HomeMy WebLinkAbout20110870.tiffRESOLUTION
RE: APPROVAL OF RENEWAL APPLICATION FOR A TAVERN LIQUOR LICENSE FOR
HEREFORD BAR AND GRILL, INC., DBA HEREFORD BAR AND GRILL, AND
AUTHORIZE CHAIR TO SIGN - EXPIRES APRIL 16, 2012
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, Hereford Bar and Grill, Inc., dba Hereford Bar and Grill, 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:
39520 County Road 136
Hereford, Colorado, 80732
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 2011-04 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 April 16, 2012, 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.
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2011-0870
LC0024-A
RENEW LIQUOR LICENSE - HEREFORD BAR AND GRILL
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 4th day of April, A.D., 2011.
ATTEST:
Weld County Clerk to
BY:
Deputy Clerk to the B
APROVEDA
Attorney
Date of signature:
yfrztati
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
Eafbara Kirkmeyer hair
Sean P. Conway, Pro -Tern
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Will ,es F. G-rcia
David E. Long
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Dougla ademacher
2011-0870
LC0024-A
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THIS LICENSE MUST BE POSTED IN PUBLIC VIEW
DR 8402
(10/29/07)
DEPARTMENT
ALCOHOLIC
STATE OF COLORADO
OF REVENUE
Liquor Enforcement Division
1881 Pierce Street, Suite 108
Lakewood, Colorado 80214
HEREFORD BAR & GRILL
INC
HEREFORD BAR & GRILL
39520 WCR 136
HEREFORD CO 80732
BEVERAGE LICENSE
Liability Information
AccountNumber
County City Indust. Type Liability Date
LICENSE EXPIRES AT MIDNIGHT
23-93266-0000
03 206 722110 C 041797
APR 16, 2012
Type
Name and Description of License
Fee
2011
2190
TAVERN LIQUOR LICENSE -
MALT, VINOUS, AND
SPIRITUOUS
COUNTY 85 PERCENT OAP FEE
$ 75.00
$ 425.00
TOTALFEE(S)
This license is issued subject to the laws of the State of Colorado and especially
of Title 12, Articles 46 or 47, CRS 1973, as amended. This license is nontransferable
conspicuously posted in the place above described. This license is only valid through
date shown above. Questions concerning this license should be addressed to
Revenue, Liquor Enforcement Division, 1375 Sherman Street, Denver, CO 80261.
In testimony whereof, I have hereunto set my hand.
Division Director Executive
$ 500.00
under the provision
and shall be
the expiration
the Department of
Director
DR 8400 (11/09/06) LIQUOR OR 3.2 BEER LICENSE
COLORADO DEPARTMENT OF REVENUE RENEWAL APPLICATION
DENVER, COLORADO 80261
HEREFORD BAR & GRILL INC
HEREFORD BAR & GRILL
PO BOX 45
HEREFORD CO 80732
This renewal reflects no changes from the last ap-
plication. Complete page 2 and file now!
O 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
23-93266-0000
Licens 201 1
Liability Information
03 206 722110 C 041797
Business Location
39520 WCR 136
HEREFORD CO
Current License Expires
APR 16, 2011
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.
This 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
�tZ -1
Date
/ a/ //
Business Phone
770 -�rS za/i
Trtie
B L/ V€ I'
Sales Tax umber
REPORT 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 1
do hereby report that such license, if granted, will comply with the provisions of Title 12, Articles 46 a 47, C.R.S.
THEREFORE THIS APPLICATION IS APPROVED.
d
Local Licensing Authority for !1„�, , ate .� L0I Weld County, Colorado' I
Signature .A__ „(/ �,,.ey��
Barbara meyer /
Title Chair, Board of Weld
County Commissioners 1%
^
DO NOT DETACH
DR 8400 (11/09/06)
COLORADO DEPARTMENT OF REVENUE
DENVER, COLORADO 80261
LIQUOR OR 3.2 BEER LICENSE
RENEWAL APPLICATION
a
y
r
•
7 v.
Make cheek payable to: Co . e ..iep5 n, wf - ue The State may convert your
check to a one time electronic - bankccount may be debited as
early as the same day received by the Ste If converted, your check wilt not be returned.
If your check is rejected due to insufficient or uncollected furls, the Department of Rev-
enue may tolled the payment amount directly from your tanking account electronically.
21
Business Name
HEREFORD BAR & GRILL
LICENSE NUMBER (Use for all reference)
23-93266-0000
PERIOD
04-12
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% OA
2190-100(999
$ 425.00
SUB -TOTAL $ 500.
ADD $100.00 TO RENEW RETAIL WAREHOUSE STORAGE PERMIT2210-100(999) $
TOTAL AMOUNT DUE $
2011-0870
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
/5 iereFari 6 r
State License Number
a3-73.4f-D000
1. Operating Manager Home Address
�L
x'yx Zite/c 39.52o r✓cr /3E /1 -trefoil Ed 80732
Date of Birth
/ ,
2. Do you have legal possession of the premises,for which this application for license is made?
Are the premises owned or rented: ft/,✓e_i 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
❑ 21
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.
