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CITY OF ST. ANTHONY <br /> DEPARTMENT OF LICENSING , DATE:�22)A_4 <br /> trite following is application for use of 3. 2 beer in City Parks. <br /> FULL NAME OF APPLICANT: L (.MUST WORK IN ST. ANTHONY OR <br /> U LIVE IN ST. ANTHONY) <br /> ADDRESS: <br /> P <br /> AGE:— <br /> I certifLy that I am a resident of St. Anthony or work in City of St. Anthony.. <br /> I arr."'oresponsible for conduct of his/her group. <br /> -9-1gnature of ApplicanV NAME OF GROUP: 4"'1" <br /> NO in Group: <br /> LOCATION:. (_2x.'C <br /> DATE'1­1' <br /> Al <br /> $50 .00 Clean-up Deposit: <br /> TELEPHONE <br /> Received By <br />