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HomeMy WebLinkAbout20130348.tiffRESOLUTION RE: APPROVAL OF RENEWAL APPLICATION FOR TAVERN LICENSE FROM LONESTAR, LLC, DBA VAQUERAS NIGHT CLUB AND AUTHORIZE CHAIR TO SIGN - EXPIRES JANUARY 24, 2014 WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, Lonestar, LLC, dba Vaqueras Night Club, presented to the Board of County Commissioners of Weld County, Colorado, an application for the renewal of a Tavern Liquor License, for the sale of malt, vinous and spirituous liquors, and WHEREAS, pursuant to Exhibit 5-H of the Weld County Code, said applicant has paid the sum of $175.00 to the County of Weld for the renewal of the existing license, and WHEREAS, said applicant has exhibited a State Liquor License for the sale of malt, vinous and spirituous liquors for consumption by the drink on the premises only, outside the corporate limits of any town or city in the County of Weld at the location described as follows: 10763 Turner Blvd, #1 Longmont, Colorado 80501-6249 WHEREAS, the Licensee shall host "responsible vendor" training every six (6) months as agreeable to the Colorado Department of Revenue Liquor Enforcement Division, and this training shall be open to other area licensees. Each employee shall be "responsible vendor" trained, and the Licensee shall provide documentary evidence that each employee has been "responsible vendor" trained to the Weld County Sheriff's Office within thirty (30) days of the first available "responsible vendor" class after hiring. Evidence of such shall be included in the referral report submitted by the Sheriff's Office at the time of annual renewal. NOW, THEREFORE, BE IT RESOLVED that the Board of County Commissioners of Weld County, Colorado, having examined said application and the other qualifications of the applicant, does hereby grant 2013-01 to said applicant to sell malt, vinous and spirituous liquors for consumption by the drink on the premises only, only at retail at said location; and the Board does hereby authorize and direct the issuance of said license by the Chair of the Board of County Commissioners, attested to by the Clerk to the Board of Weld County, Colorado, which license shall be in effect until January 24, 2014, providing that said place where the licensee is authorized to sell malt, vinous, and spirituous liquors for consumption by the drink on the premises only, shall be conducted in strict conformity to all of the laws of the State of Colorado and the rules and regulations relating thereto, heretofore passed by the Board of County Commissioners of Weld County, Colorado, and any violations thereof shall be cause for revocation of the license. W. CD )I 13 2013-0348 LC0042 RENEW LIQUOR LICENSE - VAQUERAS NIGHT CLUB PAGE 2 place where the licensee is authorized to sell malt, vinous, and spirituous liquors for consumption by the drink on the premises only, shall be conducted in strict conformity to all of the laws of the State of Colorado and the rules and regulations relating thereto, heretofore passed by the Board of County Commissioners of Weld County, Colorado, and any violations thereof shall be cause for revocation of the license. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said application. