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 C” license to sell wine in accordance with
s. 125.51 (3m), Wis. stats., 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 C” license is granted to ________ ________ to sell wine by the glass or in an opened original container to be consumed on the following premises within the town: [describe].
This license expires on the last day of June, 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).
