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• CITY OF ST ALNTHONY <br /> DEPARTMENT OF LICENSING <br /> Date: 6 <br /> following is an application for use of 3.2 beer in City Parks. <br /> FULL NAME OF �APPLICANT: F/,(6 f 4/ <br /> (Must work in St. Anthony or live in St. Anthony) <br /> ADDRESS: t owt% /f vc- AiE <br /> AGE: <br /> I certify that I am a resident of St. Anthony or work in the City. <br /> I Wamreso le for c ct of h' er group. <br /> • <br /> Slignatthe of icant <br /> L <br /> NAME OF GROUP: 45 <br /> # IN GROUP: 30 <br /> LOCATION: t I f 1-u <br /> DATE: ?-)7-76 HOURS: J700 <br /> TELEPHONE#: <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 /> i' <br /> • <br />