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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 <br /> ADDRESS <br /> AGE <br /> certify that 1 am a resident of St. Anthony/or work in City of St. Anthony. <br /> a responsible for conduct of his/her group. <br /> Signature of appl is cot <br /> NAME OF GROUP <br /> $50.00 NO. <br /> Cleanup Deposit <br /> PARK LOCATION <br /> Received by; �-�-�� <br />