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S CITY OF ST ANTHONY <br /> DEPARTMENT OF LICENSING <br /> Date: ,P_ <br /> The following is an application for use of 3.2 beer in City Parks. <br /> FULL NAME OF APPLICANT: 0 / P(AQ <br /> (Must work in St. Anthony or live fn St._Anthony) <br /> ADDRESS: it <br /> AGE:3�- <br /> I certify that I am a resident of St. Anthony or work in the City. <br /> I am responsible for conduct of his/her group. <br /> Signature of Applicant <br /> NAME OF GROUP: /oc v l <br /> # IN GROUP• S— <br /> LOCATION: a v i l <br /> DATE: Tv/( c- HOURS: 9 - 0 0 <br /> TELEPHON #: '79(3- 96.22, <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 />