CC PACKET 06141983 - Laserfiche WebLink

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CITY OF ST. ANTHONY DEPARTMENT OF LICENSING/PERMITS The following is application for use .of liquors, including non-toxicating malt liquor 0.2 Beer) in City parks. FULL NAME OF APPLICANT S -7� t ADORES AGE d5 7 , 4,1,7 e-P, e-e- b I certify that I am a resident of St. Anthony/or(�n City of St. Anthony- I am responsible for conduct of his/her group. E:: Sigrt4ture of app] icant NAME OF GROUP $50-00 NO. Cleanup Deposit . .r PARK LOCATION TkA L Received by;