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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: e � [ d (MUST WORK IN ST. ANTHONY OR LIVE <br /> IN ST. ANTHONY) <br /> ADDRESS: 150o <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.dD <br /> Signature of applicant NAME OF GROUP <br /> NO C� <br /> LOCATION <br /> $50. 00 Cleanup Deposit <br /> Received by <br /> ROPERT.OR GERALDA DAVIES 8324 <br /> °3001 ' 29TH.AVE., NE.-,, t - <br /> MINNEAPOLI9', MN 55418 <br /> ace.J 1,9- . .. . 17:-4/910 <br /> PAY TO THE I j + _ r �� <br /> ORDER OF v 0. lli <br /> DOLLARS <br /> Nort 1Office , <br /> .. Minneapolis"MN 55680 <br /> "09 1,00004EI00 0'3 0 , 5 38. OiI® : Y2 4: <br /> +B® <br />