STATE OF WISCONSIN
Town of ________
________ County
________ ________, of the Town of ________, ________ County, Wisconsin, having filed with the undersigned town clerk an application for a Retail “Class A” license to sell intoxicating liquor, that has been published as required by
s. 125.04 (3), Wis. stats., and having produced a receipt showing the payment of $________ to the treasurer of the town, and the application having been granted by the town board on ________ ___, 20__;
A Retail “Class A” license is granted to ________ ________ to sell intoxicating liquor under
s. 125.51 (2), Wis. stats., on the following premises in the town only for consumption off the premises where sold and in the original packages, containers, and bottles: [describe them].
This license will expire on June 30, 20__, unless sooner revoked.
Dated this ______ day of ________, 20__.
[Signatures of town board]
Attest: [Signature of town clerk]
Note: Six-month licenses and licenses for months or fractions of months may be granted, with prorated fees under s.
125.51 (9).
