Laserfiche WebLink
• CITY OF ST ANTHONY <br /> DEPARTIMENT OF LICENSING <br /> Date: <br /> The following is an application for use of/3.2 beer in City Parks. <br /> FULL NAME OF APPLICANT: <br /> (Must work in St. Anthony live in St. Anthony) <br /> ADDRESS: <br /> AGE:_j_13 <br /> c'1�I certify that I am a resident of St. Anthony or work in the City. <br /> "ronsible for conduct of his/her oup. <br /> - <br /> pplic t <br /> NAME OF GROUP: A el u c'77'e_ <br /> # IN GROUP: .4 5?% <br /> LOCATION: <br /> DATE: 3 191' HOURS: / - <br /> TELEPH NE : <br /> $50.00 CLEAN-UP DEPOSIT: <br /> (You are responsible for Park Clean-up, the deposit will be returned after inspection of the <br /> Park) <br /> RECEIVED BY: <br /> RETURNED: <br />