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Address: <br />Phone number: Email address: <br />a information. However, if you want us <br />You do not have to provide any of the above cont ct i <br />to mail you copies of data, we Will need some type of contact information. In addition, if we <br />do not understand your request and need to get clarification from you, without contact <br />information we will not be able to begin processing your request until you contact us. <br />City of Lake Elmo <br />Data Request Form - Data Subjects Date of request: <br />To request data as a data subject, you must show a valid state ID, such as a driver's license, <br />military ID, or passport as proof of identity. <br />E] InspectionE]Copies [I Inspection and copies <br />if F <br />sided up to 50 pages) or employee time, the cost of Me materiaTVIILU WHICH WC C1LV--C-4r.4TTrW <br />the data (paper, CD, DVD, etc.), and mailing costs (if any). If your request is for copies of data <br />that we cannot reproduce ourselves, such as photographs, we will charge you the actual cost <br />we must pay an outside vendor for the copies. The cost of employee time to make copies is <br />calculated at the actual hourly rate of the employee. <br />Note: Describe the data you are requesting as specifically as possible. If you need more <br />space, please use the back of this form. <br />1 0 <br />