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 4th day of February, A.D., 2013. BOARD OF COUNTY COMMISSIONERS WELD CO 1NT COLORADO Weld County Clerk to the Board Deputy Cler APPROVED *^OR ounty Attorney Date of signature.EB 1 3 2013 William F. Garcia, Chair Douglas Rademac can P. Conway 2013-0348 LC0042 THIS LICENSE MUST BE POSTED IN PUBLIC VIEW DR 8402 (07/01/2012) STATE OF COLORADO DEPARTMENT OF REVENUE LIQUOR 1881 Lakewood, ENFORCEMENT Pierce Street, Colorado Suite 80214 DIVISION 108 LONESTAR LLC dba VAQUERAS NIGHT CLUB 10763 LONGMONT TURNER BLVD CO 80501-6249 #1 & #2 ALCOHOL BEVERAGE LICENSE Liquor 42817040002 License Number License January Expires at Midnight 24, 2014 License Type TAVERN (COUNTY) Authorized MALT, Beverages VINOUS, AND SPIRITUOUS license is issued subject „�the laws State Lc,oruu.., and ,..:pe.,,a y the This license issued subject to the laws of the State of Colorado ado and especially under provisions of Title 12, Articles 46 or 47, CRS 1973, as amended. This license is nontransferable and shall be conspicuously posted in the place above described. This license is only valid through the expiration date shown above. Any questions concerning this license should be addressed to: Colorado Liquor Enforcement Division, 1881 Pierce Street, Suite 108, Lakewood, CO 80214. In testimony whereof, I have hereunto set my hand. 3/1/2013 TJJ k hOW9-etAa____a/61,49-LL )-"'---73A)144/1 04 / t A Division Director Executive Director £®n�n®n�a�n�n��n���? C) ,L) H Q _ W Z W U J 0 Sc J W BY AUTHORITY OF THE BOARD OF COUNTY COMMISSIONERS S FOR A TAVERN LIQUOR LICENSE TO SELL AT RETAIL MALT, VINOUS, AND SPIRITUOUS LIQUOR ld, State of Colorado, for u o O O� TsU o 0 U O u E = c .5 o � t cn ' C C) C -.N ttj ° E g 3-1 V b t C ct a.) o 0 C4-4 o0 O i hi :- w b Xi CCS U O ▪ ,ti C) Z •r � 4' in tip s, 7:3 Cc C' t t ▪ =1O ct b13 a • ( c•' V Ct Cc o �, c 74 I-4 vca Cr C O 0 O t -S-4 long 0 M 2 (pa) . r2 ezi en 1:i ct -5O J Q o D� in O cn C O t O cn cn • ', O a� Cana' L 'LJ Hac 44 0 b cp a) U 0 ct 71— y� O 6.0 rec 0 eti a w a, w O c O Cn 0 a 3-4 'v a b O U a) a, O cp rcsu U c) cn • a, C ct cc vD a, B cc ) a, en • C) 0 Ct 4-4 O U C) U O a) 0 cn a, VD ct 3-4 a) C O Cn • U O O OF, the Board x IN TESTIMONY a✓km) NON -TRANSFERABLE. DR 8400 (Revised 09/01/12) COLORADO DEPARTMENT OF REVENUE LIQUOR ENFORCEMENT DIVISION SUBMIT TO LOCAL LICENSING AUTHORITY LIQUOR OR 3.2 BEER LICENSE RENEWAL APPLICATION VAQUERAS NIGHT CLUB 1029 GLEN CREIGHTON DR DACONO CO 80514 Fees Due Renewal Fee Storage Permit $100 x $500.00 Optional Premise $100 x Amount Due/Paid o OJ Make check payable to: Colorado Department of Revenue. The State may convert your check to a one-time electronic banking transaction. Your bank account may be debited as early as the same day received by the State. If converted, your check will not be returned. If your check is rejected due to insufficient or uncollected funds, the Department may collect the payment amount directly from your banking account electronically. PLEASE VERIFY & UPDATE ALL INFORMATION BELOW RETURN TO CITY OR COUNTY LICENSING AUTHORITY BY DUE DATE DBA VAQUERAS NIGHT CLUB Licensee Name LONESTAR LLC Liquor License # 42817040002 License Type Tavern (county) Sales Tax License # 42817040002 Expiration Date 1/24/2013 Due Date 12/10/2012 Street Address 10763 TURNER BLVD #1&#2 LONGMONT CO 80501-6249 Phone 3 Number qLC-94CiCc. Mailing Address 1029 GLEN CREIGHTON DR DACONO CO 80514 orerating,Mayager L.I I I aT�. Date of Birth Home Address w &WI Cal 5k 1 ,l r , _ o S�°- ne Number s —969 1. Do you have legal possession of the premises at the street address above? Q YE:S ❑ NO PSI Is the premises owned or rented? ❑ Owned a Rented* *If rented, expiration date of lease 2. Since the date of filing of the last annual application, has there been any change in financial interest (new notes, loans, owners, etc.) or organizational structure (addition or