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CITY OF ST ANTHONY <br /> DEPARDIENT OF LICENSIIG <br /> Date: / <br /> The following is an application for use of 3.2 beer in City Parks. <br /> FULL NAME OF APPLICANT:�/W�Q XXadf- 6-dlui( E <br /> thon live in St. Anthony)(Must work in St. An y <br /> ADDRESS:� 2��'V /�� /`'k ' <br /> AGE: <br /> I certify that I am a resident of St. Anthony or work in the City. <br /> I m responsible for conduct of his/her group. <br /> i6aturo Appli <br /> NAME OF GROUP: <br /> # IN GROUP: <br /> LOCA ON: 4 . <br /> DATE: HOURS: <br /> TELEPH EM Z 0 <br /> $50.00 CLEAN-UP DEPOSIT: <br /> (You are responsible for Park Clean-up, the deposit will be returned-after inspection of the <br /> Park) <br /> RECEIVED BY: <br /> RETURNED: <br />