My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
07-24-23-R
ArdenHills
>
Administration
>
City Council
>
City Council Packets
>
2020-2029
>
2023
>
07-24-23-R
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
7/24/2023 6:10:07 PM
Creation date
7/20/2023 2:58:40 PM
Metadata
Fields
Template:
General
Jump to thumbnail
< previous set
next set >
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
226
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
190435v1 <br />17 <br /> <br />EXHIBIT 4 <br /> <br /> <br /> <br /> <br />CITY OF ARDEN HILLS <br />REQUEST FOR INFORMATION <br />Minnesota Government Data Practices Act <br /> <br />A. Completed by Requestor <br /> <br />REQUESTOR NAME (Last, First, M.): DATE OF REQUEST: <br /> <br />STREET ADDRESS: <br /> <br />PHONE NUMBER: <br /> <br />CITY, STATE. ZIP CODE: <br /> <br />EMAIL ADDRESS: <br /> <br />SIGNATURE: <br />DESCRIPTION OF THE INFORMATION REQUESTED: <br /> <br /> <br /> <br /> <br /> <br />The City makes every effort to respond to data requests in a reasonable amount of time (generally within five (5) to seven (7) <br />working days). Please note that larger data requests typically require additional time. We appreciate your patience. <br />B. Completed by Department <br /> <br />DEPARTMENT NAME: HANDLED BY: <br />INFORMATION CLASSIFIED AS: <br /> <br /> PUBLIC NON-PUBLIC <br /> <br /> PRIVATE PROTECTED NON-PUBLIC <br /> <br /> CONFIDENTIAL <br />ACTION: <br /> <br /> APPROVED <br /> <br /> APPROVED IN PART (explain below) <br /> <br /> DENIED (explain below) <br />REMARKS OR BASIS FOR DENIAL INCLUDING STATUTE SECTION: <br />PHOTOCOPYING CHARGES: <br /> <br /> NONE <br /> <br /> ______ Pages x ______________= ____________ <br /> <br /> Special Rate: ______________ (attach explanation) <br />IDENTITY VERIFIED FOR PRIVATE INFORMATION: <br /> <br /> IDENTIFICATION: DRIVER’S LICENSE, STATE I.D., etc. <br /> <br /> COMPARISON WITH SIGNATURE ON FILE <br /> <br /> PERSONAL KNOWLEDGE <br /> <br /> OTHER: ________________________________________ <br /> <br />AUTHORIZED SIGNATURE: DATE:
The URL can be used to link to this page
Your browser does not support the video tag.