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T <br /> y OF ST. ANTHONY <br /> EpARTMENT OF LICENSING <br /> The following is application for use of 3. 2 beer in City Parks. <br /> FULL NAME OF APPLICANT: (MUST WORK IN ST. ANTHONY OR LIVE <br /> Y.. : IN ST. ANTHONY) <br /> ADDRESS Q <br /> AGE <br /> I certify that I am a resident of St. Anthony or work in City of St. Anthony. <br /> I am responsible for conduct of his/her group. <br /> gnature o app is n NAME OF GROUP <br /> NO �/� <br /> LOCATION B-e <br /> $50.00 Cleanup Depos ' t ✓U/ <br /> Received by : <br />