Statements Attested to by Signing this Application
By signing this application, I knowledge the following:
•I am the responsible party indicated on this application or, in the case of a corporation, agency,or association; I am authorized to sign this application on behalf of the corporation, agency, or association.
•Under penalties of perjury, I have examined this application and any supporting documents submitted, and to the best of my knowledge and belief, they are true, accurate, and complete.
•I am familiar with the applicable regulations, state laws and rules, and local ordinances relating to explosive and blasting agents for the location intended.
•Prior to the storage or use of explosives or blasting agents, the licensee will notify the appropriate local fire official and law enforcement agency.
•Minnesota Statutes, Chapter 299F.19 makes it unlawful to store explosive materials in amanner not in conformity with the rules and regulations of the Minnesota Department of Public Safety and the Federal Safe Explosives Act.
Data Practices Advisory
The Minnesota Data Practices Act requires that you be notified of the following information:
•As an applicant for an explosives user permit, you are being asked to provide private and/orconfidential data about yourself that will be used to check criminal histories, arrest records, and warrant information through the Minnesota Crime Information System and local police/sheriff files. This is being done to determine your eligibility to obtain an explosives user permit.
•You may refuse to provide this information. Should you refuse, this application will not be processed and no permit will be issued.
•The information that you provide will be used by the county sheriff or municipal police department to complete its investigation. This information may be conveyed to the Minnesota State Fire Marshal, the Minnesota Bureau of Criminal Apprehension, other law enforcement agencies, or treatment facilities identified through this application or investigation.