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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: L►,A-�J PVF-7`7-- SON(MUST WORK IN ST. ANTHONY OR LIVE <br /> IN ST. ANTHONY) <br /> ADDRESS: /7UV Ail t: 0 /(/ C . <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 /> Signature of a licant NAME OF GROUP <br /> NO <br /> LOCATION <br /> $50. 00 Cleanup Deposit <br /> Received by <br /> MARGARET E. SCHMIDT 7990 <br /> PH. 4884305 t <br /> 1551 ALBEMARLE, NO.• 10 19 8 7 117-7900/2910 0 <br /> ,ST. PAUL, MN' 117. c <br /> PAY TO THE v A r 1{ .vs�j C _`.' Ga,� Nk�c.. - $ <br /> '&DER OF <br /> ��! R 71 «_•." fr_ ' h, - q..p 1 -J ley ? 1 �.,{r R l b -w <br /> BANKING AND SA ` <br /> SnellingandCounty.Ro#aBB,Z� <br /> .Roseville,Minnesota - <br /> —i: 2q b0 7000 W: 6088008 30`Li d .?-990 .. <br />