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CITY OF ST. ANTHONY <br /> DEPARTMENT OF LICENSING <br /> The following is application for use of 3. 2 beer in City Parks. <br /> FULL NAME OF APPLICANT: G-(r-r (MUST WORK IN ST. ANTHONY OR. LIVE <br /> IN ST. ANTHONY) <br /> ADDRESS: 300y 313 Ave- A)F ." ST <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 /> Signa ur of �applican NAME OF GROUP NO <br /> LOCATION <br /> $50. 00 Cleanup Deposit <br /> Received by <br /> 2114 <br /> GARY D. OR DONNA L. HAVEY <br /> LIC. H-100-271-135-658 H-100-149-497-447 8 19 75-167t/910 <br /> 3004 - 31ST AVE., NE. 789-2224 <br /> MINNEAPOLIS, MN 55418 / <br /> T C� <br /> a <br /> PAY TO THE <br /> ORDER <br /> �— S <br /> p d <br /> St. Anthony National Bank <br /> 2401 Lowry Ave. N.E. <br /> St. Anthony,MN 55418 <br /> MEM <br /> iao09 b0167 hS10 353 390 211° 21 L4 <br />