HomeMy WebLinkAbout20121814.tiffRESOLUTION
RE: APPROVAL OF RENEWAL APPLICATION FOR TAVERN LICENSE FROM
THE FORT 21, LTD., DBA THE FORT 21 AND AUTHORIZE CHAIR TO SIGN -
EXPIRES AUGUST 8, 2013
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, The Fort 21, Ltd., dba The Fort 21, 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, or in sealed
containers not for consumption at place where sold, outside the corporate limits of any town or
city in the County of Weld at the location described as follows:
985 East 18th Street
Greeley, Colorado 80631
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 License Number 2012-17 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 August 8, 2013, 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.
ex_, .AppA.
C1 \a -II
2012-1814
LC0034
RENEW LIQUOR LICENSE - THE FORT 21
PAGE 2
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 16th day of July, A.D., 2012.
ATTEST.
Weld County Clerk to the Board
77 County Attorney
Date of signature
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
Sean P. Co y, Chair
yoK(/
. Gar2, Pr -T
ugl.. -adem. ' her
2012-1814
LC0034
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License Fee $175.00
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License Number 2012-17
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FOR A TAVERN LIQUOR LICENSE
D SPIRITUOUS LIQUOR
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THIS LICENSE MUST BE POSTED IN PUBLIC VIEW
DR 8402 (07/01/2012)
STATE OF COLORADO
DEPARTMENT OF REVENUE
LIQUOR ENFORCEMENT DIVISION
1881 Pierce Street, Suite 108
Lakewood, Colorado 80214
FORT 21 LTD THE
dba FORT 21 THE
985 E 18TH ST
GREELEY CO 80631
ALCOHOL BEVERAGE LICENSE
Liquor License Number
06278290000
License Expires at Midnight
August 08, 2013
License Type
TAVERN (COUNTY)
Authorized Beverages
MALT, VINOUS, AND SPIRITUOUS
This license is issued subject to the laws of the State of Colorado and especially under the
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. 9/4/12 RLE
Division Director
Executive Director
DR 8400 (11/09/06) LIQUOR OR 3.2 BEER LICENSE
COLORADO DEPARTMENT OF REVENUE RENEWAL APPLICATION
DENVER, COLORADO 80261
TEL
O
IIIII,I6,,.1III ,,,II„ h,I6,6II,,,II
III IILLJ
FORT 21 LTD THE
FORT 21 THE
2501 26TH ST
GREELEY CO 80634-8001
This renewal reflects no changes from the last ap-
plication. Complete page 2 and file now!
Yes there are changes from the last application.
If applicant is a Corporation or Limited Liability com-
pany, use DR 8177 and send in with this renewal.
Any other changes of ownership require a transfer
of ownership. See your Local Licensing Authority
immediately.
License Number
06-27829-0000
License Type
2011
Liability Information
03 057 722410 C 080902
Business Location
2501 W 26TH ST
GREELEY CO
Current License Expires
AUG 08, 2012
DEPARTMENTAL USE ONLY
Total Amount Due
Total Paid
$
Date
Wholesaler, manufacturer, importer, and public transportation
system license renewals do not need Local Licensing Author-
ity approval and must be returned directly to the Colorado De-
partment of Revenue at least 30 days prior to the current li-
cense expiration date.
-"his application for renewal must be returned to your CITY OR
COUNTY. Licensing Authority at least 45 days prior to the expira-
tion date of your current license. Failure to do so may result in
your license not being renewed. Include both pages of this renewal
and payment.
OATH OF APPLICANT
I declare under penalty of perjury in the second degree that this application and all attachments are true, correct, and complete to the
best of my knowledge.
�,,
Authorized Signature ' (�, �, (-1-/----A----5t--N7
,S_ 4._ S2i� r �,.i
Date
Business Phone
1 �l i� iA61 `s I V
Title ' ' _` - l
Sales Tax Number
REPO AND APPROVAL OF CITY OR COUNTY LICENSING AUTHORITY
The foregoing application has been examined and the premises, business conducted and character of the applicant are satisfactory, and we
do hereby report that such license, if granted, will comply with the provisions of Title 12, Articles ye, C.R.S.
