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Exhibit 3 <br /> -- "EN ILLS <br /> INFORMED CONSENT OF PRIVATE PERSONNEL DATA UNDER THE MINNESOTA <br /> GOVERNMENT DATA PRACTICES ACT <br /> I, authorize a representative of the City of Arden Hills, 1245 West Highway <br /> 96, Arden Hills, MN 55112 to obtain personnel data which is identified below. <br /> The specific data covered by this release is personnel data. I understand that the personnel <br /> data requested may include data which is classified as private personnel data on me under Minn <br /> Stat. 13.43. 1 understand that by signing this informed consent form, I am authorizing the City of <br /> Arden Hills to release this information. I , understand that without my informed <br /> consent, the City of Arden Hills could not release personnel data and records which are classified <br /> as private under Minn. State 13.43. <br /> 1 authorize my informed consent to permit the City of Arden Hills to make photocopies of the <br /> requested data. <br /> I place the following restrictions on the use to Arden Hills may make of this data while it is in their <br /> custody and control: <br /> This consent expires upon completion of the above stated purpose, or after one year, whichever <br /> comes first. However, if the above described purpose is not fulfilled after one year. I may renew <br /> this consent. <br /> A photocopy of this releases shall have the same authority and meaning as the original. <br /> I am giving this consent freely and voluntarily and I understand the consequences of my giving <br /> this consent. <br /> Signature Date <br /> 190435v1 <br /> 13 <br />