deletion of officers, directors, managing members or general partners)? If yes, explain in detail and attach a listing of all liquor businesses in which these new lenders, owners (other than licensed financial institutions), officers, directors, managing members, or general partners are materially interested. ❑ YES 0 NO NOTE TO CORPORATION, LIMITED LIABILITY COMPANY AND PARTNERSHIP APPLICANTS: If you have added or deleted any officers, directors, managing members, general partners or persons with 10% or more interest in your business, you must complete and return immediately to your Local Licensing Authority, Form DR 8177: Corporation, Limited Liability Company or Partnership Report of Changes, along with all supporting documentation and fees. 3. Since the date of filing of the last annual application, has the applicant or any of its agents, owners, managers, partners or lenders (other than licensed financial institutions) been convicted of a crime? If yes, attach a detailed explanation. LI YES iO 4. Since the date of filing of the last annual application, has the applicant or any of its agents, owners, managers, partners or lenders (other than licensed financial institutions) been denied an alcohol beverage license, had an alcohol beverage license suspended or revoked, or had interest in any, entity that had an alcohol beverage license denied, suspended or revoked? If yes, attach a detailed explanation. LI YESO 5. Does the applicant or any of its agents, owners, managers, partners or lenders (other than licensed financial institutions) have a direct or indirect interest in any other Colorado liquor license, including loans to or from any licensee or interest in a loan to any licensee? If yes, attach a detailed explanation. I❑ YES aNO 6. SOLE PROPRIETORSHIPS, HUSBAND -WIFE PARTNERSHIPS AND PARTNERS IN GENERAL PARTNERSHIPS: Each person must complete and sign the DR 4679: Affidavit — Restriction on Public Benefits (available online or by calling 303-205-2300) and attach a copy of their driver's license, state -issued ID or valid passport. AFFIRMATION & CONSENT / dec/are under penalty of perjury in the second degree that this application and all attachments am true, correct and complete to the best of my knowledge. Type or Print Narrle of A licant/Authyyaed-Agent I 1 1 -- of Business >u Title;` lJ w n et -- Signature Ai— Date ►kladla REPORT & APP AL OF CITY COUNTY LICENSING AUTH 2013-0348 The foregoing application has been examined and the premises, business conduct -1._ . �l a 1 that such license, if granted, will comply with the provisions of Title 12, Articles 46 . 47 . - -a ant are satist, HIS APPLIC Local Licensing Authority For 1 + ��o 1�'. W d County, Colorado ������� '""'� FEB 0 2013 r�� 1 IL (e�, Signature William F. Garcia Title Chair, BoarL,,� p tqt GIlI County Commissio 14.J' _ ,a,9T - t� ���-/CA�_, eputy ule DR 8401 (02/19/09) COLORADO DEPARTMENT OF REVENUE LIQUOR ENFORCEMENT DIVISION 1881 PIERCE LAKEWOOD, CO 80261 (303) 205-2300 ATTACHMENT TO LIQUOR OR 3.2 BEER LICENSE RENEWAL APPLICATION This page must be completed and attached to your signed renewal application form. Failure to include this page with the application may result in your license not being renewed. Trade Name of Est li ment caciv�'rc,\ N� h� C,lul� State License Number yaki oxoa no CE) . Date of Birth 1. Op rating h./lane �1\t -�fi.