HomeMy WebLinkAboutDOCSOPEN-#827406-v1-Mounds View Charter Referendum PetitionCITY OF MOUNDS VIEW – REFERENDUM PETITION ON PROPOSED CHARTER AMENDMENT
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
7:
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.”
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
inspection.
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Date
Signature
Year of Birth
Printed First Middle and Last Name
Residential Address
City & County
Committee of Petitioners:
Name and Address
1.
2.
3.
4.
5.
Affidavit of Petition Circulator State of Minnesota
County of Ramsey
, 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
presence, and that the affiant believes them to be the genuine signatures of the persons whose names they purport to be.