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Minnesota State Department of Agriculture <br />AGRONOMY SERVICES DIVISION <br />90 WEST PLATO BOULEVARD <br />SAINT PAUL, MINNESOTA 55107 <br />TELEPHONE: (612) 296 -6123 <br />NOTICE OF APPOINTMENT OF ASSISTANT WEED INSPECTOR <br />FOR CITY OR TOWNSHIP <br />INSTRUCTIONS <br />l) COMPLETE THIS FORM IN TRIPLTCATE.7 <br />21 SEND: <br />Al ORIGINAL TO THE ATTENTION OF THE SECTION OF WEED CONTROL AT THE ABOVE ADDRESS. <br />BI FIRST COPY TO YOUR COUNTY AGRICULTURAL INSPECTOR. <br />CI SECOND COPY TO YOUR LOCAL CLERK. <br />NAME OF PERSON APPOINTED <br />DovID q-- I- 11P RI_5 <br />ADDRESS / COL // /I <br />S i ,S !,. l ft/ COLAlc{c.D�t (/IIt'. <br />CITY, /S STATE, ZIP CODE �%//,/ < <br />I. 1,// le C!Z'�LQG�CI /�'�/X' V5/ /7 <br />TELEPHONE NO. (INCLUDE AREA CODE( <br />IN ACCORDANCE WITH MINNESOTA STATUTES 18.231, PARAGRAPHS 2 AND 3, PERTAINING TO ASSISTANT WEED <br />INSPECTORS, THE ABOVE -NAMED PERSON IS HEREBY APPOINTED TO BE ASSISTANT WEED INSPECTOR FROM THE <br />DATE INDICATED UNTIL SUCH TIME AS THE MAYOR OR TOWN BOARD WISHES TO TERMINATE THE APPOINTMENT. <br />THIS APPOINTMENT CONFERS ON THE APPOINTEE ALL THE DUTIES, AUTHORITY, AND PRIVILEGES OF ANY LOCAL <br />WEED INSPECTOR AS OUTLINED BY LAW. <br />SIGNATURE (MAYOR OR CHAIR OF TOWNSHIP BOARD) <br />TITLE <br />DATE SIGNED <br />STREET ADDRESS <br />CITY AND STATE <br />ZIP CODE <br />AC- 00187 -02 <br />Page 6 <br />- APPOINTMENT LOCATION - <br />CITY OR <br />TOWNSHIP NAME <br />COUNTY <br />DATE OF <br />APPOINTMENT <br />IN ACCORDANCE WITH MINNESOTA STATUTES 18.231, PARAGRAPHS 2 AND 3, PERTAINING TO ASSISTANT WEED <br />INSPECTORS, THE ABOVE -NAMED PERSON IS HEREBY APPOINTED TO BE ASSISTANT WEED INSPECTOR FROM THE <br />DATE INDICATED UNTIL SUCH TIME AS THE MAYOR OR TOWN BOARD WISHES TO TERMINATE THE APPOINTMENT. <br />THIS APPOINTMENT CONFERS ON THE APPOINTEE ALL THE DUTIES, AUTHORITY, AND PRIVILEGES OF ANY LOCAL <br />WEED INSPECTOR AS OUTLINED BY LAW. <br />SIGNATURE (MAYOR OR CHAIR OF TOWNSHIP BOARD) <br />TITLE <br />DATE SIGNED <br />STREET ADDRESS <br />CITY AND STATE <br />ZIP CODE <br />AC- 00187 -02 <br />Page 6 <br />