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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 APPL I CANT �GC ���7 �C�S <br /> ADDRESS - 7�/(/ W'qr6--s sj: <br /> AGE <br /> I 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 /> Signature of appliea <br /> NAME OF GROUP - AW+0AJu 112r D6-p7.- <br /> NO. <br /> $50.00 L <br /> Cleanup Deposit �,(M PARK LOCATION('-rAjT R` t- 14 ?— <br /> Received by; <br /> _. 500 , <br /> ST. ANTHONY FIRE,DEPARTMENT <br /> 2900 KENZIE TERRACE <br /> ST. ANTHONY, MN 55418 I �g x75-1871" <br /> 910 <br /> [AY E <br /> O L L A R S <br /> St.Anthony National Bank <br /> 2401 Lowry Ave. N.E. <br /> Minneapolis, MN 55418 <br /> LOL67LSo: 280 4L. L6Ile 0500 <br /> ��._.a._--"7SSffi�7A•" r"�'lllhEiGido'rT3:.ilIIdiil3i; .. .. <br />