West Virginia Code § 60-5-3

Form of petition
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The petition shall be in the following form:
Petition for Local Option Election
We, the undersigned legally qualified voters, resident within the county (municipality)
of_______________, do hereby petition that a special election be held within the county (city,
town) of __________________ on the at the date of the next regularly scheduled primary or
general election upon the following question:
Shall the sale of alcoholic beverages under the West Virginia Alcohol Beverage Control
Commissioner be (permitted) (prohibited) in __________________?
Name Address Date a
(Post office or street and number)

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