HomeMy WebLinkAboutRe: request for info ORONO ADMINISTRATIVE OFFICES
INFORMATION DISCLOSURE REQUEST
MINNESOTA GoVmUqKEaTT DATA PRACTICES ACT .
,EQUESTP� NOTE:
A.
Request Frequency - private- Data iidualsPester tohe
on indv .
have been supplied the data and ouf f resixfmonrthsethereafter
data need not be disclosed to You
or additional data -on
unless .'a dispute or action is p
you .has been collected.
be reauired to pay actual costs in making,
You may the copies or information
B,
certifying and/or compiling
requested.
Date of Request:
Regaester Name:
City:
Address: U
Home Phone: q(6
Business:
Description of Information Requested:
K--A
Reques ter* s Signature:�-
.
BELOW INFORMATION TO BE FILLED IN BY DEPARTM—ENT ONLY
Handled By:
Department:
Request Type: —In person .
Mai; phone
Subject of Data Not Subject of Data
Requested BY: —
T_form.at=on Requested is Classified: Public _Private
Non-public _=rotected Non-public
_Confidential proved in Part
Request is: Approved
Denied P_p
Re=arks/Comments:
Authorized Signature:
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