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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: .� i _ a,-u�c� (MUST WORK IN ST. ANTHONY OR <br /> LIVE IN ST. ANTHONY) <br /> ADDRESS: O O/ - - Q <br /> AGE:7b . <br /> I certiffy 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 Applicant NAME OF GROUP: ` <br /> NO in Group: <br /> LOCATION: Q'Yt <br /> I <br /> I <br /> $50. 00 Clean-up Deposit: <br /> Received By <br /> i <br /> 4 <br />