgn in the irMiYiduel incoma �ax or proue�tv taa r�fitnd
<br /> instrucaans insuad of on d��e!o n�u, �
<br /> Subd.3. Aecaa to d�ta by indirfd�ul. Upon request to�►ratponsible tuthoriry,an indlvidvai sdaJl be ir�formsd whether he is tho subjact
<br /> of itorod dtpt on individual�,and whether it is classifi�d�s public,private or contldeatiat. Upon bls Nr�her requeu,�n individua!whn is the subject
<br /> oP stored private or publk data on ir�divi�uals ih�ll be shown d�e data withoue u►y chsr�e W him and,'if he desira,ahsll ba infornud of the cou[enr
<br /> atd a+e�nio,�of ttu�t dan. Aher�ud��idual has beee shown�ha prlvue dots and infurmed o(ia meanin�,rbe dw qeed not be discloud tp him for
<br /> �ix moMlu thors�fter yq►e:s a dispute or acdon pu�su�n<<o rhii ucrian is pending or addidonel dau oa cbe indivldu�i baa beon collected or creaued.
<br /> The rsspmuible wthoriry�Iwll provida eopia of the priva�a or puslic d�u upon requaic by the individval mbjcc�of�he daa. The roaponsibte ru�horiry
<br /> maY requirs da rtqe�esdng person to pay�lse ecaal easa o(nuking,ceroityir►g,end compiliaa du copie�.
<br /> The ro�poasible rutho�iry s3uEl cornply immeQistely,if passible, with any cequeat made punuaat ta this subdivisi�n,or within five dsys of
<br /> IM dpte of the rcq�eat,excluding SaaRleys,Sundays snd le�sl holalayi,if immodiuo complianca is noc possibia. If he canno�comply with t?►c reques�
<br /> within dut dtae,he shali w inform ttw individual,and may h�vo�n a4dlaonat five daya within which to comply with thc roqueat,cxcludin�S�N�days,
<br /> SunAaYt 4M le�al holidwy�.
<br /> Subd.4, ProeMurs wbeA data b not aeeurats or co�apiste. An iadividual may eontesi the accurncy o�cOmpletentss ot public or pri�ate
<br /> d1►d�concet�s�+`hirtaself. 1'o exarsiia�hit right,an individuat shall notify in wridn�the rcspansible�uthoriry deocribing the n�ture of the diss�reenunc.
<br /> 'rhe nlapqp�lbl0 suthortty shaU within 30 day�eithar: {a)eotrec��he daa fouad w be iewccur�te o�ineemplea and a�ump�to norify paot recipien�s of
<br /> Mqecu�ts or ineomplete da�n, Iecluding rocipien�s named by the individual;o�(b)nodty�he indfvidual ihat he befie�a the dAta W ba coaect. Ds�a
<br /> in dlapuee shsll ba Oiseloaed only if the i�xlividuat's s�aument of disaQreemenc I�includod wi�h rhe disclosed data.
<br /> The determinxdon uf she reaponsible aa�harity may be appealod pursuan�to the pro�isions of the adraiuiscrttive procedure act�elating W
<br /> eoaueteel eaus.
<br /> �,A,T�,�$ZyACY ,'1pVISQRY .
<br /> Ia accordanct with M.S. 13.Q4,Subd.2, "Rights oi aubjects of data", we woutd like to inform you that your request
<br /> for a pesmic or licenae frorn che City of Orono oc any af its departments may raquire you ca fumish certain ptivate or
<br /> confidentim! information.
<br /> Yau are notified that:
<br /> 1. The information you furnish wilt be used to determin�your qualifcation for the permit or liccn�e requcstcd.
<br /> 2. You may rafuse to supply data, but relutal rnay require that the City deny the pernut or license.
<br /> 3. The informatioa may ba shared with other local� atalc or federal agencies to the extent necesaary to process
<br /> the pernut or liccasc.
<br /> 4. If your requested permit or license requires Council action to approve, some inforrnetion may beeome
<br /> public.
<br /> S. Yau h�ve certain rights under M.S. 13.(k (availoble upon request) to raview private data on yaursetf.
<br /> 6. Your ittll name is required to process thia apptication or pet�it.
<br /> Jonathan Lee Sandberg
<br /> [�{� MiCci�c Laac
<br /> 1625 5th Street South,
<br /> AddMu
<br /> Hopkins, MN 55343 936-2224
<br /> City Sete Zip Phont
<br /> I undorstand y rigbts as st ove.
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