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CITY OF MOUNDS VIEW – REFERENDUM PETITION ON PROPOSED CHARTER AMENDMENT <br />We, the undersigned registered voters in the City of Mounds View hereby petition that the following ordinance be subjected to a referendum under Minnesota Statues, section 410.12, subdivision <br /> 7: <br /> <br /> <br /> <br />SIGNER’S OATH: “I swear (or affirm) that I know the contents and purpose of this petition and that I signed this petition only once and of my own free will.” <br /> <br />All information must be filled in by the person(s) signing the petition unless disability prevents the person(s) from doing so. All information on this petition is subject to public <br /> inspection. <br /> <br /># <br />Date <br />Signature <br />Year of Birth <br />Printed First Middle and Last Name <br />Residential Address <br />City & County <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />Committee of Petitioners: <br />Name and Address <br />1. <br /> <br /> <br />2. <br />3. <br />4. <br />5. <br /> <br /> <br />Affidavit of Petition Circulator State of Minnesota <br />County of Ramsey <br /> <br /> <br /> , being duly sworn, deposes and says that the affiant, and the affiant only, personally circulated the foregoing paper, that all the signatures appended thereto were made in the affiant’s <br /> presence, and that the affiant believes them to be the genuine signatures of the persons whose names they purport to be. <br /> <br /> <br />