Form 5-M "Notice to Liquor Permit Holder of the Circulation of a Local Option Petition" - Ohio

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Form Details:

  • Released on September 1, 2017;
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Form No. 5-M Prescribed by the Ohio Secretary of State (09-17)
Notice to Liquor Permit Holder of the Circulation of a Local Option Petition
R.C. 4301.33, 4301.332 and 4305.14
To:
Name of Permit Holder
Address of Permit Premises
Notice is hereby given that a petition is being circulated for an election for the submission of the question(s)
specified in division (A) to (C) of section 4301.35, section 4301.351, section 4301.353, section 4301.354 or division
(B) of section 4305.14 of the Ohio Revised Code, as designated below.
The question(s) to be submitted as they appear on the petition are as follows:
4301.35
Shall the sale of wine and mixed beverages by the package, under permits which authorize sale for
(A)
off-premise consumption only, be permitted in
?
Name of Precinct
4301.35
Shall the sale of wine and mixed beverages, under permits which authorize sale for on-premise
(B)
consumption only, and under permits which authorize sale for both on-premise and off-premise
consumption, be permitted in
?
Name of Precinct
4301.35
Shall the sale of spirituous liquors by the glass be permitted in
?
(C)
Name of Precinct
4301.35
Shall state liquor stores or liquor agency stores for the sale of spirituous liquor by the package, for
(D)
consumption off the premises where sold, be permitted in
?
Name of Precinct
4301.351
Shall the sale of intoxicating liquor, of the same types as may be legally sold in this precinct on other days
(1)
Sunday Sales
of the week, be permitted in this
for consumption on the premises where
Name of Precinct
sold, between the hours of eleven a.m. and midnight on Sunday?
4301.351
Shall the sale of intoxicating liquor, of the same types as may be legally sold in this precinct on other days
(2)
Sunday Sales
of the week, be permitted in this
for consumption on the premises where
Name of Precinct
sold, between the hours of eleven a.m. and midnight on Sunday, at licensed premises where the sale of
food and other goods and services exceeds fifty percent of the total gross receipts of the permit holder at
the premises?
4301.351
Shall the sale of wine and mixed beverages, of the same types as may be legally sold in this precinct on
(3)
Sunday Sales
other days of the week, be permitted in this
for consumption off the premises
Name of Precinct
where sold, between the hours of eleven a.m. and midnight on Sunday?
4301.351
Shall the sale of intoxicating liquor, of the same types as may be legally sold in this precinct on other days
(1)
of the week, be permitted in this
for consumption on the premises where
Name of Precinct
sold, between the hours of ten a.m. and midnight on Sunday?
4301.351
Shall the sale of intoxicating liquor, of the same types as may be legally sold in this precinct on other days
(2)
of the week, be permitted in this
for consumption on the premises where
Name of Precinct
where sold, between the hours of ten a.m. and midnight on Sunday, at licensed premises where the
sale of food and other goods and services exceeds fifty percent of the total gross receipts of the permit
holder at the premises?
4301.351
Shall the sale of wine and mixed beverages, of the same types as may be legally sold in this precinct on
(3)
other days of the week, be permitted in this
for consumption off the premises
Name of Precinct
where sold, between the hours of ten a.m. and midnight on Sunday?
Form No. 5-M Prescribed by the Ohio Secretary of State (09-17)
Notice to Liquor Permit Holder of the Circulation of a Local Option Petition
R.C. 4301.33, 4301.332 and 4305.14
To:
Name of Permit Holder
Address of Permit Premises
Notice is hereby given that a petition is being circulated for an election for the submission of the question(s)
specified in division (A) to (C) of section 4301.35, section 4301.351, section 4301.353, section 4301.354 or division
(B) of section 4305.14 of the Ohio Revised Code, as designated below.
The question(s) to be submitted as they appear on the petition are as follows:
4301.35
Shall the sale of wine and mixed beverages by the package, under permits which authorize sale for
(A)
off-premise consumption only, be permitted in
?
Name of Precinct
4301.35
Shall the sale of wine and mixed beverages, under permits which authorize sale for on-premise
(B)
consumption only, and under permits which authorize sale for both on-premise and off-premise
consumption, be permitted in
?
Name of Precinct
4301.35
Shall the sale of spirituous liquors by the glass be permitted in
?
(C)
Name of Precinct
4301.35
Shall state liquor stores or liquor agency stores for the sale of spirituous liquor by the package, for
(D)
consumption off the premises where sold, be permitted in
?
Name of Precinct
4301.351
Shall the sale of intoxicating liquor, of the same types as may be legally sold in this precinct on other days
(1)
Sunday Sales
of the week, be permitted in this
for consumption on the premises where
Name of Precinct
sold, between the hours of eleven a.m. and midnight on Sunday?
4301.351
Shall the sale of intoxicating liquor, of the same types as may be legally sold in this precinct on other days
(2)
Sunday Sales
of the week, be permitted in this
for consumption on the premises where
Name of Precinct
sold, between the hours of eleven a.m. and midnight on Sunday, at licensed premises where the sale of
food and other goods and services exceeds fifty percent of the total gross receipts of the permit holder at
the premises?
