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06/15/2015 15:00 7637840082 CENTENNIALLAKES PD PAGE 02/19 <br /> E%CNEI) <br /> JUN 2 a lDi;i <br /> CEWEt VUCES <br /> POUCT pEPARTMEIVr <br /> REQUEST FOR APPEAL OF DAN-GEROUS/POTENTI LLY DANGEROUS <br /> DOG CLASSIFICATION <br /> Within 14 days return to: Chief of Police <br /> Centennial Lakes Police Department <br /> 54 North Road <br /> Circle Pines,MN 55014 <br /> Check appropriate box: <br /> Please be advised of my intent to appeal this matter to <br /> the City Council. <br /> 0 l do not intend to appeal this matter. (Please cluck appropriate <br /> line below) <br /> The dog in question has been: <br /> Humanely euthanized. <br /> Permanently removed from the city. <br /> Brought into compliance with this declaration. <br /> to 2a�� <br /> Signature or Date <br /> Note: In the event that you a to eal this matter to the City Council, the City will <br /> notify you as to the date time of hearing as well as additional rights that are <br /> provided to you under local o mance. <br /> 5 <br />