-(L�- H Address �" �_ (� [Da (110.11 C(PngjislAirk -Or. Occ 2. Do you have Are the premises legal possession of the premises for which this application for license is made? 5USIt4 owned or rented: ren4er, If rented, expiration date of lease: Yes No 3. Has there been any change in financial interest (new notes, loans, owners, etc.) since the last annual application? If yes, explain in detail and attach a listing of all liquor businesses in which these new lenders or owners, (other than licensed financial institutions) are materially interested. Yes No ❑ ifrio 4. Since the date of filing of the last annual application, has the applicant, or any of its agents, owners, managers, principals, or lenders (other than licensed financial institutions), been convicted of a crime? If yes, attach a detailed explanation.Ifrt Yes No 5. Since the date of filing of the last annual application, has the applicant, or any of its agents, owners, managers, principals, or lenders (other than licensed financial institutions), been denied an alcoholic beverage license, had an alcoholic beverage license suspended or revoked, or had interest in any entity that had an alcoholic beverage license denied, suspended or revoked? If yes, attach a detailed explanation. Yes No lt; 6. Does the applicant, or any of its agents, owners, managers, principals, or lenders (other than licensed financial institutions), have a di- red or indirect interest in any other Colorado liquor license (include loans to or from any licensee, or interest in a loan to any licensee)? If yes, attach a detailed explanation. Yes No I. ' IL 7. Corporation or Limited Liability Company (LLC) or Partnership applicants must answer these questions. Since the date of filing of the last annual license application: (a) Are there, or have there been: any officers or directors; or managing members; or general partners added to or deleted from ap- plicant for renewal of a 3.2 beer or liquor license? (b) Are there or have there been: any stockholders with 10% or more of the issued stock of the Corporation; or any members with 10% or more membership interest in the LLC; or any partners with 10% or more interest in the partnership added to or deleted from the applicant for renewal of a 3.2 beer or liquor license? (c) If Yes to (a) or (b), complete and attach Form DR 8177: Corporation, Limited Liability Company or Partnership Report of Changes, and all supporting documentation, and fees your Local Licensing Authority immediately. Yes No Yes No Yom' 8. Sole proprietorships, Each person Each person In lieu of that (check am ❑ I am I am ❑ I am I understand quires me making a Revised Statute Husband -Wife Partnerships or Partners in General Partnerships: EVIDENCE OF LAWFUL PRESENCE identified above must complete and sign the following affidavit. Please make additional copies if necessary. must also provide a copy of their driver's license or state issued identification card. form DR 4679, the undersigned swears or affirms under penalty of perjury under the laws of the State of Colorado one): a United States Citizen not a United States Citizen but I am a Permanent Resident of the United States not a United States Citizen but I am lawfully present in the United States pursuant to Federal Law a foreign national not physically present in the United States that this sworn statement is required by law because I have applied for a public benefit. I understand that state law re- to provide proof that I am lawfully present in the United States prior to receipt of this public benefit. I further acknowledge that false, or fraudulent statement or misrepresentation in this sworn affidavit is punishable under the criminal laws of Colorado 18-8-503 and it shall constitute a separate criminal offense each time a public benefit is fraudulently