Laserfiche WebLink
CITY OF ST. ANTHONY <br /> DEPARTMENT OF LICENSING u <br /> i <br /> The following is application for use of 3. 2 beer in 'City Parks. <br /> FULL NAME OF APPLICANT: ��1 l �/ +�f O I'C.IQ_h I - (MUST WORK IN ST. ANTHONY OR LIVE <br /> IN ST. ANTHONY) <br /> ADDRESS: <br /> AGE _ C/ <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 /> Si n to , --� �- <br /> g a re of applicant NAME OF' GROUP �cc✓Y1 r ��/ y�j c n r C_ <br /> NO O <br /> LOCAT ION L< .rl-� y^cam. {,ct r�^c fla t) 1 I 1 D r) <br /> $50. 00 Cleanup Deposit ?� <br /> Received by <br />