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CITY OF ST. ANTHONY TODAY'S DATE <br /> DEPARTMENT OF LICENSING <br /> vie following is application for use of 3. 2 beer in City Parks. <br /> FULL NAME OF APPLICANT: <br /> & C- ,S'r'i n� (MUST <br /> LIVE INRSTINANTHONY)ANTHONY OR <br /> ADDRESS: 32-2 <br /> AGE:_ 30 <br /> I certify that I am a resident of St. Anthony or work in City of St. Anthony. <br /> I am responsible for conduct of his/her group. <br /> S' gna r o Applicant NAME OF GROUP: Joy x CcTt2 <br /> NO in Group: <br /> LOCATION: C4r0 �jv <br /> DATE'I" � ' .H Ij . <br /> $50.00 Clean-up Deposit: TELEPHONE #, -220-2431 ?8b-81 1 <br /> Received By <br />