received. Signature `�11 i Printe name - LEI"I ia( Date i11)011E Co '5� 4rw Weld County Sheriff's Offlee 4 - Ac, OF .lebrating 150 Years 1861 - 2011 John B. Cooke Sheriff To: Tammy Waters, Clerk to the Board From: Sergeant Peter Wagoner Date: December 26, 2012 Subject: Vaqueras Night Club Ms. Waters, Regarding the liquor license renewal inspection for Vaqueras Night club, a physical inspection of the establishment was conducted on December 25, 2012 by Deputy Jesus Pastrana. During the inspection, Deputy Pastrana noted there was no Minor Warning sign posted in the establishment. The Sheriff's Office will be working with the licensee to provide them with the proper signage. There were no other concerns noted by the inspecting deputy. A check of the calls for service to the establishment for year to date shows 40 call for service, 25 of which were bar checks conducted by deputies. There were two reported assaults, three reported disturbances, and one theft. The remaining nine calls were non- criminal in nature. At this time, the Sheriffs Office has no concerns with the establishment and finds no reason for the renewal request to be denied. Respectfully s t mitted; Sgt. Peter Wagoner Weld County Sheriff's Office Southwest Substation 4209 WCR 241/2 Longmont, Colorado 80504 (720) 652-2415 Fax (720) 652-4217 Headquarters 1950 O Street Greeley, Colorado 80631 (970)356-4015 Fax (970)304-6467 Toll Free (800)436-9276 www.weldsheriff.com Southeast Substation 2950 9th Street Fort Lupton, Colorado 80621 (303) 857-2465 Fax (303) 637-2422 NEW LIQUOR LICENSE REVIEW FORM Date: December 19, 2012 TO: Lisa Carpenter FROM: CTB — Tammy Waters SUBJECT: Liquor License Check In accordance with the procedure for Liquor and/or beer license checks, please review all records on the following establishment for any associated reports during the last year and return your report to the Weld County Clerk to the Board's Office. Your report will be used by the Board of County Commissioners in considering renewal of the liquor and/or beer license. A copy of the application materials will be emailed in .pdf format. PLEASE RESPOND NO LATER THAN: DECEMBER 27, 2012 ESTABLISHMENT: LONESTAR, LLC DBA VAQUERAS NIGHT CLUB 10763 TURNER BOULEVARD UNIT #1 LONGMONT, CO 80504 Current license expires: JANUARY 24, 2013 ************************************************************************************************************ No concerns Deputy 1131tials The Sheriffs Office had a concern and the deputy has mutually worked with the licensee to correct the concern. (Complete Attached Worksheet) Unresolved concerns exist requiring a Probable Cause Hearing scheduled by the Board of County Commissioners. (Complete Attached Worksheet) ************************************************************************************************************ Please notify Board of Commissioner's hearing. at Extension of the date and time of the WELD COUNTY SH'ERIFF'S OFFICE Community Resource Office LIQUOR ENFORCEMENT WORKSHEET 1950 O'Street Greeley, Colorado 80631 Voice (970) 356-4015 • Fax (970) 30O467 Inspection Report u Incident Report CR#: t,un a Taee xwar VICivetA5 IQ Ta r club licensee Name: �.. ILZ � 4 A. License #1 type 4/z 8l •r0C1 OOdrrZ fTA.,6 to i Hale of Report / Incident: Address: tv 3 ic. et E VA . # A Person Contacted: !,Aix() Arroyo Arroyo Cry, State. Zip: µA (2,fOrgcl Tel�l'°na ;53 ??4(07-3? Yes No WA es NO State liquor license Posted h r i Manager Registered ii›< c< State Sales Tax license Posted %C License in Control of Premises County Liquor License Posted )S Trade Name