STATE OF WISCONSIN
Town of ________
________ County
________ ________, of the Town of ________, ________ County, Wisconsin, having filed with the undersigned town clerk an application for a retailer's Class “B” license to sell fermented malt beverages, 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__[fee shall not exceed $100 per year; nonrenewable license may be issued for 6 months for one half of the license fee];
A retailer's Class “B” license is granted to ________ ________ to sell fermented malt beverages, under s. 125.26, Wis. stats., on the following premises in the town either to be consumed on the premises where sold or off the premises: [describe the premises].
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]
Notes: See ss. 125.04 (5) and (6) and 125.26 (2) (b), Wis. stats., regarding applications and qualifications for licenses. See s. 125.32, Wis. stats., for general license restrictions and requirements.
Six-month licenses and licenses for months or fractions of months may be granted, with prorated fees under s. 125.26 (4) or (5).
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