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ORONO ADMIN=S�R�TI� OFFSCES . <br /> =�O�TION DISCLOSUFtE R�4�ST <br /> HINNESOTA Ga DAT.A PRACTICES ACT <br /> gEQIIESTEFt N�TE= oa individuals. After you <br /> p,, Request Frequency - Private Data <br /> the <br /> have been supplied the data �o a ouf foresixfmonthsethereaften <br /> data need notute orsactioa is pending or additional data -o <br /> unless a disp . <br /> you has been coZlected. a actual costs in making, <br /> B, you may be required to P yt�e copies o= information <br /> certif yin9 and/or cornpi ling <br /> requested. � <br /> est: � . Z � � <br /> Date of Requ � <br /> ' �'-�-��- �N�`� <br /> Requester N�e= <br /> Address: i� <br /> F�t-S"T'" LD•Y_.E_ 'r�;. city: 1.�'S�"T�- <br /> zip- 'S5�°� � . <br /> ZZ. 1 � Business: <br /> �73 �� <br /> a�� rhone- <br /> ormation Heqv.ested: <br /> Description of I� a �Y ��� <br /> � �p ��Gr.►�.�Z.�i�l C� �� <br /> Re�¢ester` s Signature: <br /> B�,OW I�OgriATION TO BE FII.LED IN BY DEPART�T O�'Y <br /> ga.adled BY= <br /> Depar't��t= <br /> Mail _phone <br /> gequest Type= _---- <br /> In persan — <br /> Not Subject of Data <br /> gequested By= Subjec� of Data — <br /> ��Zi� _private <br /> Info=mation Reqaes'ted is Classified: <br /> Nor�-�ublic _=rotected Nan-Public <br /> Confidential — <br /> R�quest ls: Aporoved <br /> Denied Approved in Pa.r� <br /> Remas'�cs/Co�ents: <br /> Authorize� Sigaature: <br /> = S <br /> x Tvtal Due <br /> Fe�s:� eS Rate per Page .. <br /> No. of Pag <br />