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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 0. 2 Beer) in City parks. <br /> FULL NAME OF APPLICANT CASE`s -S, SCA--r7 <br /> ADDRESS 2613 221L, A✓, /✓E .S'f. <br /> AGE 2tp <br /> 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 /> Signatur of/applicant <br /> NAME OF GROUP NANO O� L�KtI <br /> NO. <br /> $50.00 <br /> Cleanup Deposit ���� PARK LOCATION <br /> Received by; L'�& <br /> CASEY J. SCOTT <br /> 1395 <br /> S-300-108-429-111 <br /> • •• 2813-27TH AVE. NE <br /> ST. ANTHONY, MN 55418 3/' ^ w <br /> 910 . <br /> PAY TO TH <br /> ORDER 0 <br /> i DOLLAR$ <br /> TWIN CITY FEDERAL <br /> AVI�I(13 8 LOAN ASSOCIATION <br /> a,?S&ke A <br /> tAnNonry.MlnneaotaSS421 � <br /> FOR 0 <br /> -4 29 LO7000 W 9 16800 2980 L 211' L 39 <br />