STATE OF WISCONSIN
Town of ________
________ County
Written application having been made to the Town Board of the Town of ________, ________ County, Wisconsin, by ________ [name of bona fide club, county or local fair association or agricultural society, church, lodge, or society that has been in existence for at least 6 months before the date of application, or veterans' organization posts] for a Temporary Class “B” License to sell fermented malt beverages for the period and at the premises described in the application, and the applicant having paid the required fee of $________ [not to exceed $10];
A Temporary Class “B” License is granted to ______________ to sell at retail at the following premises: [describe them], for the following period: [
state period], fermented malt beverages subject to the limitations imposed by law. [If applicable, state: Licensee is authorized to permit underage persons to be upon the described premises during the effective period of this license.]
Dated this ______ day of ________, 20__.
[Signatures of town board]
Attest: [Signature of town clerk]