Property Registered X Federal Form 11 ' Call (800) 398-2822 K Premises Physical Control Adequate Food Service License Posted x Acceptable Dispensing System X Minor Waminn Sign Posted )( Off Premise Storage Licensed x Meals and Snacks Available I ?s Only Permitted Items Sold Cleanliness Adequate ' Alcohol From Permitted Source Books & Invoices Available )( Discuss Sales of Liquor to Minors 7C Alcohol Beverage Stock Acceptable X Discuss Sales to Intoxicated Persons ['Warning OFollow-Up Inspection Licensee / Representative Signature Date Violation: I Dale: I Time: Subject: [ Doe:Hgt. I tivgr. 1 Eyes. i Hair. Clothing: DL 1 IN. State: Address: City: State: Zip: Evidence: Yes NO HAY Phone k: Summons It: Court Date: Riles: yes NO Narrative: $1a'.u<ry suod ?,$)t,o b/causa brekg. (Jtfliters !ar'c purr1._S.b f'te4v '�s•, 6./,// be f13r4e.• QH /p2 o'i.fo !7_� Deputy: oa 4 #: D/1/2 Date: 12 2S —PE MEMORANDUM To: Tammy Waters, Deputy Clerk to the Board December 14, 2012 From: Bethany Salzman, Zoning Compliance Officer, Dept. of Planning Services Subject: LC0042 Review of the following liquor license renewal by the Department of Planning Services shows the following: License Number: 42-81704-0002 Applicant: Lonestar, LLC dba Vaqueras Night Club 10763 Turner Boulevard #1 Longmont, Colorado 80504 Mailing Address: 1029 Glen Creighton Dr Dacono, Co 80514 Zone District: C-3 (Z-503) and 1-25 RUA This use is allowed as a Use by Right through the zone district and is permitted through 2 (two) existing Site Plan Reviews (SPR-103 & SPR-107). Upon review of my case files and computer, no open Zoning violations are associated with this establishment at this time. SERVICE, TEAMWORK, INTEGRITY, QUALITY Tammy Waters 14, 2012 11:41 AM 9 0 L O) z N (a a) U -o O a) a) J a) a) a) N a`) 90)a) Ea).2. m a) 03 C a)7j O m 0 T J >E ca) -ow c Ew O IHW >: E t) E E� a) LLUIF U) = o d O a) E L C Y C a) E E O >- _c tit 0.1 O a CO O 0 a c O Y 0 O as (11 X a) N 2 on c N •C N C v Y C O L 'y, LE E c o O U Y E CD T E c O C a1 N 0 Y to O C C O ro N }. O 0 a Y a) Y > O I-COC • O L O d = .. O C >- o w O -o N a) La a C N C Y Y O G U C a i+ N v o N 0 N O N 0- = o O 3 w u u .^ v N V -O' r o a) C O- Q ro O .N C N N 2 O L L C O J O a) -C CO m T C -a C c O d L iV E Y N N N ecu 'to a > to '' J C C N N = '� O C ro 9 c o E O L y o a a - ac) 'c t'o,z' H c o O C O ° E L f3 O a+ u O C v a) -O Y O C 0 C O L !o N a) 13 in Oa N c v •• T T N 0etSO E L z E to' Y Y C D o C N N 1° .o E c v E a) N C a - w N O C -O N a) O 'O L V o O .. .N Jce OcC a) a Y C C 03 v m J V N m O C Ol c O Z L N C 'O PI) O Q J tO L > O co in in ao C O C W CI jr; co C Na its % J o E -1L N N a) r0 C_ ti CD C v C E L �' a) L O N O to m OW woo. N a 3 0 N J Y al T ITa N Ir. Ea lca- nip v v CD Li 2 y N > V tO O yC J 0 d u. UI H V ng N l W a E d d O L d a a3 J T a N N d ro O To N'O c ar L CO O Y CO vi N N J U N i1 CI) fa to v E Y C O E � U N in a co C m L N Y c L co O U 0 a ro O Do 4- C n O < O fV al HN U r 0▪ 4 Z co 41 6 N J C t0 u h �Q 41 a 0 Q O Current License Expires: 1/24/2012 M CO Co O Ql W CO a ^ co m N O mLn ✓ ▪ O o b M j V v1 O^ ?JO al • = I- - • ti o ti a> a 0 in a C• OL O C o a E c a 8 O CO c .to q V « C C � O E • E o E a a a m a T a o s w o v o. 01 a T a a c _ • A'� «_ 40 E.0 th s E .a o = v T a c n E a w ry a c o c a C d « • Z n o a $ c .c �L • Ol O q O - EC O E a E `o a w w « c n c a a o E • mC .5 ' L T 3 o to 0 to O o E o E '« o E o.= c a "-'E E o• a '43 a a > "O el t a U w L O CI) C C TL C C to O O a � • • a w,`" « C 00 O O 'C E ^+ � a c • E o • o w o oO « T w w c a o m ‘a a a m C u 3 Y « o t a Z O r O . 