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Ju1-08-2002 08:44an Fron-CITY OF ORdVO +9622494616 T-586 P.�Ot100T f-756 <br /> ` Sac.13.03 R[G�I'9 OF SUHJECTS OF�A.'1'A <br /> Subd.1. 'Y�pe at dato. '11�e CigEKs of iadividua!oa whorn�e dau ia sroeed ar m be cmnd�h�ll 6�as 6sc Fa�in dsis sxdon. <br /> Suhd.z. Tpto�ian reqvlred to be�Ivea iaAi,idnrl. a1 individnal�uksd m a�p[+�Y PT�vase or cuafideruisl data coacernias t►aa�r1F <br /> shal!he infoem�d aF (a�dx putposc�imandN uae of�e royuesad dua withia du eoRxting ststn agenoy,Fwlieioal subdivision,a�mtiuvids <br /> ays�em:(b}wht�er he m;y rctlise or is isSaAy roqui[�d m aupp�►hc requeaced d�u;(c)asry kaewn cor�seq�mesce uisir�Fmn�his 9upplying or <br /> refusi���supply pdvste or��odal dan;aM(�d�e idesriqr cf o�her peraons or cr�daics m+thorized by smre or federal law ro re�aive 16e datn. <br /> This c�qui�ement s!u!1 mt ipply wheII�t�fdlvtd�al Is aslotd m svpply invastigntivo dsn,purs�mnt to mtion 13.82,subdivision 5,to e law <br /> eaforeement offic�r_ . <br /> Tl�a ean+m�sie�of revenue mav olun d�Mdei*�[n�lrp�yvuler d�ls subdivi9icm in the ind�vid�al mCome taz or Rr�r�y tax[E51n[I <br /> y�rrucd4ne+eeresd nf nn thixe ferms_ <br /> Subd,3. Accrss to dat�b��adlvidual. Upa��quest m a responsi6le�uthairy.an indivldus!�utll be Infa�7efed wt�eth�r ha ts tda <br /> wbjacc of storcd dam on a�dividusls,snd wt�e�er it is elassified os pubtic,priv�Oc or eoe[fdtncial. Upon hts turd�er teques�,an Indtvidual w� <br /> is dia svbjeat of amtad Drivaa oe public daa on individua[s shsil be shown tt�dam wid�ou�any charre ro him aad,d f�Qesire5.+haU bz ipt`orfneQ <br /> of d�c eoncacu a�mesni�04 fkuet dati Alrse in udividuAl hs�bcen s�awa�[se privs�ca dats aaci in�eeme4�ics meaning,d�e dara nzed not be <br /> disclossd w!tim iQr six mond�s dwea�e timiass s dicpuse oc weaon Fvra�ans ro Oua se¢tion Is pCrding ar addicanl dam on the individual has been <br /> cdlsa�ad or oc�a[ed. 'lhe esapons�ble�weiq sbaR provids mpNs af du privak er pu8lie data upon request by tfu individoal subjee�of the da�►. <br /> 'I'!ie rtsposuiblt autEweity m�y tequiro rl�e cecNascing pa�sort m pay rhe actual eo9es o(m�Yfng,ecrcifying.aid e�mpilinr the mpies. <br /> The tespo�sible aurhoriry�mU eamply i�iam{y,if possibls,wid+a�y�m�dn pursuaaa m diis subdivisian,or wiilsin fivo days <br /> of rhe dsu of dr requesi,exeNding 5awrdays.Suiodays aad le�al t�olidays.if�nn�diate compliance is sioc possible. [f he cannot comply wid� <br /> �!u.req�:st withia d►ar cime.!tie�I!so infazm dta i�dividurl�4nd may lu►ve au addioW�l tiva d�yi u'iehi�a whfch m c0u�ply wnh die re�esC, <br /> exclud'eng S�atrdays,Supdayd aad layrel helidaya. <br /> Suhd,4, pr�duse when d�a;s aM accnx�te or croo�plete. M individ�ql msy oontnst tlu►em,raay ar cq�aplemoess of publu or <br /> p�ivat�dan eonnrnlsf�t�Emsntl. 'fo axeceiae rhis ri�c,ar�iudiriduui slu�!!�a�ify in wridag tbc iwponsible authoxity deaeribin��he txture oitlw <br /> di5qgrean.e�a. The rosyans�ble au�eriq shill wi�hin 30 days ai�her. (a�conect sbe dua faund m be isnccuraw or incoioplas+u�auempt m aoeify <br /> patr�re npie�s of itmcun�e ar Lmmpkx�d.�c6idis�aeciyi�nrmod by tha indiridwl;or(b)�otifr tt���I tryat hc 6�lievea dfe data <br /> cv be cemeet. Dea!4 dlsQcite shall be dixtosad onty if thc in�ividuvl'c sncaanesn af disagiexrneat is ineluded wid�dfe diacloqed dew. <br /> Tlu deartrii�dm af cha rosponslWe audwrl�Y�Y�aPA��DUnvazu te�be pmvisioas of d�a admi�iseucive proadurc Acc relaciM6 <br /> t0 CG4L2SLld C0.5G5. <br /> g�����rvA v anvi��R� <br /> In aocordanct with M.5. 1�.04, Subd. 2, "Righs�of subjects af data",we woutd lilce to inform yau that your <br /> reques[for a permit Qs lirease iram the�ity oP Orono Qr any of iu deparunenrs may require you to furnish c�rtnin <br /> privata or canfidencisl inPorma�iou. . <br /> You are notified[hat: <br /> 1- 'T'he iniorn�a[ip�you Purnlsh w�l1 be used ta determme your qualiflcation fvr the permit or litense <br /> eequested. <br /> ?. You may refuse to supp[y data, but relusal may require rhat the Ciry Q�ay che permic ar ticense. <br /> 3. The informa�ion may he stiared with urher local, stat�ar fxderal agencies w t�►e exunt peceasary to <br /> pr�899 the permiF or license. <br /> 4. Tf your requestetl permit or license reqnt�s Council accioa w agpravt, so��iaforma�ion may becou�.e <br /> pubtic. <br /> 5. You bave eertain rights under M.S. 13.04{avaitable upon requesc)to re�riew grivate data on yoursslf. <br /> 6. Y ful!name is required to pracess this appiicuion or perrait. <br /> First Middle 1�� <br /> address --- <br /> Ciry Snoe Zip Phoru <br /> rs my righcs as st va <br /> � <br /> 6 <br />