Laserfiche WebLink
190435v1 <br />17 <br />EXHIBIT 4 <br /> <br />CITY OF ARDEN HILLS <br />REQUEST FOR INFORMATION <br />Minnesota Government Data Practices Act <br />A. Completed by Requestor <br /> <br />REQUESTOR NAME (Last, First, M.): DATE OF REQUEST: <br />STREET ADDRESS: PHONE NUMBER: <br />CITY, STATE. ZIP CODE: EMAIL ADDRESS: <br />SIGNATURE: <br />DESCRIPTION OF THE INFORMATION REQUESTED: <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 /> <br />DEPARTMENT NAME: <br /> <br />HANDLED BY: <br />INFORMATION CLASSIFIED AS: ACTION: <br />PUBLIC NON-PUBLIC APPROVED <br />PRIVATE PROTECTED NON-PUBLIC APPROVED IN PART (explain below) <br />CONFIDENTIAL DENIED (explain below) <br />REMARKS OR BASIS FOR DENIAL INCLUDING STATUTE SECTION: <br />PHOTOCOPYING CHARGES: IDENTITY VERIFIED FOR PRIVATE INFORMATION: <br />NONE IDENTIFICATION: DRIVER’S LICENSE, STATE I.D., etc. <br /> Pages x = COMPARISON WITH SIGNATURE ON FILE <br />Special Rate: (attach explanation) PERSONAL KNOWLEDGE <br /> OTHER: <br />AUTHORIZED SIGNATURE: DATE: