Laserfiche WebLink
• CITY OF ST ANTHONY <br /> DEPARTMENT OF LICENSING <br /> Date: <br /> The following is an application for use of 3.2 beer in City Parks. <br /> FULL NAME OF APPLICANT: '4?QW E 2�, �21WIL. <br /> (Must work in St. Anthony or live in St. Anthony) <br /> ADDRESS: <br /> AGE: <br /> I cLtha am a resident of St. Anthony or work in the City. <br /> I a e fo conduct of his/her group. <br /> • ign ure of A plicant <br /> NAME OF GROUP: <br /> # IN GROUP: —� <br /> LOCATION: -e���%� - <br /> DATE: HOURS: -7 pf-,� <br /> TELEPH E . 7,J-9qi S <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: ZZ <br /> RETURNED. <br />