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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: =-Y}/ « ✓�y (MUST WORK IN ST ANTHONY OR LIVE <br /> IN ST. ANTHONY) <br /> ADDRESS• 3GO`� 37- ✓= eCJt� s iZtic <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 /> Signa- ure cant NAME OF GROUP <br /> NO <br /> LOCATION eii Fo,r t I ' 4-, <br /> I <br /> $50. 00 Cleanup Deposit <br /> Received by /Aw <br /> U <br />