4301.351
Shall the sale of wine and mixed beverages, of the same types as may be legally sold in this precinct on
(3)
Sunday Sales
other days of the week, be permitted in this
for consumption off the premises
Name of Precinct
where sold, between the hours of eleven a.m. and midnight on Sunday?
4301.351
Shall the sale of intoxicating liquor, of the same types as may be legally sold in this precinct on other days
(1)
of the week, be permitted in this
for consumption on the premises where
Name of Precinct
sold, between the hours of ten a.m. and midnight on Sunday?
4301.351
Shall the sale of intoxicating liquor, of the same types as may be legally sold in this precinct on other days
(2)
of the week, be permitted in this
for consumption on the premises where
Name of Precinct
where sold, between the hours of ten a.m. and midnight on Sunday, at licensed premises where the
sale of food and other goods and services exceeds fifty percent of the total gross receipts of the permit
holder at the premises?
4301.351
Shall the sale of wine and mixed beverages, of the same types as may be legally sold in this precinct on
(3)
other days of the week, be permitted in this
for consumption off the premises
Name of Precinct
where sold, between the hours of ten a.m. and midnight on Sunday?
by the package, under
Shall the sale of
4301.353
(A)
Insert one or both of the following: Beer, or Wine and Mixed Beverages
permits that authorize the sale for off-premises consumption only, be permitted in a portion of this precinct
Portion of
Precinct
in which the status of the sale of
Insert one or both of the following: Beer, or Wine and Mixed Beverages
as allowed or prohibited is inconsistent with the status of such sale in the remainder of the precinct,
?
Name of Precinct
4301.353
Shall the sale of
, under permits
(B)
Insert one or more of the following: Beer, or Wine and Mixed Beverages, or Spirituous Liquor
Portion of
that authorize sale for on-premises consumption only, and under permits that authorize sale for both
Precinct
on-premises and off-premises consumption, be permitted in a portion of this precinct in which the status
of the sale of
, as allowed or
Insert one or more of the following: Beer, or Wine and Mixed Beverages, or Spirituous Liquor
prohibited is inconsistent with the status of such sale in the remainder of the precinct,
?
Name of Precinct
4301.354
Shall the sale of intoxicating liquor be permitted in a portion of this precinct between the hours of
(1)
Portion of
eleven a.m. and midnight on Sunday for consumption on the premises where sold, where the status of
Precinct
Sunday Sales
such Sunday sales as allowed or prohibited is inconsistent with the status of such Sunday sales in the
remainder of the precinct,
?
Name of Precinct
Shall the sale of intoxicating liquor be permitted in a portion of this precinct between the hours of eleven a.m. and
4301.354
(2)
midnight on Sunday for consumption on the premises where sold at licensed premises where the sale of food
Portion of
Precinct
Sunday Sales
and other goods exceeds fifty percent of the total gross receipts of the permit holder at the premises, where the
the status of such Sunday sales as allowed or prohibited is inconsistent with the status of such Sunday Sales in
?
the remainder of the precinct,
Name of Precinct
Shall the sale of wine and mixed beverages be permitted in a portion of this precinct between the hours of
4301.354
(3)
eleven a.m. and midnight on Sunday for consumption off the premises where sold, where the status of such
Portion of
Precinct
Sunday Sales
Sunday sales as allowed or prohibited is inconsistent with the status of such Sunday sales in the remainder of
the precinct,
?
Name of Precinct
Shall the sale of intoxicating liquor be permitted in a portion of this precinct between the hours of ten a.m.
4301.354
(1)
and midnight on Sunday for consumption on the premises where sold, where the status of such Sunday
sales as allowed or prohibited is inconsistent with the status of such Sunday sales in the remainder of the
precinct,
?
Name of Precinct
Shall the sale of intoxicating liquor be permitted in a portion of this precinct between the hours of ten a.m.
4301.354
(2)
and midnight on Sunday for consumption on the premises where sold at licensed premises where the
sale of food and other goods exceeds fifty percent of the total gross receipts of the permit holder at the
premises, where the status of such Sunday sales as allowed or prohibited is inconsistent with the status of
such Sunday sales in the remainder of the precinct,
?
Name of Precinct
Shall the sale of wine and mixed beverages be permitted in a portion of this precinct between the hours of
4301.354
(3)
ten a.m. and midnight on Sunday for consumption off the premises where sold, where the status of such
Sunday sales as allowed or prohibited is inconsistent with the status of such Sunday sales in the
remainder of the precinct,
?
Name of Precinct
4305.14
Shall the sale of beer as defined in section 4305.08 of the Revised Code under permits which authorize
(1)
Beer
sale for off-premises consumption only be permitted within this precinct,
?
Name of Precinct
4305.14
Shall the sale of beer as defined in section 4305.08 of the Revised Code under permits which authorize
(2)
Beer
sale for on-premises consumption only, and under permits which authorize sale for both on-premises and
off-premises consumption, be permitted in this precinct,
?
Name of Precinct
This notice is provided to you by the petitioner:
Name of Petitioner
Date
Signature
Street and Number
City or Village
State
Zip Code
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