HomeMy WebLinkAbout20111599.tiffRESOLUTION
RE: APPROVAL OF RENEWAL APPLICATION FOR TAVERN LIQUOR LICENSE FROM
VIPER2, INC., DBA BORDERLINE, AND AUTHORIZE CHAIR TO SIGN - EXPIRES
SEPTEMBER 7, 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, Viper2, Inc., dba Borderline, 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:
68947 U.S. Highway 85, Carr, Colorado 80612
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 2011-14 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 September 7, 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.
Li S< innc U c d
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2011-1599
LC0047
RENEW LIQUOR LICENSE - BORDERLINE
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 6th day of July, A.D., 2011.
ATTEST:
Weld County Clerk to
BY:
Deputy
APP
C . unty Attorney
Date of signature: (1" �" 1 /
BOARD OF COUNTY COMMISSIONERS
WEED COUNTY, COLORADO
Barbara Kirkmeyer, Chair /
Sean P. Co j ay, Pro-Tem C
Dougla Rademacher
2011-1599
LC0047
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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
VIPER 2 INC
BORDERLINE
68947 HIGHWAY 85
CARR CO 80612
BEVERAGE LICENSE
Liability Information
Account Number
County City Indust. Type Liability Date
LICENSE EXPIRES AT MIDNIGHT
42-07852-0000
03 020 722110 C 090805
SEP 07, 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
TOTAL FEE(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.
67 -ic< AUG 242011
Division Director V\ 7A • 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
IIuI.II,.uIJJImJuI,,IIuI..IuJIIuJJJmlldlml
BORDERLINE
CHAVEZ KIMBERLY
4853 KINGBIRD DR
FIRESTONE CO 80504-3417
)2 This renewal reflects no changes from the last ap-
plication. Complete page 2 and file now!
0 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.
Licensu 42-07852-0000
License 61 1
Liability Information
03 020 722110 C 090805
Business Location
68947 HIGHWAY 85
CARR CO
Current License Expires
SEP 07, 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 expire -
Ion date of your current license. Failure to do so may result in
four 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.
Aath
.zed Si
nature
C1P.�1.u;J—,�� 1-�
,0°8Mi1
Business Phone
1zm31(O1sl
Title
�� �� ��j
/
)'.-
Sales Tax Number
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 we
do hereby report that such license, if granted, will comply
with the provisions of Title 12, Articles
46 and 47, C.R.S.
THEREFORE THIS APPLICATION IS APPROVED.
Local Licensing Authority for
®`%
Date
Wel County, Colorado
J 2011
Signature;
Barbara�irkmeyer
,,(�.Fi Ati.
Title Chair, Bo. •r .�+i�,
County Commis Q! S r : (l
EIS�,� r/ '�'
i . •
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itlr ncrnr
7O NIOT DETACH
DR 8400 (11/09/06) LIQUOR OR 3.2 BEER LICENSE
COLORADO DEPARTMENT OF REVENUE RENEWAL APPLICATION
DENVER, COLORADO 80261
Business Name
BORDERLINE
LICENSE NUMBER (Use for all reference)
42-07852-0000
PERIOD
09-12
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% OAP
2190-100(999)
$ 425.00
-
gt,
D-ai
er
the nta
M i‘ift: ,1 • .'� • \ . repartment of Revenue The State may convert your
checky� ( .�t,. nking transaction. Your bank account may be debited as
eery asthe I!TT.9rr ved by the State. If converted, your check will not be returned.
If your check is rejected due to insufficient or uncollected funds, the Department of Rev-
enue may W llecl the payment amount directy from your banking account electronically.
21
SUB -TOTAL $ 500.00
ADD $100.00 TO RENEW RETAIL WAREHOUSE STORAGE PERMIT2210-100(999) $
TOTAL AMOUNT DUE $ -
2011-1599
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.
T Name qf Establip
rev
.ffment
St to License Number
-0-1q a
-ocao
1. Ober
tin M a er
1MO .U�-7.
Ho ddresDate
46di'
��5S-tlyn,
of Birth
2. Do you have legal possession of the premi
Are the premises owned or rented: Mit.—
s for which this application foNi6ense is made?/�
d If rented, expiration date of lease: Z -011 --D
Yes
No
3, Has there been any change in financial interest (new notes, loans, owners, etc.) since the last annual application? II 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
4. Since the dale 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
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
/�
f
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
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
Yes
No
I ,�
8.
In
that
I
requires
that
Sore
Each
Each
lieu
II
understand
Colorado
proprietorships, Husband -Wife Partnerships or Partners in General Partnerships:
EVIDENCE OF LAWFUL PRESENCE
person identified above must complete and sign the following affidavit. Please make additional copies if necessary.
person must also provide a copy of their driver's license or state issued identification card.
of form DR 4679, the undersigned swears or affirms under penalty of perjury under the laws of the State of Colorado
(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
that this sworn statement is required by law because I have applied for a public benefit. I understand that state law
me to provide proof that I am lawfully present in the United States prior to receipt of this public benefit. I further acknowledge
making a false, or fraudulent statement or misrepresentation in this sworn affidavit is punishable under the criminal laws of
Revised Statute 18-8-503 and it shall constitute a separate criminal offense each time a public benefit is fraudulently received.
gn lure
Printed name
•
W5111
cerr.COLORADO
MEMORANDUM
TO: CHRISTIE PETERS, CTB
FROM: DAN JOSEPH
ENVIRONMENTAL HEALTH SERVICE
SUBJECT: LIQUOR LICENSE INQUIRY
DATE: 6/16/2011
CC: CINDY SALAZAR; DEBRA ADAMSON
In response to your request, Environmental Health Services has reviewed the Retail Food
Service Establishment file for the Borderline Cafe, located at 68947, in Carr, 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
djosephco.weld.co.us or by phone at 970-304-6415 extension 2206.
