9.a Ag Preserves Termination_SandagerREQUEST BY LANDOWNER(S) FOR TERMINATION OF
METROPOLITAN AGRICULTURAL PRESERVE
BY MAJORITY VOTE OF AUTHORITY
Pursuant to Minn. Stat. § 473H.09, subd. 3, the undersigned Landowner(s) hereby request that the Authority
terminate the agricultural preserve and covenant identified herein. This request is made at least eight years after
commencement of the preserve. The Landowner(s) understand that the requested termination shall not be effective
until approved by a majority vote of the Authority.
LOCAL AUTHORITY: 1 and
(if applicable)
1. PRINT OR TYPE NAME(S) AND ADDRESS(ES) OF RECORD FEE OWNER(S):
(Use this space only if applicable)
Owner(s) are ("X" one):
R VQirV i C.,! a�t?S
LCC 0 Individual(s)
O Legal Guardian
ZCYK Z N Gr v -L ) +r, O Family Farm Corporation
�T,l�w�}E�i tN1N 5'S6KZ Q Other
(Specify): / Lr
2. PRINT OR TYPE NAME(S) AND ADDRESS(ES) OF CONTRACT FOR DEED BUYER(S) (VENDEES).
(Use this space only if applicable)
3. PRINT OR TYPE NAME(S) AND ADDRESS(ES) OF CONTRACT FOR DEED SELLER(S) (VENDORS):
4. TYPE OF PROPERTY C!r' one):
O Abstract
13 Registered (Torrens)
5. COMPLETE LEGAL DESCRIPTION OF THE LAND. (If Torrens property, use the description from the
Certificate of Title, verbatim. If Abstract property, use the description from the abstract or deed, or get it from
your county auditor. Use an additional sheet if extra space is needed. Be sure to state your parcel identification
number and whether or not your property is homesteaded.)
Parcel I.D. Number: z tl0} Zz6t{ /t;YJG Homestead v Nnn-Itomestead.
IL'irr
Legal Description:
Se 4;0-, Z-(4 Tow�'sLe 03-L Za-.�� �� �/z S� /'y Szyr3zezcz
Cc. E. 5135 r� &1^41, S loo; r or SD �iZ �.6� fo ctr r�9 5Z,
Alm,5 SLY 6-1-- �{,e�o� sf also sc,.�J fs )W -P.has` k iVL o
`idJ
�-. K-)L� RI -d L,-,, 4 SD co Rt S,.
6. TOTAL ACRES: 57 n�
In accordance with the Americans with Disabilities Act, this information is available in alternative forms of communication upon request by
calling 651-201-6000. TTY users can call the Minnesota Relay Service at 711. The MDA is an equal opportunity employer and provider.
Minnesota Department of Agriculture
625 North Robert Street
Saint Paul, Minnesota 55155-2538
651-201-6369
Page 1
AG -03386
10/15/2019
7. REQUEST FOR TERMINATION.
The undersigned Landowner(s) hereby request that the Authority terminate the agricultural preserve and
covenant identified herein. This request is made at least eight years after commencement of the preserve.
IN WITNESS HEREOF, the parties to this agreement have caused this instrument to be executed on the day
and year last notarized below. (To be signed in the presence of a notary public with exact same name as on
page 1)
Witnessed Signature of Record Fee Owner(s):
W.
Witnessed Signature of Contract for Deed Vendor(s) (Sellers), if any:
Witnessed Signature of Contract for Deed Vendee(s) (Buyers) if any.
For Individual or Husband/Wife:
State of )
) SS
County of )
The foregoing instrument was acknowledged before me this day of 20 by
(Print or type exact same name(s) with marital status or identity as on page 1.)
Signature ofNolary Public
Commission Expires
For Individual or Husband/Wife:
State of )
) SS
County of )
The foregoing instrument was acknowledged before me this day of 20 , by
(Print or type exact same name(s) with marital status or Identity as on page 1)
Signature ofNolary Public
Commission Expires
For Individual or Husband/Wife:
State of )
) SS
County of )
The foregoing instrument was acknowledged before me this day of 20 , by
(Print or type exact same name(s) with marital status or identity as on page 1)
Minnesota Department of Agriculture
625 North Robert Sheet
Saint Paul, Minnesota 55155-2538
651-201-6369
Signature of Notary Public
Commission Expires
Page 2
AG -03386
10/15/2019
For Corporation:
State of
)SS
County of
The �Forego ing instrument was acknowIedge ¢�efore
by -����ci f its ..jj'' 6,
its of ;
BRENDA EKLUND
NOTARY PUBLIC - MINNESOTA
My Commission Expires Jan. 31, 2021
this day of -e- (0 V'ittL 20 z0
en and
Sigoreturr of Notary PublicD-am
Commission Expires .
State of )
) SS
County of )
The foregoing instrument was acknowledged before me this day of _
by its and
its of a
Corporation, on behalf of the Corporation
20
Signature of Notary Public
Commission Expires
For Partnership:
State of )
) SS
County of )
The foregoing instrument was acknowledged before me this day of 20
by , partner of a partnership,
on behalf of the partnership.
Signature of Notary Public
Commission Expires
For Partnership:
State of }
) SS
County of )
The foregoing instrument was acknowledged before me this day of __'20
by partner of a partnership,
on behalf of the partnership.
Signature of Notary Public
Commission Expires
For Attomev-in-Fact:
State of }
) SS
County of ]
The foregoing instrument was acknowledged before me this day of 20
by . as attomey-in-fact on behalf of
Minnesota Department of Agriculture
625 North Robert Street
Saint Paul, Minnesota 55155-2538
651-201-6369
Signature of Notary Public
Commission Expires
Page 3
AG -03386
10/15/2019
For Trustee or Personal Representative:
State of )
) SS
County of )
The foregoing instrument was acknowledged before me this day of
by_. the of the
Signature ofNalary Public
Commission Expires
20 ,
8. APPROVAL BY MAJORITY VOTE OF AUTHORITY.
The undersigned representative of the Authority hereby certifies that the Authority approved Landowner(s)
request for termination of the agricultural preserve and covenant identified herein by a majority vote taken on
the day of . 20
of
(Signature and Title or Position ofLocal Authority)
State of )
) SS
County of )
The foregoing instrument was acknowledged before me this day of
by (Name and Title), of
Minnesota Department of Agriculture
625 Noah Robert Street
Saint Paul, Minnesota 55 155-2 53 8
651-201-6369
Signature of Nolary Public
Commission Expires
Page 4
20_
AG -03386
10/15/2019