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CITY OF ST. ANTHONY <br /> ' DEPARTMENT OF LICENSING/PERMITS <br /> IThe following is application for use of liquors, including non-toxicating malt <br /> I liquor (3. 2 Beer) in City parks. <br /> FULL NAME OF APPLICANT nw.��- <br /> I <br /> I ADDRESS 05-, <br /> AGE <br /> I certify that I am a resident of St. Anthony/or work in City of St. Anthony. <br /> I <br /> 0I responsible for conduct of his/her group. <br /> ignature of applicant <br /> NAME OF GROUP 4o Doul f �7-,��,- �r, tt'5 < <br /> $50-00 � <br /> C l eanup Depos i t PARK LOCATION Cie 0iv ,1 <br /> Received by; <br /> THOMAS A. BRAMA 1054 <br /> LIC. B-050-792-067-354 <br /> 2521 - 13 A ST., NW. 633-2612 �� t <br /> NEW BRIGHTON, MN 55112 19aZ4 17-60/910 <br /> PAY TO THE <br /> ORDER - _ - I $ <br /> -- - 100- <br /> DOLLARS <br /> /I\ON orwest Bank Central,N'A. IPC <br /> BBBBO 2329 Central Avenue N.E. <br /> NORWEBBANKS <br /> BOOBI Minnea polis,MN 55418 <br /> BI\BO <br /> MEMO. <br /> o:09 b00060131: 8 2eu S 7ss,90011° 1,0:54 <br />