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Notice_of_refusal_to_issue_license 125.12 (3m) * Notice of refusal to issue license.

STATE OF WISCONSIN
Town of ________
________ County

To ________ ________:

It appearing to the Town Board of the Town of ________, ________ County, Wisconsin, that a Class [A or B or C] alcohol beverage license should not be issued to you for the reason that [specify the grounds for denial], you are notified that said license will not be issued.

Dated this ______ day of ________, 20__.

[Signatures of town board]

Attest: [Signature of town clerk]