The Pamphlet Collection of Sir Robert Stout: Volume 29
(No. 2,) — Form of Notice of Application for a 'Bottle License
Form of Notice of Application for a 'Bottle License.
To the Worshipful the Justices of the Peace acting in and for the Licensing District of________________ in the Province of Otago, I, (state the name and the trade or occupation)________________ now residing at________________ (city, town, or district of________________ do hereby give notice that it is my intention to apply under the "Licensing Ordinance 1865," at the next Quarterly Licensing Meeting to be holden for this district on the________________ day of________________ next ensuing for a "Bottle License" for the shop or business premises and appurtenances thereto belonging situate at Signed this day of one thousand eight hundred and________________