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/ � PULICE Er�c Klang 218.Sb8.8111 Chief of Police Fax 218.568.Sb47 4638 County Road 11 ni�d@,�eauotlak�s-mn:�o_v Pequot Lakes,MN 56472 www.pequotlakes-mn.�o_v NOTICE OF POTENTIALLY DAN�EROUS DQG (To bc complcted by Officer} __.T�.. _.�.. .. ____... _._..�.�.:...,...__.__...___.... _ __:._..._.__: ---�.�. ...... -- - I?a#e of Notificatian�8/5/2020 ICR#: 200U16�11 ...�._. . . _._____._ __._.__. _ _.._..__ �..�_ �,. ._e. I7ng Owner Todd L s _ �. �__.__._ _ _ .�._. ....r_.._.._.�._._...�. �' Address 30630 Ave,Pequot Lakes �P ne:218-82U-6411 ! ___._____ . _.__.. , _ __._ . ..,__.�_�� _..__._ �_____._ _._..�.._ _._._____.___._..._.. L�t� You artplaced en nntice thalyour dag has beea defined hy Mlnnesota State Statute 347.50 as Pvtentinliy Dangerous. „m ..._ � .�w.:w_.----�---�...- ----__. __._,�._�. —________—__. �.__ � j� Dc��'s Name �etla .. �Breed: L.ablGemrnnaan Shortha�red�'ointer Se�c.F Descrrption:brawn._.__.�._____..._..._. .µ�..w�. . _–�r��Age:�2 years,9�_ _..� '- �rnas ,� �. ..�...__�._.._... .` _ � Does�have current rabies vaccination? yes [�no�Vet CImic:Pequot Lakes Animal Has�ital � �Photo_�raph taken? �es no__________ __..._.�._._.._ .._�._�. � ---- --__.�__.^___�_ ____,�_�.� D�te&Tirne of lncident: 8/4/20�0` ai approximatelq 1945 hours. {Check one of the following} � On abave date,said dog,without provocation bit Peanut (Name ofvrclim or type of dnmestic c�nimal,!c�t 3066U Rae Ave,Pequot Lakes (Location ojincident},, � On abovc dat�,said dog,withnut provocation,while on public or private property,other than dog owner's property, chased or approached in an aggressive manner (Name ofvr'erim). ❑ Said dog has a propensity to attack,unprovoked;causing injury or threatening the safety of humans or domestie; anim�3s as shown by the follvwing incident: _..__.�.._.__..____._—_._____....� :._w._____�__ �..____._ _. ._a...._. � � Date of Prinr tncident; Prior ICR#: Dog classified as Potentia!]y Dangeraus? yes no �.__.__._�._.._�.. . .T.._..__�_.._...._.....__. .__.�..._.__�_____._.__ � ..�__._ .�._.�.___..__.:..3 Your dog has been defincd as a POTENTIALLY DANGEROUS DOG and you should familiarize yourself with the.State Statutes regarding such dogs. As an owner of a potentially dangerous dog you must/tnve a micrnch�p implanted in th� dng for idenli,ftc�rtion with�n 14 days;�rf the recelpt nf this notiee. Proaf of micr�chip i�piant must b�provided to the= Fequot Lakes Police IIepartment aad should include the name of the rnicrochip mannfacturer and identification number of Ehe microchip. Piease note that ance a dog has been defined as a potentially dangerous dog,and the owner has been notifiad as such,and the dog subsequenfly aggressively bites,attacks,or endangers the safety of humans or domestic animals,it may be classificd as a Dangerous Dog. You may request a hearing to determine the validity of the potentially dangerous dog declaration by filling aut the attached Request for HearingForm and presen#ing it ta the,Pequot Lakes Pvlice Department withi�fourteen(14)days of this notice.If a r�quest is made the owner must still�srnpty with th� requirernents of section 347.515 to have a microchig implanted within 14 days of receipt of this notic�. ( rgnatute of afficer)