Appendix A-4. Referendum Petition

This petition proposes the repeal an ordinance regarding __________________________________________, a copy of which is attached. The undersigned believe the ordinance is detrimental to the welfare of the city and petition the city council to repeal the ordinance or to submit it to the voters for their approval or disapproval.

Sponsoring Committee

The proposed repeal is sponsored by the following committee of City of Minnetonka residents who are eligible voters:

Name Address

1. ________________________________________________________________________
2. ________________________________________________________________________
3. ________________________________________________________________________
4. ________________________________________________________________________
5. ________________________________________________________________________
6. ________________________________________________________________________
7. ________________________________________________________________________
8. ________________________________________________________________________

Instructions to Petition Signers

You are being asked to sign a petition. You must be a resident of, and a registered voter in, the City of Minnetonka. All signers must include their entire residence address and the date of signing. Every person signing this petition must do so in the presence of the person circulating the petition.

Date Name Address

1. ________________________________________________________________________
2. ________________________________________________________________________
3. ________________________________________________________________________
4. ________________________________________________________________________
5. ________________________________________________________________________
6. ________________________________________________________________________
7. ________________________________________________________________________
8. ________________________________________________________________________
9. ________________________________________________________________________
10. ________________________________________________________________________
11. ________________________________________________________________________
12. ________________________________________________________________________
13. ________________________________________________________________________
14. ________________________________________________________________________
15. ________________________________________________________________________