STATE OF WISCONSIN
Town of ________
________ County
Application having been filed by ________ ________, of ______________, for an operator's license under
s. 125.17, Wis. stats., and it appearing that the applicant is a person over 18 years of age who has successfully completed a responsible beverage server training course [if the town has adopted an ordinance pursuant to
s. 125.17 (5) (a), Wis. stats., regarding licensing standards, add: and meets all the standards established by ordinance by the Town of ________] and has paid the required fee of $________;
An Operator's License is granted to ________ ________ to sell alcohol beverages in a place operated for the sale of alcohol beverages in the Town of ________, ________ County, Wisconsin.
This license expires on June 30, 20__, unless sooner revoked.
Dated this ______ day of ________, 20__.
[Signatures of town board]
Attest: [Signature of town clerk]
Note: See
s. 125.04 (5) and
(6), Wis. stats., for license qualifications. See
ss. 125.32 and
125.68, Wis. stats., for general license restrictions and requirements.
