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HomeMy WebLinkAboutrequest for info . � ATTACHMENT "II" CITY OF ORONO INFORMATION� DISCLOSURE REQUEST Minnesota Government Data Practices Act A. :R�7a.TE5'I'F3t OC (items 1 ) , � 1. Date of Roqu�N�t��'usu , � . , . 2, D�.,,�ter Na�ne (LaSt, first� ffl�C�.le� pfOU[STE11 MOT[: , '�`''�`�"'' I. A�ouest ir�0u�—►in�u 0���on inO�.�Gus1�.A1�+yo�M��De�n � -� � t��p��y��nlormed ot�t�m�a�w�q,1M O�:s neW no�D�O�u�au0�a � �� � � -� � W�+O+��f t11�q�i�t�1rMtfa�O�fOb1�O/�CIWA if ptr►O�I:Q O��OCd�O�►�M I � 3. Ad��s �if Tieeded) o�ro,+n.,c«�ca�.cua. • ' � It /,`d��--c''� �( �--- 8. Yae ma�0�r�Ouk�Q to Wy tM�ttwl costf of matiny,unil��nq anCt � �mDd,nq�na top�s ol�e+lamst+or►r�pw�tsa. . Ph�e (if r�eeded) .. ' � _ . � Driver's Li ense # S. Des cripti� of the infoziru�tian requested "1 ; � ' �� .! �E 6. ter Sign i� �:�, � i � �2- �� B. DEPAR'IN�Nr CCMPLETE � y� r. ` _ -- -- '� 7. Department• -- 8. R�ted Handled by: � 9. Requ�st Zype: _ persca� Mail Phone lO.Reque.sted by: �ject of ata � Not s�j ect of �ata 11.Ir.fozrnatica� Requested is classfied: 12. t: Public Na-�-public ��rovc-�d Denied Approvea in Part Private Pratectec3 No�n-p�lic (e�lain in 14) Canfidential 13. Authorized �; "'— Signature � '` 14. .RF2�IARKS - �TS �` . ( �`� - Sv•r V��T' t?��L.. , ; ' � : C. D�ARTI�NT O��LLTE t�E�i FEFS .ARE A.SSES.SID (Reoeipt to be issued) � Fees: Flat Rate X * 16. Fees-Researd�/Sir�rnary ! �- � � of P� Fe�es-Scneening of F`iles ' hSee ca�rrent fee sc�edule ! !. 17. n7I'AL AMOUNT DLTE S Rec�cl gy Date �. �. t ', f RF��7lJF.SI'flt PL,F.ASE IJUI'E I'T'ETdS (�JC�CID 1. Make rroney order/c3-►edc payable to City of Orono. 2.' I f mai 1, rcturn enti re fo=m and a�ry fees to: