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Operator_s_license_to_sell_alcohol_beverages 125.17: Operator’s license to sell alcohol beverages

The following statutes affect this form: s. 125.17, Wis. stats.

STATE OF WISCONSIN
Town of ________
________ County

Application having been filed by ________ ________, of ______________, for an operator’s license under s. 125.17, Wis. stats., and it appearing that the applicant is a person over 18 years of age who has successfully completed a responsible beverage server training course [if the town has adopted an ordinance pursuant to s. 125.17 (5) (a), Wis. stats., regarding licensing standards, add: and meets all the standards established by ordinance by the Town of ________] and has paid the required fee of $________;

An Operator’s License is granted to ________ ________ to sell alcohol beverages in a place operated for the sale of alcohol beverages in the Town of ________, ________ County, Wisconsin.

This license expires on June 30, 20__, unless sooner revoked.

Dated this ______ day of ________, 20__.

[Signatures of town board]

Attest: [Signature of town clerk]

Note: See s. 125.04 (5) and (6), Wis. stats., for license qualifications. See ss. 125.32 and 125.68, Wis. stats., for general license restrictions and requirements.