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2. Village of Elm Grove Temporary Liquor License Application

   The license will not be reviewed until payment has been made. Note: if there are any outstanding invoices due to the Village or the County, you may not be approved until those invoices are paid in full. You can pay with a check or cash. Checks can be mailed to the Clerk's office at 13600 Juneau Blvd. Elm Grove, WI 53122. You can always pay by cash or check in person. 

   Submit applications timely. For a Class "B" (Beer/ fermented malt beverages) the application must be submitted at least 5 days before the event. A "Class B" (wine license) must be submitted at least fifteen before the event. (sec. 125.04, Wis. Stats.)

4. This temporary license will be used at this event:*
5. This event begins:*
   This event begins:

   This event begins:
6. This event ends:*
   This event ends:

   This event ends:
8. This organization is applying for:*

   License cost - $10

   1. A Temporary Class "B" license to sell fermented malt beverages at picnics or similar gatherings under s. 125.26(6), Wis. Stats.
   2. A Temporary "Class B" license to sell wine at picnics or similar gatherings under s. 125.51(10), Wis. Stats. An organization is allowed by State law to have a max. of 2 temporary wine licenses per year
10. Background Check Fee is Required for all individuals of $10 listed on the AB-100*
    -- Select One --1 Agent - $102 Agents - $203 Agents - $30
12. AB-220 Temporary Alcohol Beverage Form
    Download the AB-220 Temporary Alcohol Beverage License Form
13. Upload the completed AB-220*
15. AB-100 Alcohol Beverage Individual Questionnaire
    Download the AB-100 Alcohol Beverage Individual Questionnaire
16. Upload the completed AB-100*
18. Will underage persons be present on the premises?*

    1. No
    2. Yes

    §171-4B(2) Municipal Code

22. Contact Name*
23. Contact Phone*
24. Contact Email*
26. Organization Name*
27. Organization Address*
29. Our organization is a...*

    1. Bona Fide Club
    2. Church
    3. Lodge/Society
    4. Veteran's Organization
    5. Fair Association
30. If the named organization is not required to hold a Wisconsin Seller's permit pursuant to s.77.54(7m), check this box.

    1. Not Required
31. (1) Bona fide clubs that have been in existence for at least 6 months prior to the date of application. (2) State, county, or local fair associations, or agricultural societies. (3) Church, lodge, or society that has been in existence for at least 6 months prior to the date of application. (4) Posts now or hereafter established of ex-servicemen’s organizations.
33. Officer - President*
34. Officer - Vice President
35. Officer - Secretary
36. Officer - Treasurer
38. Declaration
    The Officer(s) of the organization, individually and together, declare under penalties of law that the information provided in this application is true and correct to the best of their knowledge and belief. The Officer(s) have given express permission for the applicant to apply for this permit on the organization and their behalf.
42. Location of Premises Where Beer and/or Wine Will Be Sold*
    Be as specific as possible. Describe fully all premises covered under this application, which floor or floors, or room or rooms, license is to cover.
44. ACKNOWLEDGEMENT

    By submitting this document, you acknowledge the following: I understand I must pay the agent fee in full. I understand I can have no outstanding bills with the Village of Elm Grove and possibly Waukesha County. I understand the agent information may be subject to a background check.

    No paper licenses will be mailed out except upon written request. Licenses must be displayed and be visible from the point of sale.

    (1) License may not be issued to individuals. (2) Licenses to organizations, other than ex-servicemen’s organizations, can be issued only for a picnic or similar gathering. They may not be issued for business or social meetings of the organization. (3) Licenses for club or organization meetings may be issued only to ex-servicemen’s posts. (4) License may cover either a specified area or the entire picnic grounds. (5) License issued to a county or district fair must cover the entire fairground (ss. 125.26(6) and 125.51(10), Wis. Stats.) (6) No license to clubs having any indebtedness to any wholesaler for more than 15 days for beer (s. 125.33(7), Wis. Stats.) and 30 days for wine (s. 125.69(4)(b), Wis. Stats.) (7) Licensed operator(s) must be present at all times (ss. 125.26(6), 125.32(2) - Beer; 125.51(10), 125.68(2) - Wine; 125.17) (8) The licensed club, club members, or any other persons are not permitted to possess intoxicating liquor on licensed premises on the Temporary Class “B”/”Class B” licensed picnic area. (s. 125.32(6), Wis. Stats.) (9) Not more than 2 wine licenses may be issued to any club, county or local fair association, agricultural association, church, lodge, society or veterans' post in any 12 month period. (10) Licensed organizations must purchase or possess their product from a licensed wholesaler (s. 125.33(9)(a)). NOTE: Most coolers presently on the market have a fermented malt beverage base allowing sale under a beer license, e.g. Bartles and James, Seagrams, etc.

46. I would like my license emailed to...*
47. The parent company would also like a license emailed to...
Leave This Blank:


49. 1. Receive an email copy of this form.
50. Email address

    This field is not part of the form submission.

51. Submit

* indicates a required field