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Appeal Form-Licenses

  1. Appeal Form-Licenses

        The City of Green Bay Clerk’s Office accepts appeals for licenses.

        Submit within 30 days of denial.

        Form and supplemental information are public record and may be uploaded to the Committee/Council meeting packet 

  2. Competence Evidence of Rehabilitation and Fitness to Enahage in the Licensed Activity which will be considered at the appeal hearing:

    Competence Evidence Includes: 
    a. A certified copy of an honorable discharge or separation under honorable conditions from the U.S. armed forces for military services rendered following a conviction and that applicant has not had any convictions, misdemeanors or felonies subsequent to the date of the honorable discharge or separation. 

    b. A copy of the local, state or federal release document and either a copy of the relevant department of corrections document showing completion of probation, extend supervision or parole or other evidence that a least one year has elapsed since release from any local, state, or federal correctional institution with out subsequent conviction of a crime. 

    Other Factors that may be considered as evidence of rehabilitation and fitness: 

    a. Evidence of the nature and seriousness of any offense of which applicant was convicted. 

    b. The age of the applicant at the time the offense was committed. 

    d. The length of time that has elapsed since the offense was committed. 

    e. Letters of refernce by person who have been in contact with the indvidual since the applicant's release from any local, state or federal correction istutions. 

    f. All other relevant evidence of rehabilitation and present fitness presented. 

  3. Document Upload (Not Required)
  4. Information:

    The appeal will be heard before the Protection & Policy Committee and Common Council. Written Notice will be sent to the person listed above requesting attendance at the meeting. You may be represented my an attorney for the appeal. If you have an attorney, please provide that information above.  

    The information on this form is true and correct to the best of my knowledge. I understand that any false statement on this form or any attachments constitutes grounds for revocation of any provisional retail license issued and/or denial of my regular license application.

  5. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

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  7. This field is not part of the form submission.