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CC PACKET 08271996
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CC PACKET 08271996
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Last modified
12/30/2015 6:30:24 PM
Creation date
12/30/2015 6:30:11 PM
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SP Box #
22
SP Folder Name
CC PACKETS 1994-1998
SP Name
CC PACKET 08271996
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• CITY OF ST AUNTHONY <br /> DEPARTMENT OF LICENSING <br /> Date 9 <br /> The following is an application for a of 3.2 beer in C' Parks. <br /> FULL NAME OF APPLICANT: <br /> (Must work in St. Anthony r live-in St. Anthony) <br /> ADDRESSr��O O <br /> AGE: _ <br /> I certify that I am a resident of St. Anthony or work in the City. <br /> 1/4 responsible for c uct of his/her group. <br /> Signat a of Applicant <br /> NAME OF GROUP: <br /> # IN GROUP: <br /> LOCATI N: <br /> DATE• S. 6 HOURS: 30 '�4t7 <br /> TELEPH NE#: <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 />
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