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WEST VIRGINIA CODE
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WVC 60-5-3 §60-5-3. Form of petition.
The petition shall be in the following form:

Petition for Local Option Election
We, the undersigned legally qualified voters, resident within the county (magisterial district) (municipality) of

_______________, do hereby petition that a special election be held within the county (city, town) of __________________ on the ___________ day of __________________, 19____, upon the following question:

Shall the sale of alcoholic beverages under the West Virginia alcohol beverage control commissioner be permitted in __________________?

Name Address Date

(Post office or street and number)
Note: WV Code updated with legislation passed through the 2013 1st Special Session
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