Extension of Premise - Liquor License

2. Extension of Premise
   Please fill out all items below. Extensions must go to the Common Council for approval. Depending on the time of year, this can take up to 30 days. Have your application in well ahead of the time you wish to extend your premise. Payment must be received in order to be placed on the agenda.

   Please fill out all items below. Extensions must go to the Common Council for approval. Depending on the time of year, this can take up to 30 days. Have your application in well ahead of the time you wish to extend your premise. Payment must be received in order to be placed on the agenda.

4. Business Name*

5. Business Address*

7. Contact Person*

8. Contact Phone*

10. Contact Email*

11. Email for Permit if Approved

13. What type of extension are you looking for?*

    1. Permanent
    2. Temporary

    Cost: $25.00

15. What would you like the extension of premise to read?*

    This field is pulled from the application and will go right on the permit.

17. Why do you need this extension of premise?*

19. Acknowledgement
    By submitting this permit, I understand it needs to be approved by the Common Council. I also understand it will not be placed on the agenda until I have submitted payment. I will not be able to sell alcohol until this permit has been approved and sent to me with the new description. If the DOR visits my establishment and I do not have the new permit up, I maybe subject to a fine.

    By submitting this permit, I understand it needs to be approved by the Common Council. I also understand it will not be placed on the agenda until I have submitted payment. I will not be able to sell alcohol until this permit has been approved and sent to me with the new description. If the DOR visits my establishment and I do not have the new permit up, I maybe subject to a fine.

Leave This Blank:


21. 1. Receive an email copy of this form.
22. Email address

    This field is not part of the form submission.

23. Submit

* indicates a required field