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I certify that I have read the "Notice to Application" regarding the Minnesota <br /> Data Practices Ace (MN Statutes 1301-1390), and I understand my rights as a <br /> subject of date. <br /> Applicant <br /> Signature: G <br /> Date: ah 5t, , b�2 <br /> ttos:I/mail-att achment_goo gl(1usercontent.ca in/attachment/u/0/...SrHmTb4uCEuDfBgKEYSCRDCp2X5NjLj9u_32tzifNzHW2dXrhpK6 5/4/17, 9:45 PM <br /> )age 9 of 12 <br />