Laserfiche WebLink
City of I;, <br />Pequotl I <br />Lakes <br />DATA RELEASE FORM <br />In accordance with the Minnesota Government Data Practices Act, the City of Pequot <br />Lakes is required to receive your consent before releasing any information about you that <br />is classified as private data. Private data is information that is not available to the public. <br />If appointed to an Advisory Commission or elected as a City Official, I authorize the <br />City of Pequot Lakes to disclose the following information. You must choose at least <br />one phone number or e-mail address to be made public. <br />❑ Board and Commission <br />❑ <br />Name <br />❑ <br />Home Telephone Number <br />❑ <br />Home Address <br />❑ <br />E-mail Address <br />❑ Work Telephone Number <br />❑ Cell Phone Number <br />❑ Other <br />Signature: <br />Date: <br />This release will be in effect as long as you serve on the Board, Commission, <br />Council, or Task Force and can be changed upon your request at any time. <br />SAAdministrationlCity Clerk\Boards and CommissionslApplication Process and FormsTonns\Application Form for Boards and Commissions.doc <br />Page 5 <br />