THEREFORE THIS APPLICATION IS APPROVED. ♦le
`
Local Licensing Authority for ` ate
Weld County, Colorado �► JUL 8 212
Signature Sean P. Conway
P. c----
Title Chair, Board of Weld
County Commissioners 186
1'
, _.:�' x
DO NUrDETACH
DR 8400 (11/09(06) LIQUOR OR 3.2 BEER LICENSE
COLORADO DEPARTMENT OF REVENUE RENEWAL APPLICATION
DENVER, COLORADO 80261
(/�
Make check payable to: cron -•n""n e�.'-:T:et16n. -o Your bank
State may aconvertityour
rly sho onetime dayreceived
by' :.nsaetlonveourbyour account not
be retuetlas
eeryrshthe same eatddue to insufficient
ncolleceQyunfundcheckwillnotnetofev-
check is rt tetetl mee to montitl uncollected your n, the ounatlmenoni Rev-
enue may collect the payment amo nt tlirectly from your banking account electronicaly.
21
Business Name
FORT 21 THE
LICENSE NUMBER (Use for all reference)
06-27829-0000
PERIOD
08-13
TYPE OF LICENSE ISSUED
TAVERN LIQUOR LICENSE -
MALT, VINOUS, AND
SPIRITUOUS
CASH FUND
2320-100(999)
$ 50.00
STATE FEE
2011-750(999)
$ 25.00
COUNTY 85% OAP
2190-100(999)
$ 425.00
SUB -TOTAL $ 500.00
ADD $100.00 TO RENEW RETAIL WAREHOUSE STORAGE PERMIT2210-100(999) $ •
TOTAL AMOUNT DUE $
2012-1814
L000.3`-i
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 Establishment
,.1„-A..1 L+a
State License Number
1. Operating Ma ager
ACC 1i \fl(r, VO0 We_
Home Address
Q<..30 I ULD , to < + ark YbL3y
Date of Birth
2.
Do you have legal possession of the premises for which this application for license is made?
Yes No
Are the premises owned or rented: If rented, expiration date of lease:
N:,4
3
Has there been any change in financial interest (new notes, loans, owners, etc.) since the last annual application? If yes, explain in
Yes
No
detail and attach a listing of all liquor businesses in which these new lenders or owners, (other than licensed financial institutions) are
materially interested.
I
4.
Since the date of filing of the last annual application, has the applicant, or any of its agents, owners, managers, principals, or lenders
Yes
No
(other than licensed financial institutions), been convicted of a crime? If yes, attach a detailed explanation.
g
g
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
Yes
/// No
or revoked, or had interest in any entity that had an alcoholic beverage license denied, suspended or revoked? If yes, attach a detailed
explanation.
6.
Does the applicant, or any of its agents, owners, managers, principals, or lenders (other than licensed financial institutions), have a di-
Yes
No
rect 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.
i
Di-
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:
Yes
No
(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?
❑
J
I✓1�C_I
(b) Are there or have there been: any stockholders with 10% or more of the issued stock of the Corporation; or any members with
Yes
No
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?
g.
(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.
8.
Sole proprietorships, Husband -Wife Partnerships or Partners in General Partnerships:
EVIDENCE OF LAWFUL PRESENCE
Each person identified above must complete and sign the following affidavit. Please make additional copies if necessary.
Each person must also provide a copy of their driver's license or state issued identification card.
In lieu of form DR 4679, the undersigned swears or affirms under penalty of perjury under the laws of the State of Colorado
that (check one):
I am a United States Citizen
❑ I am not a United States Citizen but I am a Permanent Resident of the United States
❑ I am not a United States Citizen but I am lawfully present in the United States pursuant to Federal Law
❑ I am a foreign national not physically present in the United States
I understand that this sworn statement is required by law because I have applied for a public benefit. I understand that state law re-
quires me to provide proof that I am lawfully present in the United States prior to receipt of this public benefit. I further acknowledge that
making a false, or fraudulent statement or misrepresentation in this sworn affidavit is punishable under the criminal laws of Colorado
Revised Statute 18-8-503 and it shall constitute a separate criminal offense each time a public benefit is fraudulently received.
Signature
Printed name
Date
a\
Lai\_____., LLD e-V4_,C Os i3 .
` - e iN1 1(e , @ Q h 9. ‘,.
%
1-'
Tonya Disney
From:
Sent:
To:
Subject:
Jonathan Gesick
Wednesday, June 27, 2012 7:48 AM
Tonya Disney
RE: Liquor Renewal - The Fort 21 LTD dba The Fort 21
Hi Tanya
We have no issue with this one either.
