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2. Applicant Information:
4. Full Name*

   Must live or work in the City of St. Anthony Village.

5. Address*
7. City*
8. State*
9. Zip*
11. Phone #*
12. Email Address*
14. Applicant must be 21 years of age or older. Are you 21 or older?*

    1. Yes
    2. No
18. Event Information
20. Name of Group*
21. # of people*
23. Date & Time of Event*
    Date & Time of Event Start Date

    Date & Time of Event Start Time

    —

    Date & Time of Event End Date

    Date & Time of Event End Time
27. Park Location
29. Park Location*
33. City of St. Anthony Park Special Event Beer Permit: (St. Anthony City Code 93.02)

    1) You must work or live in the City of St. Anthony to obtain a Parks Special Event Beer Permit; and

    2) Application for the Parks Special Event Beer Permit must be approved by the City Council. Application must be received at least two (2) weeks prior to the event; and

    3) At the event, there will be “NO CHARGE” for the drinks; and

    4) Persons under the age of 21 cannot consume alcoholic beverages; and

    5) The renter shall be solely responsible for supervising the conduct of the members of the group; and

    6) All recyclable items will be placed in the appropriate recycling bins; and

    7) The renter must comply with all the ordinances of the City of St. Anthony.

35. I have read and agree to all of the above information.*

    1. I agree
37. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
39. Electronic Signature*
40. Date*
Leave This Blank:


42. 1. Receive an email copy of this form.
43. Email address

    This field is not part of the form submission.

44. Submit

* indicates a required field