Laserfiche WebLink
• CITY OF ST ANTHONY <br /> DEPARTMENT OF LICENSING <br /> Date <br /> The following is an application for use of 3.2 beer in City Pa ks. <br /> FULL NAME OF APPLICANT: ✓J �`" <br /> (Must work in St. Anthony or live in St. Antho y) <br /> 2 6 <br /> ADDRESS: <br /> AGE: <br /> I certifythat I am�a resident of St. ADyr work in the City. <br /> responsible fo conduct his/her group., <br /> • Signature of Applicant <br /> NAME OF GROU <br /> # IN GROUP: 6 <br /> LOCATION o �` <br /> DATE: HOURS: GSC <br /> TELE ' ONO-#-.:#: aT,P ;go 7 S <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 /> • <br />