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• <br /> CITY OF ST. ANTHONY . <br /> DEPARTMENT OF LICENSING/PERMITS <br /> The following i; application for use of liquors, including non-toxieating malt <br /> liquor (3. 2 [leer) in City parks. <br /> FULL NAME OF APPLICANT <br /> J <br /> r <br /> ADDRESS ,- 00 <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 applicant <br /> NAME OF GROUP <br /> No. <br /> $50.00 qs <br /> Cleanup Deposit J��. ` -�-�� <br /> PARK LOCATION <br /> Received by; <br /> 4016 <br /> JOSEPH E., JR. OR BARBARA B. WALL <br /> 3200 BELL LANE- PH. 789-8123 <br /> ST:-ANTHONY;MN b5418 �1� 75-1047/960 <br /> PAY`TO'THE�✓ .r .�^. r <br /> ORDER'OF"" I ✓O . ____ <br /> DOLLARS <br /> F STATE BANK OF NEW BRIGHTON <br /> y az3 - mour4os VIEW.NEMi BWGMTON.BIeOREVIEW <br /> --NEW BRIGHTON.MINNESOTA 55112 <br /> .. yam:- .� �,�- ���LL�L3/✓ <br /> ®1:0.960.;L0.4`'7 3�.:� L,Lem2.7 7 9 Lu' 40 L 6 <br />