HomeMy WebLinkAboutRe: requests for property info ,- ��S
. � �s �� ����
J C� ORONO ADMI2iISZ'RAT2QE OFFSCES
�F'ORMATION DISCLOSURE RE4,�ST .
• - Ii�INESOTA Ga DATA PR�CTICES gCT
• gEQUESTFR NOTE: •
p�, geo2test Frequency - Private� Data oa individuals. ��e'-' ��o
have been suppZied the aata and infor�ed of its neani.ng,
uata need not be discZosed to 1'ending ar ada t on 1 edatat-on
� � . .unless :'a dispute or ac�ion is •p . , .
� � you .has� been. collected. . � �
you may be required to 'pay�'zCtuzl cos�s in �akin?,
B- zhe copies or inioraation
certifyiag and/ar comailing
requested. •
Date af Request: �� ��_ ��
Requester Name s �`�� -
A.aaress=
�- y�l �� �4-�_ �.A R��,� i�y= k�
� Zip: `�� )�� � .
('`"pl -t��j2�' Business:
H�,e Phoae: - /
Description of Information Rec_rueste3:. �5
�3 � ��5 C �tio
.� �2.S -F r`'t� ���`'�5 .
� Req"aes�e�'� s Signature:
BF,yOW INgORMATION TO BE FIT�LED IN BY DEPARZ'�HT OI�LY
sanalea sy:
D ep art�e.n"t=
Mail. Phone
gequest Type= In persan . — —
gequested By= _Subjec:. o= Data
Not Stw�ect of Datz
=�ormat�.on Requested is Classified:
�u'r�lic Private
Non-?ublic =�=otected Noa-Public
Confidential _ . �
� ' Aonroved in Par� � '
Approved Denied _ -- '
gecruest is: _ —
Re�arks/Camme�ts: �
Aathon-zed Signature: •
= S
Pees:• X Total Due ..
Ha. af Pages Rate per Page
• • 4
. ��l< ���-�� . � .
��
ORONO ADMSNIS�RATNE ��=�S '
=NFORMATION DISCZOSUKE RE4�ST .
..amr ���r"?+T('�,$ g.Cl
• �F...SQ '� ���YSLYl Lt�1ra ��..��.��� ,
• g�QU'ESTI?R NO�E: .
.. ��o_
A. gequest Frequency - Private Data on individuals. �' �-- t°ho
have been supoZied the data and ouf fo esixfmonr.:c�se hereafter �
data ue�d not be disclosed to y
. .unless .`a dispute or ac:.ion is �pending or additional data -on
yQu .has� been collected. �
yQu may be reauired to pay ��actual cos�s in �aking,
B. zhe copies o= in=°r�zt1°P
certifying and/or compiling
requested. •
� % �� ,
Date of Request:
- • / • , � �� ,
ester Name: � .
Reqa ;� � ; ) � � � City: /�^%r�?jLc`.)
Ac�fdress- ���� � �
� Zip: ����1�� � . , -�
� � - -��
C^��- L� )�- /�
L'� Business:
Hame Phone: / `� _/
i
'�S �G'�C�/c.1� ,�
Description of Information Re�a'ueste =. < �%� .` ��
� ,�� ��(�' � �-- �.� ':5��`' � ' 'r-�
�, -
! .
� Retruester'. s Signature:
BgyOW =NgORMATION TO BE FII�LE� IN BY DEPARZ'M'--�'NT ON�Y
'�� L Handle3 By:
D ep art��.e-nt= t�
Mail. Phone
gequest Z'ype� ' In persan . — —
gequested By= _Subjec� oi Data
✓ Not Subject o= Data
,i �ui�lic Private
Tnfor.m,ati.on Requested is Classified: --
Non-?ublic -rotecte� Non-PuD7-z�
Con=idential �� Pa�
Denied � P_nvroved _-
gecraest is: � Agproved — �
Re�arks/Co�.ents:
,,
, � � , j � ;i
//
, ,,� �,. � � ,
Ant�iorized Sign.atnre: ,, �
/ _ $
Fees:• X Tota? Due .,
No. of Pages Rate per Page
ORONO ADMINISTRATIVE OFFICSS
INFORMATION DISCLOSIIRE REQIIEST
MINNESOTA GOVERNMENT DATA PRACTICES ACT
REQIIESTER NOTE:
A. Request Frequency - Private Data on individuals. After you
have been supplied the data and informed of its meaning, the
data need not be disclosed to you for six months thereafter
unless a dispute or action is pending or additional data on
you has been collected.
B. You may be required to pay actual costs in making,
certifying and/or compiling the copies of information
requested.
cf
Date of Request: � � /
� ,
Requester Name:
Address: S��D =5 � � ��,f� City: "` 2i�
ZlP: ;�/��fj�3i���
Home Phone: ��i �l- ��G�� Busines s: ���j�% �� � �
Description of InfoYmation Requested: �� ' ,
�
� � ,
i �- %.�
...� f C/ 1���
�' % ��� � < �
Requester's ignature:
BELOW INFORMATION TO BB FILLED IN BY DEPARTIKENT ONLY
Department: (; 4 G� Handled By: -;'�,.,, ,_,��,
Request Type: � In person Mail Phone
Requested By: Subject of Data ��Not Subject of Data
Information Requested is Classified: �`�' Public Private
Confidential Non-Public Protected Non-Public
Request is: ���' Approved Denied Approved in Part
Remarks/Comments:
r ,
Authorized Signature: �� , � ;��u�.
Fees: x = $
No. of Pages Rate per Page Total Due �
ORONO ADMINISTRATIVE OFFIC$S
INFORMATION DISCLOSDRE REQIIEST
MINNESOTA GOVERNMSNT DATA PRACTICES ACT
REQDSSTER NOTS:
A. Request Frequency - Private Data on individuals. After you
have been supplied the data and informed of its meaning, the
data need not be disclosed to you for six months thereafter
unless a dispute or action is pending or additional data on
you has been collected.
B. You may be required to pay actual costs in making,
certifying and/or compiling the copies of information
requested.
Date of Reqnest: % � ���� y/
Requester Name: � i
Address: ��6� (o� i'�v�e. City:
Zip: ��3j �
Ho�e Phone: �/�� — �� �l�- Business:
Description of Information Requested:
Requester's Siqnature: �--- "7�� ^
BffiAW IPFORMATION TO 8$ FILLED IN BY D TIKSNT ONI�Y
Department: Handled By:
Request Type: In person Mail Phone
Requested By: Subject of Data Not Subject of Data ,
Information Reqnested is Classified: Public Private
Confidential Non-Public Protected Non-Public
Reqnest is: Approned Denied Approved in Part
Reaarks/Ca�ments:
Authoriaed Signature:
Fees: x = $
No. of Pages Rate per Page Total Due �