HomeMy WebLinkAboutRe: request for property info ORONO ADMINI+TRATIVE OFFICES
INFORMATION DISCLOSURE REQUEST
MINNESOTA G0, 51- I ' . DATA PRACTICES ACT
•
REQUESTER NOTE:
Frequency - Private Data on individuals. After'you
A. Request q Y the
have been supp�lied the dahta and informed iof x mics meas ng,thereafter
data need not ;be disclosed to y for
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 Request: i''//?f`1 CI
Requester Name: #150_ ,e,, 7/64_,... r'�Address: .2'17 7 �.. .� City: OFaYt
Zip: 57133
1/7,2,3 y Business: 1/7/—07.22
Home Phone: 3 �
Description of Information Requested:
,- 7'y 1; 2 r o/4 j ;y ¢�/ 8.7 Xi
Requesters Signature: /V-G -€271.
BELOW INFORMATION TO B4OILLED IN BY DEPARTMENT ONLY
Handled By:
Department:
Request Type:
In person Mail Phone
Requested By:
Subjec� of Data Not Subject of Data
Information Requested is Classified: Public Private
_Confidential Non-Public Protected Non-Public
Request is: Approved roved Denied Approved in Part
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Remarks/Comments:
Authorized Signature:
Fees: xTotal Due
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