2 c c a r. v i s O La � a Memorandum TO: Tammy Waters FROM: Dan Joseph SUBJECT: Liquor license inquiry DATE: December 15, 2012 CC: Cindy Salazar; Debra Adamson In response to your request, Environmental Health Services has reviewed the Retail Food Service Establishment file for Vaqueras Night Club, located at 10763 Turner Boulevard, in Longmont, Colorado. At this time, there are no problems or concerns regarding this establishment. Should you have any questions regarding this matter, please contact me via e-mail at djoseph@co.weld.co.us or by phone at 970-304-6415 extension 2206. Thank you. Dan Joseph Environmental Specialist IIl Tammy Waters .a a) N C co w a) N a) C t (a a) 0) N a) o v a) C a) N Y L U 3 d L C O) N al N o a) o a) > > Q L (� a U) CU o n co C (0 a a0 C C o O J a E o L o co 3 N T a) c w c L CO CU al N } E U N a)(2U_ a) a) c m J C O O N T a) o a cegEoE> a E m m J ojasU)V a) K IAH JQ� W ac a u..NHU (A No concerns from the OEM office C a) E al 0.0 C CO 2 >•• C m 00`0 O CU m w o a1 N v v U Y O >• 0 a v v) 0 > Y a O N a 0OOO u V O 4-1 ^') 1.-a) v n o 3 970-381-0417 C o.weld.co.us> wrote: On Dec 13, 2012, at 3:39 PM, "Tammy Waters" <twaters a) 0 a1 a w > m L 4-0 R E J O >. N C al E E O u >. C R al v O a as to a+ a N a O O U J a) c a) U J C tai a) > L Fa Y O .N To N c C v � O C H O cu u O' p_ a N � V L Q) Y E d 0- = O in U H w s a C < fa a `I a O N OD N C > L o a O E a7 y u r a a) a E 7 O z Oa 01) O C u m J a U L 0a CO CO CD" C Cr to fa Q V J J C c `a Y u a) a 2 a c Q Current License Expires: 1/24/2012 M O co 0 03 Lo N Q) "o n N O m k m a) L N ... O CO a0, Y W m a >- > E j E a .r -I W t I-- 1-- 0 .-t Tammy Waters � § cu ( u— )I- ]I The Building Department has no concerns. Jonathan Gesick j\ aj OD 14 a CL ® • -5}/ o \ • ®§ ; /at C u- 7 E )wd 970-353-6100 ext. 3532 ] cc \ 2 j\2 C\\ C \C0 0 #)\ !) (" CD LLJ r:ri�O0 )Nk\/ 6))2 C 2 /\ m§2/! �U• ft? E] a o- `§2 �H(O> E 110 �w0Q, U.e_u_ 0 co O U o y;m c z -C 0 U O 1 Yi RECEIPT DATE a -017-/ RECEIVED FROM VQQl.(.Q�Cc.1-- ADDRESS NO. en4'' fitd,rL j'1 4l l /L&A L1L. 61:74 � $ FOR v�% I1�t . egfACIL /r�'tc.G()x;4 ( C_oov�) HOW PAID CASH CHECK $' / 75 r MONEY ORDER BY e ru u -I Er co 2890 0003 5709 Postage Certified Fee Return Receipt Fee (Endorsement Required) Restricted Delivery Fee (Endorsement Required) Total Postage & Fees C7 Sent To Q N Postmark Here Street, Apt. No.; or PO Box No. LONAL vLC City, State, ZIP+4 SENDER: COMPLETE THIS SECTION ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: C. Dr of Delve D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: O No LONESTAR LLC DBA VAQUERAS NIGHT CLUB LILI JARA 1029 GLEN CREIGHTON DR DACONO CO 80514 3. Spice Type 'Certified Mail 0 Registered O Insured Mail O Express Mail ❑ Return Receipt for Merchandise O C.O.D. 2. Article Number (Transfer from service label) PS Form 3811, February 2004 4. Restricted Delivery? (Extra Fee) 7004 2890 0003 5709 8938 O Yes SENDER: COMPLETE THIS SECTION Domestic Return Receipt 20 — r 1 , j 102595-02-M.1540 ® Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. • Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: LOwsiwi acws cOh �jwiay-t- co 2osol-w(q 2. Article Number (Transfer from service label) PS Form 3811, February 2004 bent in Addressee C. Dale, oD ive D. Is delivery address different from item 1? O Yes If YES, enter delivery address below: O No 3. Service Type 6Certified Mail Registered 0 Insured Mail ❑ Express Mail ❑ Return Receipt for Merchandise ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) O Yes 7004 2890 0003 5709 8952 *bl Domestic Return Receipt 102595-02•M-1540; Hello