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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: `H'Es i t'� IW I R o eHA <br /> (Must work in St. Anthony or live in St. Anthony) <br /> ADDRESS: ZL _ c', <br /> AGE: 7-s <br /> I certify that I am a resident of St. Anthony or work in.the City. <br /> I am esponsible for conduct of his/her group. <br /> ignature of Applicant <br /> NAME OF GROUP: OW — 0'-OL& <br /> # IN GROUP: 1 0 <br /> LOCATION: ,t, a vz_ <br /> DATE: '1— —25- HOURS: /o? — Sp m <br /> TELEPHONE#: -7 tS R–22 g 7 <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 />