Laserfiche WebLink
Exhibit 7 <br />489828v3 DTA MU125-11 <br />EXHIBIT 7 <br />CONSENT TO RELEASE COPYRIGHTED DATA <br />I, _____________________________, certify that I have the authority to authorize the City of <br />Mounds View to release the following copyrighted data of which I am the copyright holder: <br />To the following person or people:__________________________________________________ <br />The person or people receiving the copyrighted data may use it only for the following purpose or <br />purposes:______________________________________________________________________ <br />This authorization is dated _________________ and expires* on _________________________ <br />The expiration cannot exceed one year from the date of the authorization. <br />I, the undersigned, agree to give up and waive all claims that I might have against the City, its <br />agents and employees for releasing data pursuant to this request. <br />Printed Name Title <br />Complete Address Phone Number <br />Notarized Signature Date <br />STATE OF MINNESOTA ) <br />ss. <br />COUNTY OF___________________ ) <br />On this ______ day of _________________, 20_____, before me, a Notary Public within <br />and for said County, personally appeared ____________________________________, known to <br />me to be the person described in and who executed the foregoing instrument and acknowledged <br />that he/she executed the same as his/her own free act and deed. <br />Notary Public