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CITY OF. ST. ANTHONY <br /> DEPARTMENT OF LICENSING <br /> The following is application for use of 3. 2 beer in City Parks. <br /> FULL NAME OF APPLICANT: � 1(4 (MUST WORK IN ST. ANTHONY OR LIVE <br /> IN ST. ANTHONY) <br /> ADDRESS: 4-V Aj <br /> AGE __-- <br /> I certify that I am a resident of St. Anthony or work in City of St. Anthony. <br /> I am responsible for conduct of his/her group. <br /> gnature of applicant NAME OF GROUPj1 E <br /> M,G r4.Lhc, nn,�iJN/Caf„mss 1� 1,09z <br /> NO <br /> LOCATION ewer lo�h.� �,.?r`r� <br /> $50. 00 Cleanup Deposit <br /> Received by . <br />