Laserfiche WebLink
C <br /> DATE b <br /> -ITY OF ST. ANTHONY <br /> DEPARTMENT OF LICENSING <br /> The following is applicaLion for use of 3. 2 beer in City Pais. <br /> '4A <br /> T (.MUST WORK IN ST. ANTHONY OR <br /> FULL NAME OF APPLICANT: LIVE IN ST. ANTHONY) <br /> Z 2-( <br /> ADDRESS: <br /> AGE: <br /> t. Anthony. <br /> I certify that I am a resident of St. Anthony or work in City of S <br />;41 of his/her group. <br /> am respo ible for conduct <br /> NAME OF GROUP: <br /> rignatuke -of Applicant <br /> NO in Group: <br /> zue <br /> LOCATION: <br /> DATE? <br /> sit: TELEPHONE # <br /> $50 .00 Clean-up Depq <br /> Received By <br />