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CITY OF ST ANTHONY <br /> DEPARnIENT OF LICENSING <br /> Date:_ 7 7- y� <br /> The following is an application for use of 3.2 beer in City Parks. <br /> FULL NAME OF APPLICANT: In I <br /> (Must work in St. Anthony or live in St.`Anthony) i7 <br /> ADDRESS: �l l �2 �v :y /f✓c �S f 14n /V7,,y <br /> AGE: U <br /> I certify that I am a resident of St. Anthony or work in the City. <br /> I am responsible for cond of er group. <br /> Signature of App nt <br /> NAME OF GROUP: <br /> # IN GROUP: <br /> LOCAO <br /> DATE: HOURS: Y " 9 <br /> TELEPHONE#: 7 K ' IS-L111 <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 />