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CITY OF ST. ANTHONY <br /> DEPARTMENT OF LICENSING/PERMITS <br /> The following is application for use of liquors, including non-toxicating malt <br /> liquor (3.2 Beer) in City parks. <br /> FULL NAME OF APPLICANT ��4R� LlJc�r�� C <br /> ADDRESS <br /> AGE <br /> certify that I am a resident of St. Anthony/or work in City of St. Anthony. <br /> am responsible for conduct of his/her group. <br /> Signature of applicant <br /> NAME OF GROUP 'e,'____ �LrJ�ll <br /> NO. <br /> S50.00 / <br /> Cleanup Deposit �'2•��j PARK LOCATION <br /> Received by; �.,-�L M'-) <br /> r <br />