APPLICATION FOR OPERATORíS LICENSE
to serve Fermented Malt Beverages and Intoxicating Liquors
I, the undersigned, do hereby respectfully make application to the Town of Arena, Iowa County, Wisconsin for a License to serve Fermented Malt Beverages and Intoxicating Liquors, subject to the limitations imposed by Section 125.32(2) and 125.68(2) of the Wisconsin Statutes and all acts amendatory thereof and supplementary thereto, and hereby agree to comply with all laws, resolutions, ordinances and regulations, Federal, State or Local, affecting the sale of such beverages and liquors if a license be granted to me.
Name of Applicant: ___________________________________†† Age:† ______†† DOB: _______
Address of Applicant:† ___________________________________________________________
Have you been convicted of any felony or of violating any
law of the State of
Have you been convicted of violating any license law or ordinance regulating the sale of fermented malt beverages or intoxicating liquors? __________ Violation:† _________________
Please check one of the following:
_______ I have held an operatorís license in the Town of
_______ I have held an operatorís license in the State of
††††††††††††††††††††††† in the ______________________________________________.
_______ I have not held an operatorís license within the last two years, but have completed
††††††††††††††††††††††† bartenderís school.† (Please attach a copy of proof of schooling.)
_______ I have not held an operatorís license within the last two years and will be attending
††††††††††††††††††††††† bartenderís school.† (Required by WI Statutes Section 125.17(6))
The below signed applicant agrees that all statements made by the applicant are true.
††††††† †††††††††††(Applicant Signature)
Subscribed and sworn to before me this _____ day of ___________________, ___________.
_____________________________________, Notary Public,