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From:ELDER JONES INC 952 85� 4909 05I16I2007 15:07 #245 P.002I002 <br /> ••• - ' - <br /> Ses13.Os RICiiTB OF�Y7g1'ECTS OF DA'PA <br /> Subd.i. 1�e of dntn. TbC righLS Of htdiYid1181 OG W11om ih9 da�18 S[0[ed 0[t0 be 9io[ed 9hs11 bs eB iet fordl in thie ac�ioo. • <br /> subd.3.Iafam�ationiequuedto beglven�divld�uL aAe mdividualaekadm'x�Pll'PnvsKe oioonfideoriAl dAtxeono�m'vyf 1+'va.ydfehallbe <br /> infom�ad of: (a)the p�apoee�d'mmmcled use oftbe requated dva wid�in dte coDectipg stuo e¢eac�y.PoliacaI subdivi9ion or smtewide sYsr�m:@) <br /> whed�ar he mpy refux�i�kgoltY�w+�'�d�n+PP�Y�R4��d�4(�)mY]mown eonsequence ariamg&vmhis supplymg or refl�siq�to s� <br /> pdvam or oonnaeaUsl Gat�,;anC(�tne went�'oromc pereone or mndea eumaiad by amxorfedaal lew m rece��ve e�e dem Ihis requireme�u shaU <br /> nos spply whea an iadivi�al ia aticad to�upply inv�sive dsta,P�°suao�m sacsioa 13.a2,subdiv:sion 5,to�law snforcement o@ioer. <br /> '17�r n�+..�..i s;o��e of ----�o aL�y e� �sho neti�ioa�rc��+�r th' �bdivian m ffie individ�ul��e��m�eeee4v f�c�fL_d <br /> Subd.3.Acaas to dsta bY lndt�idaal.UD��Quostto s rea0oasible sut11on1Y.an mdivtdual Stsan be ic,f�umd whe�herhe iethe rubjeetof <br /> eoorod dam on iodividudy�d wboth�rt io eloamiSod ne Puhlie,Pe'lvato or oonSd�.Uponl�fiu�uesrquaaC sa inditidual who is�6v evhjae of <br /> sto7ed private o�publiC data on iadivi�al■shell be ehown tbe Ash without eay ca►atge to hIN aoC�ifhe aoBU�s,soa110e f010rmeG oTt�e c000ant an4 <br /> mouain=of tl�ot dom. AtEe+�aa individuol hm boon aha„m 4ho p�ivato defn md'a�fe:med o�ies msm�ng,tho dats a�ad t►ot lw diaolosod w hien Yor sa <br /> tnot�s�era�ert�ol�8 a di�pum or ac00o Pur�uentto tbis aa�aa ie prsdioi[oc additiwual dem a�tbe mQ�iG1W lus�een eollec0ed Or tYeffieC.lllo <br /> reepensible aud�orhy sh�tl pravide oopias o[�e pcivata orp�lic data upo"ie4ues�bY the iadiv;duel subject of the deta.The reaponsble nudwdty <br /> meo�revuine the repueadnE vet'soA to 08D�the acn�el cogtS o�'�sk►u6.�r4�iAR.�d campiloma me coviw. <br /> 7bo responsblo wtboritiy sha�!oomoply momadiawlY�if�ooenblq wi+h a�roqiwssmodo p�aeu�to 4l�a eubdirieioq orw141�n9ve daya ef <br /> tbede�he o�ffi�e romreat acel.ted'nae Se�hardeo�0.SundsYs endle�holadiys.��muoed�sm�IA9nce isnotDoss3le.Ifhe�mwtaoa�plywiththem�ue� <br /> wiekfm ttrat time,he sholl so infonn 14e iadivldud.snd mRy hoYo 6G odd'ISlonal S9vo days wiihin vrhioh eo oo�plY����,��8��Y�s <br /> • S�mdnye.ead legn16o1�dnys. <br /> suba.a.Proced�sewhenaeaiienotac«uaeeorcoeo�lebe.,AziimdiNit�.lmwerna4Atduer.eunut�+orcoaaDlaten�ofDublicarycxvaTedata <br /> ' concots�himselL To exencies thi�right,an mdividuel ehaU notify mwritingtlu reapam�ble emhotity deacnbingthe naAmo ofdu dise�emmenc.The <br /> . ..te�poawbte a�aho�ity sl�au wimi,n 3o dsys a�caar: ce�oor�ecx tbe a,aba,Frn,md eo be im.,r�.we�be or rt��tnvlete aoR1 aaemn�t w�v��cie�s of <br /> • ma�ulaLe�mwmple0e ds�,6�eludmg sacipicros asm��by�a iedi�id�l;or(b)natify!6e individuel dtecho bd�vos dw domto bo ooatwt Dam m <br /> di�tme shsll be disclosed o¢ily if ths in�viduel'a ete�tamant o1f dies�eameiok is't.aalud�d wit6lbe discloled A&i& <br /> Tho aetoc�a;papon o,Feba rwpw�sibl��l+ar;h�Y��P�+rt����ons of ttro odmw;svouw pi+ouoa�ao oos rolosi�so <br /> con09stod Ca,9os. • <br /> . . . . � DATA PRiVACY AD'VYS�A'!�' <br /> ' In e�ecordence with M.S.13.04.Subd.2,"�ts ofsubjects o�data",'we wotilQ 19ke to UnSD�R►you th8t YOWc xequeet <br /> for a permit or lic�se from the City of Ororlo or SLIY of i18 deDBtl'meIIte m�y ceQUire You to�urrlish certain yrivate or <br /> conSdential inibrmatfon. ' . <br /> You acc noSifiod chat: <br /> 1. '�'he iafermaticm you fumiah w911 be used to detamine your qualificatioa for the pexionit or license <br /> requested. <br /> • 2. You may refilse m suppt3t data.bu[retUsal m4Y requif�e that ihe Ciry derry ihe permit or license. <br /> 3. Thc informatioa may bv shared with vther lo�al, atate or federal ageacies to tha axtcirt ncocssary to <br /> proccse thc pctmit or lic�osa . , <br /> 4. If your rec�ueeted permit or lic�se requires Counoil sation to approve,some iafornnation may beeome <br /> publia ' , <br /> 5. '8'ou have certain rig'F►fs under M.S_l3_Od(aveilable upos�requeat)w review privete data an yowrself <br /> 6. Xowr full name is cequSreQ W pxoCes9 this applicati0�tlt or De�.ilt • . . <br /> ,, � c .�n <br /> �e /�ao �' �o h $�-� Su�e �// <br /> Address ' • <br /> B/oc��n�� � � �'�'�l�0 4s�l3�ls-Gayo <br /> Gh, 8bte Z+p 1Pk�ope ' . <br /> Y underatand my rlghts as statod a . <br /> S;�narnn <br /> � 32 <br />