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<br />. COMPLIANCE/ APPEAL OF DANGEROUS DOG CLASSIFICATION ". <br />This form must be returned to the Chief of Police within 14 days of receipt <br /> <br />To: Chief of Police <br />Centennial LakesPolice Department <br />200. Civic Heights Circle <br />Circ1ePines, Minnesota 55014 <br /> <br />, <br /> <br />Check appropriate boxes: <br /> <br />" I h~ve read and understand ,State Statutes S 347.515,347.52, <br />347.53 and Centerville Ordinance#24. <br /> <br />_ Please be advised of my intent to appealtrjs matter to <br />the City Council. <br /> <br />,_I do not intend to appeal this matter. The ,dog in question' <br />has been; , <br /> <br />_Humanely Euthanized' <br /> <br />_Permanently removed from the city: <br /> <br />~Br0ught into compliance with this declaration <br /> <br />SignatUre of dog Owner <br /> <br />Date <br /> <br />Note: In the event that you elect to appeal this mattertothe City Council, the CitywiIl. <br />notify you as to the date and time of the hearing as well as additional rights that are <br />provided to you under local ,ordinance. ' <br />