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CITY OF ST. ANTHONY <br /> DEPARTMENT OF LICENSING DATE ; <br /> The following is application for use of 3. 22 beer in City Parks. <br /> FULL NAME OF APPLICANT: ►` 0►1 SQ (MUST WORK IN ST. ANTHONY OR <br /> LIVE IN ST. ANTHONY) <br /> ADDRESS : 3100 244S �Ve*tye_ <br /> AGE: 23 <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 /> S at of Applicant NAME OF GROUP: <br /> NO in Group: O <br /> LOCATION-. S. 1 11 <br /> 'Yo L4 y, IC ` <br /> DATE't a <br /> $50. 00 Clean-up Deposit: TELEPHONE <br /> Received By <br /> a <br />