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• CITY OF ST ANTHONY <br /> DEPARTMENT OF LICENSING <br /> Date: 9� <br /> The following is an application for use of 3.2 beer in City Parks. <br /> �r <br /> FULL NAME OF APPLICANT:Ll Zj �oln c <br /> (Must work in St. Anthony or live in St. Anthony) <br /> ADDRESS: 3501 coolldae' <br /> AGE: Alt I <br /> I certify that I am a resident of St. Anthony or work in the City. <br /> I am responsible for cod ct of his/her group. <br /> S' ature of Applicant <br /> NAME OF GROUP: t 1W/ C <br /> # IN GROUP: 3 d <br /> LOCATIO 9a / <br /> DATE: P14 19& HOURS: f 30- Qcrr,� <br /> TELEP O E#: <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: h�- <br /> RETURNED: <br />