Thank you.
Dan Joseph
Environmental Specialist III
Ilk
COLORADO
From:
MEMORANDUM
Christie Peters, Deputy Clerk to the Board June 20, 2011
Bethany Salzman, Zoning Compliance Officer, Dept. of Planning Services
Subject: LC0047
Review of the following liquor license renewal by the Department of Planning Services shows the following:
42-07852-0000
Viper2, Inc.
dba Borderline
68947 Highway 85
Carr, CO 80612
Zone District: A (Agricultural)
This use is permitted through an AAmended Use by Special Review@ (AmUSR-1096).
Currently there are no active zoning violations on the above mentioned property.
SERVICE, TEAMWORK, INTEGRITY, QUALITY
LIQUOR/BEER RENEWAL REVIEW FORM
Date: June 16, 2011
TO: Deputy Lisa Carpenter
FROM: Christie Peters
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: June 30, 2011
ESTABLISHMENT:
Present Name of Establishment:
Viper2, Inc
dba Borderline
68947 Highway 85
Carr, Colorado 80612
Current license expires: September 7, 2011
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:
01
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)
Establishment Owner, Please Print
.a r, t k k/
Establishment Signature
-/1-7/
Date
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.
WELD COUNTY SHERIFF'S OFFICE
Community,.RResourwe Office
LIQUOR ENFORc E 4ENT WORKSHEET
1950 0Street
Greeley, Colorado 80631
Voice (970) 356-4015 • Fax (970) 304-6467
Inspection Report
O Incident Report
CRtt:
Dame Trade Name:` L pr a .'v,C.. VA 1;30,-Aerk,..e.
Licensee Name: y..1",..,y..1",..,bex %._i C.,ko,v
License #1 Type OS V r
Date of Report / Incident: a co t o i 1
Address: Gg c . fl f'+i 4,wG,,' C c-
Pelson Contacted: CA 0,r, g IC. �* e•-• \
City, Stale, Zip. (cf. ,_ ( 0 .s0(01 a
Telephone #: 4 -1 L - io a -600,-)
Yes Flo WA
Yes Rio
WA
State Liquor License Posted
�/
Manager Registered
�J
-
State Sales Tax License Posted
✓
License in Control of Premises
.V
County Liquor License Posted
✓
,Trade Name Properly Registered
e/"
Federal Form 11 ' Call (800) 398-2822
Premises Physical Control Adequate
Food Service License Posted
Acceptable Dispensing System
✓
✓
Minor Warning Sign Posted
K,,
Ott Premise Storage Licensed
Meals and Snacks Available
Only Permitted Items Soid
�.
Cleanliness Adequate
/✓
Alcohol From Permitted Source
Books & Invoices Available
if,.,/
Discuss Sales of Liquor to Minors
✓
Alcohol Beverage Stock Acceptable
k
Discuss Sales to Intoxicated Persons
CIWarning ❑Follow -Up Inspection
Licensee / Representative Signature
-/6-%/
Date
VniaGon:
l Dale: Time..
Subject:
D08:
Flgt:
I Wgt:
j Eyes I Hair:
Clothing:
DL / 1oµ
State:
Address:
City:
Stale:
Zip:
Evidence: Yes
NO
tihN Plane tr
Summons #.
Court Date:
Photos: Yes
NO
Narrative: c cr o:n -. L1 a - O -ma -O 00
Deputy. k,3 7(1 u 7 t 1
Date: 6616 t ]_ _^
To: Weld County Board of Commissioners
From: Deputy Jeremy Frey
Date: June 16, 2011
RE: Viper 2 DBA Borderline
Dear Commissioners,
I have researched and found 1 reported call for service to the Viper 2 DBA Borderline
located at 68947 Highway 85 Carr CO, 80612 for the Calendar year of 2010 to present day. It
was for a theft at the business.
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
U.S. Postal ServiceTM
CERTIFIED MAIL, RECEIPT
(Domestic Mall Only; No Insurance Coverage Provided)
Postage
Certified Fee
Return Receipt Fee
(Endorsement Required)
Restricted Delivery Fee
(Endorsement Required)
Total Postage & Fees
i-1/
Postmark
Here
Sera
V/peraine,lZ3& cr/rne tin C'ha.vn33
grre9f, Ape No.;
or City,
Box No. Jr�`.___..........
City, tafe.ZP+4l va!
PS Form 3800, June 2002
a y
See Reverse for Instruction
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:
I1—:twberl cinew-t2.
Viper a- nc
cis. - ^au -byte_
X1853 k tn5,b'trd (J r.
cw-tsiront- CD Vista/ -340
A. nature ' t _
. Is delivery a
If YES, enter de e 0
SEP 14 2011
❑ Insured Mail
❑ Agent
❑ Addressee
C. Date of Delivery
t from item 1? ❑ Yes
dress below: O No
❑ Express Mail
❑ Retum Receipt for Merchandise
❑ C.O.D.
4. Restricted Delivery? (Extra Fee)
❑ Yes
2. Article Number
(Transfer from aaw ce Is
PS Form 3811, February 2004
7004 2890 0003 5709 9188
Domestic Return Receipt
102595-2-M-1540
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