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^�.13JDa RIGN3`3 OB SV B.IEC.TB OF AATA <br /> Suhd, i. Type of 4eta 'Che nglib of ite�ividuel on whixn tlx 3ata is stored or to be atnred shati be�scc funh�n this sectfoa <br /> S�rbd.2.Infbrrrmtiae rec�uirod W be given individual.An individun{u�ked to suppiY pnvateorcontidentia3 data+x�+ceming himselfshnll be <br /> `nfarn�rd of: (e)thc purpoae end i�uended ure oftfie req�ested dete witfiin the collecting�tatc eg�ency,political subdivision.or sntc,vide 9ystem:(b? <br /> wh-�+ar he may refuu ot rv keaUy toqu'vedbo wpply the ceque�tad deta;(c}tvry knovm conaequettce arising ftatn his supalyin�cx re;ueing to sui�f�Y <br /> pnvate or ca:?3dcnt�t tlata;and{4)thc iQa�tity ofotha pemns or�sit3es authotl�ed by smte�federst law tu�eeeivc the data.This rroyquiranent shai! <br /> m+t n�ly when a►n indi�•idual i�asked w suppty inveui;ntive deta.pursnuk oo soction S 3.E2,snbdiv�aion 3,ta a lew en#'orc�ment ofFicer. <br /> The ixam �r of v � ti A .• �t;��une_Y er oconesiY tax ts <br /> AI�.� �� ��L�'diI�I.Y1�1..5._�+�1XL.1lD��YL JII'�I1�llI1�.Y:f�S - ---�S- <br /> 1, <br /> Subd.3.Aocess!u data!ry indiNiduel.Upon requestm e r�oersiblo audwrity,wn individud shefi be infa'med tivT�etha'1�is the subjeck of <br /> st+rced defa on individuals,al�d whethet rt i�d�fied�publiC,ptivate c►t ti:onfidentiai. Upor.h�s f'uAher raque:st,an individust w!m is U►r twbject of <br /> stsxod privste e�pubiic c�m un indivi�mis shell ba shown U�r data w+thoat any cfiargs to h im and,if ha desiras,st�,li ha infornrod of dse cRmtam and <br /> m.esning of thac�iata, After an individual h�s been eho�m�e privata deex w�d inf'orn�ed of ita meaain�the data need nc�c bs diyctaae:d�n t:isn Fa six <br /> mnn+ha the.trattex unless a di�+ute ix eaion p�ttsuara ro this seiaticxn is p�ting or eddinoc�l data+m the irtdividwl t�+bce�t coiSccrod or cratad The <br /> ses�x�t�ibk AurhtKity sha11 provide urpies of dte privete or public dete upat rcquest by the individual eubjoct of die deta 'fhe responublo aulhorii}° <br /> �Y�luirr.the soqt►esting pee�W psy the acp�e3 coats of mdcing,cxrtifying,and compiling tLe ccp6ee. <br /> '1'he respontible Authority ahelt coR�ply i�nedia0oly,if poieaibl�wiih any request meds pur�uYnt to this subdivision,or witAtn five days n�f <br /> the da0e of tRe requeat,excluding 3at+trdsys,Sundays ar+d te�al holidayx,if inrteedia6e complis�x is nat possibla lfhe cannoc ca4nply with the ranu� <br /> w�ithin thnt tm�e,he ahett�i�'rnm the indivichqd,and msy heve an addkiavel tive days within which tu oan�fy with the reyuest.exchiding 5aturdey�, <br /> Sundaya aed legal hoticlsys. <br /> Sulxi 4.Proceduro wleen deta�notacctua�e ot oon�kte ,'�n indiviclue!may conocst fhe accuruy ar c�m�►kteness af pubtic ot priv�e Aats <br /> c�rnceming himeeH'.To exucise this right,an icdividuel+hsf!notify�n writing ihe trspans�ble autt�arity dex�ibing tlee n�ure of the diseg{eement.The <br /> reep�neible authoriry shatt withfn 3p days e+ither: (a)a�rract 1he data found to he eraccurate or iexomplerte nnd atoempe to notify past rtFipieras of <br /> i+�cunue a incompteba deta,ir�clwling ncipkms named by the fndiridual:m•(T,}notiFy the indivicG�al thRt he believes the data to be co�rect. Oata ir <br /> dispute shall be digcla�ad only if the indivfduaMs atatort►e�t af disegroemtr�t i�incluckd with the diaclnsed deta. <br /> The debetminetson of the reepomibk authorqy tt+sy be appeaNed pwsuent co the prwision,s of She administratire{xoced�u�e act refating to <br /> cnatested casd. <br /> 1�A�l��YA�&Yi�B�Y <br /> In accardance with M.S.1:3.04,Subd.2,"R.ights of subjcti:ts o Fdata".we woufd tike to infimn y�u that y�ur ce�uest <br /> for a permit or llc�nse from chc City of C?rono or any of its d�partrzeents may raquere you to flun3sh certain private Ar <br /> confida�tial infae�nation. <br /> You are notifiai thas: <br /> 1. 'Fhe �nforrnatim� you fl�rr�ish will be u�ed t� determitte your qualification for the permit or ficcnse <br /> r�qucsted. <br /> 2. You may rafuse to supp[y data,but tcfusa!may rsquire thet the City deny the permit or lic,ens�. <br /> 3. 'I'he infc�rmatios► may be aharect wiah ather loceE, state or federat ageneies to th�extent naeessary tn <br /> {uoeess the permit or licenx. <br /> 4. If your requested peemit or license reyuires Council ection to approve,some information may becasr►� <br /> public. <br /> 5. Yau have certain rights under M.S, 13.It4(�vaitable up�ra�uest)k+r�view privste data on yoarself. <br /> 6. Xour full neme is required tn prncess this applicatian or permit. <br /> �1���-�------ � - _�_.....�L_'!.L.���_ _ <br /> Fint �{�� � <br /> .��5____����'� ...�v._..� __ . <br /> Addt�e�r _ .—. <br /> �i�'�n o __.���_ _..�__ ...._...��.�.�����..��7'��i-� <br /> c+h sau za� r�«� <br /> I anderstaed my t�ig�ts atsted above. <br /> uatarc _._..._.__._...�...._.__.._... _ <br /> � � �a��'��.. +, ��-. �� <br /> ��a�' i, , z. . . , _ <br />