I, ________ ________, of ______________, make application for an operator's license under
s. 125.17, Wis. stats., to sell alcohol beverages in a place operated for the sale of alcohol beverages, and I agree that I will comply with all laws, resolutions, ordinances, and regulations, state, federal, and local, affecting the sale of alcohol beverages, if a license is granted to me.
I certify that I am a person over 18 years of age and that I have successfully completed a responsible beverage server training course.
Dated this ______ day of ________, 20__.