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• CITY OF ST ANTHONY <br /> DEPAR"DIENT OF LICENSING <br /> Dater <br /> The following is an application for use of 3.2 beer <br /> �i`nn City Parks. <br /> FULL NAME OF APPLICANT:,� �i/1— <br /> (Must work in St: Anthony or live in St. Anthony) <br /> ADDRESS: <br /> AGE:,Z,----- <br /> I certify that I am a resident of St. Anthony or work in the City. <br /> I am <br /> responsible for conduct of his/her group. <br /> Signature of Applicant <br /> NAME OF GROUP: <br /> # IN GROUP: "d <br /> LOCATION: <br /> DATE: _ d--- HOURS: / <br /> TELEPHONE#: – 7 _ <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 />