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• CITY OF ST ANTHONY <br /> DEPARTMENT OF LICENSING <br /> The following is an application for se of 3.2 beer in City Parks. <br /> FULL NAME OF APPLICANT• <br /> (Must work in St. Anthony 66r live in St. Anthony) <br /> ADDRESi�C) 70. ��2�'IdiL1 <br /> AGE: <br /> I certify that I am a resident of St. Anthony or work in the City. <br /> I am responsible for conduct of his/her group. <br /> Signat4 of Applicant <br /> NAME OF GROUP: Z�JX�� <br /> # IN GROUP: ' <br /> LOCATION. <br /> DATE: HOURS: �l�G1-L <br /> TELEPHO #: O <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 />