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Page 16 of 21 <br />The legal guardian for an individual must provide a valid photo ID and a <br />certified copy of appropriate documentation of formal or informal appointment <br />as guardian, such as <br />• court order(s) <br />• valid power of attorney <br />Note: Individuals who do not exercise their data practices rights in person must provide <br />either notarized or certified copies of the documents that are required or an affidavit of ID. <br />CITY OF LAKE ELMO <br />NOTICE TO ALL APPLICANTS FOR MUNICIPAL PERMITS, LICENSES, <br />OR OTHER MUNICIPAL ACTION <br />If you are requesting municipal action on any request for any of the above, you will <br />be required to furnish certain information about yourself, the project you are <br />involved in, or other matters pertaining to the application. Some of the information <br />you are asked to provide is classified by state law as either private or confidential. <br />Private data is information which generally cannot be given to the public but can be <br />given to the subject of the data. Confidential data is information which generally <br />cannot be given to either the public or the subject of the data. <br />2. The purpose of this information is to enable the City of Lake Elmo or other <br />government agencies to evaluate relevant factors in considering your request. You <br />are not legally required to provide this information. If you do not provide the <br />requested information, the City may not act upon your request. <br />3. The information you supply will be public and available to any entity requesting to <br />inspect the information. <br />DATA PRACTICES ADVISORY <br />TENNESSEN WARNING <br />REQUIRED BY MINNESOTA STATUTES CHAPTER 13.04 <br />