Thanks
Jonathan D Gesick
Plans Examiner/Building Inpsector
Building Department
1555 N 17th Ave
Greeley, CO 80631
tel: (970)353-6100 Ext. 3532
Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for
the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise
protected from disclosure. If you have received this communication in error, please immediately notify sender by return
e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the
contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited.
From: Tonya Disney
Sent: Tuesday, June 26, 2012 1:48 PM
To: Bethany Salzman; Dan Joseph; Janet Carter; Jeremy Frey; Jonathan Gesick; Lisa Carpenter; Roy Rudisill
Cc: Brad Yatabe; David Clarke; Deb Adamson; Margie Martinez; Sara Evans; Tonya Disney
Subject: Liquor Renewal - The Fort 21 LTD dba The Fort 21
The following applicant has submitted a request for renewal of its Tavern Liquor License, LC0034. Please provide any
comments you may have before July 11, 2012. A .pdf copy of the application materials is attached.
License Number:
06-27829-0000
Applicant:
The Fort 21 LTD
dba The Fort 21
2501 W 26th St
Greeley CO 80634
Current License Expires:
August 8, 2012
1
WELD COUNTY .5" :ERIFF'S OFFICE
Communitysfreslaarce Office
LIOUOR EN FO EM t.: T WORKSHEET
198d0Street
Greeley, Colorado 80631
Voice (970) 356-4015 • Fax (970) 304-6467
W?"----Inspecton Report
El Incident Report
Ucerme Trade Name' - .w
r1 1
4�
Licensee Name: 1:>...c... I1/4.;—
Lim_nse # 1 Type:1i�
,,
Date of Report ! Incident: O 6 agi R
Address; r
(—A-
��
Person Contacted: p, 6 )0_
City, State, Zip:
a
206 3 I
Tom°" e it. ce .70 - 3S a — qa 1O
s No NIA
es No
State Liquor License Posted
Manager Registered
State Sales Tax License Posted
License in Control of Premises
County Liquor License Posted
Trade Name Properly Registered
Pectoral Form 11 * Call (80) 398-2822
tc
Premises Physical Control Adequate
Y
Food Service License Posted
t:
Acceptable Dispensia System
Minor Waminq Sign Posted
O8 Premise Storage Licensed
�C
Meals and Snacks Avallobte
Only Permitted items Sold
Cleanness Adequate
?G
_
Alcohol From Permitted Source
Books & Invoices Available
Discuss Sales of Liquor to Minors
Alcohol Beverage StoekAccepted e
j
Discuss Sales to Intoxicated Persons
[Naming Follow -Up inspection
Vidarion:
Date: Tine:
Sthject
( Dpg
I
C t_
I w t I C -yes. 1 Hair:
Dating:
DL 11D#:
State:
Address:
city
1
State: -
Zip.
Evidence: Yes NO
HAN Phone 9:
Summons i;
Court Date:
Photos: Yes NO
Narrative: /4CCc3u.�n '4 No " S'a - OODO
LIQUOR/BEER RENEWAL REVIEW FORM
Date: June 28, 2012
TO: Deputy Lisa Carpenter/Jeremy Frey
FROM: CTB — Tonya Disney
SUBJECT: Liquor License Check
In accordance with the new 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 within two weeks. Your report will
be used by the Board of County Commissioners in considering renewal of the liquor and/or beer
license.
PLEASE RESPOND NO LATER THAN: JULY 11, 2011
ESTABLISHMENT: THE FORT 21, LTD.
DBA THE FORT 21
985 EAST 18TH STREET
GREELEY, CO 80631-6135
Current license expires: AUGUST 8, 2012
************************************************************************************************************
No concerns
Deputy's Initials
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 at Extension
Board of Commissioner's renewal hearing.
of the date and time of the
Liquor/Beer License Worksheet
The following concerns are noted:
[50,35 c �-
�- P CS +s -e
L\��
!cc,/ ackAtztd
The Licensee and the Sheriffs Office have collectively agreed to implement the following to
correct concerns noted above: (A time line and corrective action should be listed for each
concern) r /�
Establishment Owner, Please Print
nc:22gto
Date
6
Establishment Signature`) Deputy's Signature
Use another sheet of paper or attach separate proposal to this packet if needed.
Attach copies of all reports associated with this establishment for the last year.
Both the Deputy and the Owner of the establishment will be required to attend the Liquor
Hearing to testify to the above agreement.
