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Operator's License
Application
Current Year
Application - Upcoming Year
First Name
Middle Initial
Last Name
for the fiscal year ending June 30, 202
*
Current Street Address
*
Current City, State, & Zip
*
Previous Address (include Street, City, State & Zip)
*
Telephone No.:
Date of Birth:
*
By checking this box, I certify that I am over 18 years of age.
*
Sex (M for Male; F for Female; I for other gender type)
*
Race
*
I will be selling alcoholic beverages for:
*
Check all that are applicable: I hereby certify that ...
I am renewing my Operator's License from the previous year.
I have attended the Responsible Beverage Server training course as required by Sec 7-2-35 of the Code of Ordinance (email certificate, unless on file).
I am presently enrolled in the Responsible Beverage Server training course (show proof).
1a) Have you had an operator's beverage license in the Village of Edgar before?
*
1b) If yes, what year?
*
2a) Have you ever been convicted of violating any liquor license law or ordinance including but not limited to those governing the sale, distribution or consumption of intoxicants? (including under-age liquor)
*
2b) if so, when & where?
*
3a) Have you ever had an operator's beverage license revoked, suspended or refused by any City, Village, Township, or State?
*
3b) If yes, what year?
4a) Have you been convicted of operating a motor vehicle while intoxicated within the last 5 years?
*
4a) Have you been convicted of operating a motor vehicle while intoxicated within the last 5 years?
*
I certify that I am familiar with the laws, ordinances and regulations involving the sale and service of alcoholic beverages and I hereby agree if granted said license, to obey all provisions of said laws, ordinances and regulations.
*
Furthermore, I understand that any intentional misrepresentation, falsification, withholding of information or incomplete answers to questions on this application may result in rejection of the license, and
...that it may be grounds for revocation of the license after it is issued.
*
*
- denotes required field
Living Here
Government
Permits, Licenses & Forms
Fillable Forms
Automatic Water/Sewer Utility Payments
Alcohol or Cigarette Application - Business Renewal
Building Permit - Accessory Structure
Building Permit - Commercial Construction (Minor Repairs)
Building Permit - Principal Structure, Non-UDC
Building Permit - WI UDC Permit Application - Principal Building (New or Major Construction)
Conditional Use Permit Application
Driveway Permit
E-Billing Sign Up
Excavation Permit
Fence Permit Application
Operator License Permit
Pet Registration Form
See-Report-Fix Form
Sign Permit Application
Swimming Pool & Hot Tub Permit Application
Forms to Print
Garbage & Recycling
Parks
Village Facility Rentals
Business Directory
Schools
Edgar Branch Library
Edgar Area Trail Supporters
Housing Rehab Assistance