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v <br /> 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 facer) in City parks. <br /> FULL NAME OF APPLICANT <br /> ADDRESS g$�a 9 �G -ioBa.C ) -7 9A111 �o) <br /> AGE ,3 3 <br /> i <br /> I certify that l am a resident of St . Anthony/or work in City of St. Anthony. <br /> I a r sponsible fo a duct of his/Fier group. <br /> Signature of applicant <br /> NAME OF GROUP <br /> �Q <br /> $50.00 N0. <br /> Cleanup Deposit PARK LOCATION 5;lVe_r Po irf f <br /> Received by; a <br /> ..�eehJ ✓X.e-� .to .-�� ,d..�c�, <br />