To: Weld County Board of Commissioners
From: Deputy Jeremy Frey
Date: June 28, 2012
RE: Fort 21
Dear Commissioners,
I have researched and found no reported call for service to Fort 21 located at 985 E. 18`h
Street Greeley, CO 80631 for the Calendar year of 2011 to present day. I did find bugs in one
bottle of Whiskey at the bar, this problem was addressed and corrected without issue.
I find no grounds for disapproval for the renewal of the liquor license.
Respectfully Submitted,
Deputy Jeremy Frey
Community Resource Officer
Weld County Sheriffs Office
1950 "O" Street
Greeley, CO 80631
Tonya Disney
From:
Sent:
To:
Subject:
Janet Carter
Monday, July 02, 2012 8:00 AM
Tonya Disney
RE: Liquor Renewal - The Fort 21 LTD dba The Fort 21
This is an existing location; Public Works doesn't have any comments at this time.
Janet L Carter
Traffic Engineer
Weld County Public Works Dept.
P.O. Box 758, Greeley, CO 80632
Tele-970.356.4000 ext 3726
Fax- 970.304.6497
Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for
the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise
protected from disclosure. If you have received this communication in error, please immediately notify sender by return
e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the
contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited.
From: Tonya Disney
Sent: Tuesday, June 26, 2012 1:48 PM
To: Bethany Salzman; Dan Joseph; Janet Carter; Jeremy Frey; Jonathan Gesick; Lisa Carpenter; Roy Rudisill
Cc: Brad Yatabe; David Clarke; Deb Adamson; Margie Martinez; Sara Evans; Tonya Disney
Subject: Liquor Renewal - The Fort 21 LTD dba The Fort 21
The following applicant has submitted a request for renewal of its Tavern Liquor License, LC0034. Please provide any
comments you may have before July 11, 2012. A .pdf copy of the application materials is attached.
License Number:
06-27829-0000
Applicant:
The Fort 21 LTD
dba The Fort 21
2501 W 26`" St
Greeley CO 80634
Current License Expires:
August 8, 2012
Thank you,
t
MEMORANDUM
To: Tonya Disney, Deputy Clerk to the Board July 9, 2012
From: Bethany Salzman, Zoning Compliance Officer, Dept. of Planning Services
Subject: LC0034
Review of the following liquor license renewal by the Department of Planning Services shows the following:
Situs Information:
06-27829-0000
The Fort 21, Ltd.
dba: The Fort 21
985 East 18th Street
Greeley, CO 80631-6135
Mailing Address:
The Fort 21 LTD
2501 26th St
Greeley, CO 80634
Zone District: I-1 (Industrial -1)
This use is allowed through a Nonconforming Use (NCU-199).
No violations are occurring on the property at this time.
SERVICE, TEAMWORK, INTEGRITY, QUALITY
Memorandum
TO: Toyna Disney
FROM: Dan Joseph
SUBJECT: Liquor license inquiry
DATE: 7/12/12
CC: Cindy Salazar; Debra Adamson
In response to your request, Environmental Health Services has reviewed the Retail Food Service
Establishment file for The Fort 21, located at 985 E. 18`h Street, in Greeley, Colorado. In
addition a regular inspection was conducted on July 10, 2012, at which time violations were
noted. The Department does not feel that these violations should prohibit the issuance of the
liquor license so is recommending for approval of the liquor license.
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 III
U.S. Postal Service
CERTIFIED MAIL,M RECEIPT.
(Domestic Mail Only; No Insurance Coverage Provided)
For delivery Information visit our website at www.usps.com®
Postage
Certified Fee
ReturnFee
(Endorseme t Required)
Restricted Delivery Fee
(Endorsement Required)
Total Postage a Fees
cgo a- 8i
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:
PAh. py Sinn wx\Qc-
-V-hc'-
OC4 a\
&a% T\nS Vo C; a-\
Sk
rep..\ -E cL tom 3‘di
Postmark
Here
COMPLETE THIS SECTION ON DELIVERY
1
Received (Printed
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
42( Certified Mall
❑ Registered
❑ Insured Mail
❑ Express Mail
O Return Receipt for Merchandise
❑ C.O.D.
4. Restricted Delivery? (Extra Fee)
❑ yes
2. Article Number
(Minster from service label)
PS Form 3811, February 2004
7004 2890 0003 5709 8884
Domestic Return Receipt
102ggvn-M-1500
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