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WUY-11-O7 08:06AN FR01�-Restoration Professionals 651-379-1991 T-624 P.003 F-457 <br /> , ' _. . <br /> , <br /> Scc.13.04 RiGFi'fS OF SUBJECI'S OF DATA <br /> Subd.1. Typc of dota T6e rlghfs of individua!an whom dte��i9 swrcd or to be swred shell be as sct forth in this s�ion. <br /> Subd.2.Infomtation�aquired w be given individual.An individusl a4lced m supply p�ivate or cooC�delttisl dw concem6�g himvdf shal[be <br /> infocmQe oe:(a)d�purpose+nd inccnded use of the requested da�wirhm�t►C coUecdng steoe agcney,Politiwl subdivision,or,mrcwida syx�em:(b) <br /> whethen c�may�sfi�se or is legaOY�xN�r�d�°juPP�Y��N��(c)any known consequena arisin�fmm his aupplyir,g or rctiuing w saPP�Y <br /> pri�mu or wnf deadol da�a:and(d)�hc idendry of other persons or en�des suthorixed by s�.ste or federal Iaw w caeiv��he da�a,This 2quicemrnt stral I <br /> not apply when sn individual is 2�4ked�o suppty imestiga[ive dass,p�vsuont w seaion 13.62.subdivisioo 5,to a law enfoYc��+�e�n ofTicer. <br /> The mmmissioner oFrevenue m�.��ce die noricc rrnuired unde�this ahdiviaion in the i ividual incomc ta�c or�roocm�rnx refund <br /> in. p � <br /> Subd.3.Accessto dambY individual Upon requcscto aresponsible aqdwrity,an individwl shall be infotmedwhctherhe is�he subjeaaf <br /> storod da�on individuals,and whether it is classified as public,private or confidetuial. Upon hia fiether n:quesC an Individual who is the subject of <br /> .s�ured private or public dars on individuals shall be shown the dsm without any charge oo him and,if he desires.shall be i�foTmed of the concen[snd <br /> n�eaning ofihac dma HRer an indivi�ral has been showu sbe privuc dam md iofamed of ia mcu►in�,�he dna�ed noc be di�clo9ed m him foc six <br /> tnomhs thMeafter�lass a disptue w eccon pu�auan�w diis secdon is pending or�ddluortal dsa on rho individual has been couecud a ccrated.Tha <br /> respo�btc aud�oriry shall provide copiea oFthe priwaoz or puWic dam upon reques�by�he individud subject ofjhe data.Th�responsible auUto�iry <br /> may require du mquaning person m pay rhe aaival cos�s of makin�,c«tifyiag.�nd compilins�he copies. <br /> The raponsble audwriry shsll cort�ly iaunedistely,ifpossiWr,with any requcat made piusuane to this subdivisio.-i,oc wi�hin five dsys af <br /> dte dare of the requcsy cxcluding SenudaYs,S�mdays and legd notiaays,;f�ediaze compiia�c u aoc poabls.lFhe cemw�r.omp�y wi�h d�e reques� <br /> wilhitl Thst iime,6e s6oll so in[ortT�the individual,�nd may hsve an eddidonul ftve days within which to comply wish du requ��exduding Smutdays, <br /> Swdays and legal holidays. <br /> Subd.d.Procrdwe when dam is noc aocaunu oc complete.M imd'mdwd may conrest�e aecuracy or compleoenes9 efpublic or private dara <br /> concemieg hlmgclf.To acercise rhis riglx,an individual shal�n�iy in writmg che respoosiWe authoriry desaibing the nanue o f the dis�reemrnt The <br /> respo�ibk aud►oriry 9hs11 wirhin 30 days cither: (a)correct the dam fo�aul to be inaccwaoe or mwmplere and atu�n►pc to r.odfy past tecipicnts of <br /> u�accuru�e or incomplcoe dam,i�I�ilfg tecipicaa num�d by the individual;ar(b)notify Tha individuol that he bel ieves the dam m bc correcc.Data in <br /> dispute sk�all be disclosed on1Y if ths indivi�al's smtement of disa�emenc is included with the disclosed data. <br /> The decemiinadon aFt6e rtsponsiblc autlwriry may be appcaled p�¢suant to ihe provisions of the adminisaa�ive Crocedure uct rela[ing to <br /> contested cuses. <br /> DATA PRiVACY AAVISORY <br /> �. <br /> In accordence with M.S.13.04,Subd.2,"Righ�s of subjeers of data",we would liketo inform yi�u thatyour requcst <br /> for a permii or lic.�sc from the C�ry of Orouo or any of its depsrpnents may requirc you to furnish certain private or <br /> confidential information. <br /> You are notified that: <br /> a. The informavon you furnish will be used lo decermine your qualification for thc permit or licensc <br /> rcquested. <br /> 2. You may refuse to supply data,but rcfusal may require that che Ciry deny the pami t or f icense. <br /> 3. The information m�y be sharcd witl�other local, ssatc or federal agencics to�he s,.xcent necesssacy to <br /> process the permit or license. <br /> 4. If your rcqutsted permit or liccnst requices Council action to approve,some informarion may beeome <br /> pubIic. <br /> 5. You hsve certain righu under M.S. 13.04(available upon rcqu�sc)w review privatc data on yoursclf. <br /> 6. Your full name is required co process this application or permit <br /> l< � o <br /> fi� Middk La9t <br /> Se� �c•l�,.v�a,a�.a. �s �,� <br /> naa� <br /> � � aa�i ��� Ls� z=� �yqa <br /> ��, Slale Trp Pdoac <br /> I understand my vights s�s stabed above. <br /> � <br /> Si�namre <br /> 32 <br />