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CITY OF ST. ANTHONY <br /> DEPARTMENT OF LICENSING/PERMITS <br /> The following is application for use of liquors, including non-toxicating malt <br /> liquor (3. 2 Beer) in City parks. <br /> FULL NAME OF APPLICANT <br /> ADDRESS <br /> AG E �— <br /> I certify that I am a resident of St. Anthony/or work in City of St. Anthony. <br /> am responsible for conduct of his/her group. <br /> Signature of applicant <br /> NAME OF GROUP �Je-e-2't- <br /> /G <br /> Cleanup Deposit PARK LOCATION2? �� <br /> Received by; fes_ <br /> CARL C. OR FLORENCE L. OLSON <br /> 0-425-108-119-760 2060 <br /> TELEPHONE 789-3917 <br /> 3611 - 37TH AVE. NE. APT. 211 .S�- 19 22.10211 <br /> ® MINNEAPOLIS, MN 55421 980 <br /> i <br /> PAY IHI <br /> ORD R OI u 11 $ap <br /> O 4 <br /> I n <br /> DOLLARS <br /> 101 ST.PA L POSTAL EMPLOYEES CREDIT UNION <br /> 600 MAIN POST OFFICE <br /> ST.PAUL,MINNESOTA 55101 <br /> FATABLA TM MUGM BTMIMLST BAWL.ST.ML RA. <br /> • <br /> 4:06 000 LOD: 709400 b 113 24 211' 2060 • <br />