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CITY OF ST. ANTHONY- <br /> .:' DEPARTMENT OF LICENSING/PERMITS • <br /> The following is application for use of liquors, including non-toxieating malt <br /> liquor 0.2 Beer) in City parks. <br /> FULL NAME OF APPL I CANT` , - n ,� V, <br /> ADDRESS 0 St 1v•v j.K GA . <br /> AGE <br /> I certify that I am a resident of St. Anthony/or work in City of St. Anthony. <br /> a 1gnaresponsible for conduct of his/her group. <br /> ture of appl cant ... <br /> NAME OF.GROUP <br /> $50.00 <br /> Cleanup Deposit PARK LOCATION <br /> Received by; <br />