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Information Disclosure Request

  1. Logo
  2. Completed by Requestor: (*=Optional)
  3. Information requested

    (attach additional sheets if necessary):

  4. If printing, return form to City Clerk:

    Email: - In person: 11155 Robinson Drive, Coon Rapids, MN 55433

  5. Leave This Blank:

  6. This field is not part of the form submission.