Yes No
tia-
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
❑ J2'
6. Does the applicant, or any of its agents, owners, managers, principals, or lenders (other than licensed financial institutions), have a
direct 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
❑ Ka
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
applicant 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
/21'
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
requires 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
/�� l
Printed name
/ice//� 2r 'e /C
Date
/�2d�i
‘404:1 To:
W IWine
From:
COLORADO Subject:
MEMORANDUM
Christie Peters, Deputy Clerk to the Board March 28, 2011
Bethany Salzman, Zoning Compliance Officer, Dept. of Planning Services
LC0024-A
Review of the following liquor license renewal by the Department of Planning Services shows the following:
23-93266-0000
Hereford Bar and Grill, Inc.
dba Hereford Bar and Grill
39520 WCR 136
PO Box 45
Hereford, CO 80732
Zone District: Agricultural
This use existed prior to zoning and is permitted as a "Nonconforming Use" (NCU-336).
No violations are occurring on the property at this time.
SERVICE, TEAMWORK, INTEGRITY, QUALITY
6t:r4
COLORADO
MEMORANDUM
TO: CHRISTIE PETERS, CTB
FROM: DAN JOSEPH
ENVIRONMENTAL HEALTH SERVICE
SUBJECT: LIQUOR LICENSE INQUIRY
DATE: MARCH 21, 2011
CC: CINDY SALAZAR; DEBRA ADAMSON
In response to your request, Environmental Health Services has reviewed the Retail Food
Service Establishment file for the Hereford Bar and Grill, located at 39520 WCR 136, in
Hereford, 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
dioseph@co.weld.co.us or by phone at 970-304-6415 extension 2206.
Thank you.
Dan Joseph
Environmental Specialist III
LIQUOR/BEER RENEWAL REVIEW FORM
Date: March 21, 2011
TO: {DEPUTY}5cnl,L Olef;CPrC.,
FROM: CTB
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: MARCH 28, 2011
ESTABLISHMENT: HEREFORD BAR AND GRILL, INC.
DBA HEREFORD BAR AND GRILL
39520 WELD COUNTY ROAD 136
P.O. BOX 45
HEREFORD, CO 80732
Current license expires: APRIL 16, 2011
******...*************.».......................................
No concerns
Dep
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 u-
vi,c '\QsCe�
Board of Commissioner's renewal hearing
at Extension
y of the date and time of the
a70-3Y(o ,13YE
Establishment Owner, Please Print
Establishment Signature
Liquor/Beer License Worksheet
The following concerns are noted:
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)
//7a Z-!c/K - I
Dte
uty'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.
WELD COUNTY SHERIFF'S OFFICE
Community Resource Office
LIQUOR ENFORCEMENT WORKSHEET
195O ()Sheet
Greeley, Colorado 80631
Voice (970) 356-4015. Fax (970) 304-6467
Inspection Report
Incident Report CRIt:
lxerpe TgOe None' C• r;\ i
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Licensee Name: I�..r_e —CYC,l Lit i
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License S /Type:`-- H c' 7e f.�
Date of Report !Incident: ? . i (
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Address. 3 6/5 !,u (?j
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Person Contacted: MIL_
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City. Stale. Zip: /`T; r .E._ ..cti
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State Liquor License Posted
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Manager Registered
NIP,
State Sales Tax License Posted
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License in Control of Premises
County Liquor License Posted
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Trade Name Properly Registered
Federal Form 11 * Cali (800) 398-2822
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Premises Physical Control Adequate
K
Food Service License Posted
k
Acceptable Dispensing System
D(
Minor Warning Sign Posted
Off Premise Storage Licensed
Meals and Snacks Available
Only Permitted Items Sold
Cleanliness Adequate
Aloohd From Permitted Source
Books & Invoices Available
Discuss Sales of Liquor to Minors
Alcohol Beverage Stock Acceptable
Discuss Sales to Intoxicated Persons
r
OWarning DFollow-Up Inspection
2 -
Licensee !Representative Signature
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Dale
Violation:
1 Date: 1 Time:
Subject:
I DO
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[ ! Wgt.
( Eyes Hair:
Cbthing:
Dl.11DS
State:
Address:
City:
State:
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Evidence
Yes NO
WW Phone A:
Summons I:
Court Date:
Photos:
Yes NO
Narrative: +'� 3( 3a�G NY)(
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DATE
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RECEIPT
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HOW PAID
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MONEY
ORDER
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U.S. Postal ServiceTM
CERTIFIED MAIL,,,, RECEIPT
(Domestic Mail Only; No Insurance Coverage Provided)
OFF C 4aL USE
Postage
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Certified Fee
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(Endorsement Required)
Restricted Delivery Fee
(Endorsement Required)
Total Postage & Fees
Postmark
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• 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:
Nelrecd bar arta civil
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D. Is . _- Very address different from Rem ? O Yes
If YES, enter delivery address below: O No
3. Service Type
® Certified Mall
❑ Registered
❑ Insured Mall
2. Article Number
(Transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt
O Express Mall
❑ Retum Receipt for Merchandise
❑ C.O.D.
7005 1820 0003 5224 8263
102595b2M-1540
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