Original: Retained by Property Management Copy: Served Upon Person Trespassed
TRESPASS NOTICE
AUTHORIZED BY FRIDLEY CITY CODE CHAPTER 129
TO: D
ate of Birth:
Address:
(Pr
inted name of parent/guardian if person is under 18)
Specific conduct that forms the basis for notice (include time, place, and circumstances)
Dat
e of conduct:
You are prohibited from entering the following premises, including all grounds, outbuildings, parking
areas, drives, and sidewalks thereto (Premises address):
☐ (✓ if a
pplies) This notice includes areas under control of tenants. THE TENANTS OF THE PREMISES
ARE PRECLUDED FROM INVITING ONTO THE PREMISES ANY PERSON TO WHOM A TRESPASS NOTICE HAS
BEEN ISSUED.
The no
tice is in effect And expires at 12:01 a.m. on
Date Date
(must be within 30 days of the date of conduct) (up to one year from effective date)
Person to contact with respect to modifying, amending, or rescinding this notice:
Name: Title:
Add
ress: Phone #
(if not served by police officer) I verify that I personally handed a copy of this notice to the above
person on the above date (specify if different ).
☐ Subscribed to and sworn before this
(N
otary Seal)
___________________________________ (Notary Public)
☐ I acknowledge receipt of this notice _____________________________________________________
(Signature is voluntary; parent/guardian should also sign if under 18)
FRIDLEY CITY CODE PROVIDES:
Section 129.05. Prohibited Conduct.
1. No person shall trespass in or upon any covered premises of another and, without claim of right, refuse to depart
therefore on demand of the property manager, or a tenant authorized to exercise control over the covered premises
or portion involved.
2. No person served with a trespass notice in conformity with this chapter shall enter in or upon the premises described
therein during its effective period without the written permission of the notice issuer, agent or assign.
3. No person shall enter any public facility, utility, or grounds thereto, or any covered premises or portion thereof in
violation of conspicuously posted signs prohibiting or restricting access thereto, including, but not limited to, the
following: “No Trespassing”, “Authorized Personnel Only”, “Private”, “Employees Only”, "Emergency Exit Only”.
Section 129.06. Violations. Any person violating any of the provisions of this chapter is guilty of a misdemeanor.
(at least one of the following must be completed)
__________________________________________________________________________________________
Signature Printed Name
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