HomeMy WebLinkAbout20112373.tiffRESOLUTION
RE: APPROVAL OF SPECIAL EVENTS PERMIT ISSUED TO MEAD ROTARY CLUB
FOUNDATION, AND AUTHORIZE CHAIR TO SIGN
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 Mead Rotary Club Foundation, 16931 Potts Place, Mead, Colorado, 80542
presented to the Board of County Commissioners of Weld County, Colorado, an application for a
Special Events Permit for the sale of 3.2% fermented malt beverages for consumption by the drink
on the premises only, and
WHEREAS, said applicant has paid the sum of ONE HUNDRED DOLLARS ($100.00) to
Weld County, Colorado, pursuant to the laws providing therefore in payment for a County Retail
Permit for the sale of 3.2% fermented malt beverages for consumption by the drink on the premises
only, for an event scheduled for one day only on September 24, 2011, from 8:00 a.m., to 8:00 p.m.,
outside the corporate limits of any town or city in the County of Weld at the location described as
follows:
6105 County Road 32, Platteville, Colorado 80651,
being more fully described as the SW1/4 of
Section 18, Township 3 North, Range 67 West of the
6th P.M., Weld County, Colorado
WHEREAS, said applicant has also paid the sum of TWENTY-FIVE DOLLARS ($10.00) to
the Colorado Department of Revenue and has exhibited a State Special Events Permit for the sale
of 3.2% fermented malt beverages for consumption by the drink on the premises only.
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 Special Events Permit Number 2011-17 to said applicant to sell 3.2% fermented
malt beverages 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 permit by the Chair of the Board of
County Commissioners, attested to by the Clerk to the Board of Weld County, Colorado, which
permit shall be effective from 8:00 a.m., to 8:00 p.m., on September 24, 2011, providing that said
place where the permitee is authorized to sell 3.2% fermented malt beverages 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 permit.
(Le, : 5L), APO -
9 -al li
2011-2373
LC0022
SPECIAL EVENTS PERMIT - MEAD ROTARY CLUB FOUNDATION
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 7th day of September, A.D., 2011.
BOARD OF COUNTY COMMISSIONERS
WELD CUNTY, CDO
ATTEST:�7�et.
Weld County Clerk to the Board
APPROVED AS -TO FORM:
Barbara Kirkmeyer, Chair
Sean P..,fca? way, Pro-Tem
Date of signature: q
2011-2373
LC0022
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DR 8427 (10/29/07)
COLORADO DEPARTMENT OF REVENUE
LIQUOR ENFORCEMENT DIVISION
1881 PIERCE STREET, SUITE 108
LAKEWOOD, COLORADO 80214
STATE OF COLORADO
DEPARTMENT OF REVENUE
VALID ONLY FOR THIS ORGANIZATION AT THIS LOCATION
MEAD ROTARY CLUB FOUNDATION
6105 WCR 32
PLATTEVILLE CO 80651
License Number JE-12-85406-0002
SPECIAL EVENTS PERMIT
3.2% FERMENTED MALT BEVERAGE
VALID ONLY FOR THE FOLLOWING PERIODS
FROM
Date
SEPT 24, 2011
Hour
8:00 AM
TO
Date
SEPT 24, 2011
Hour
8:00 PM
FROM
Date
XXXXXXXXXX
Hour
XXXXXXX
TO
Date
XXXXXXXXXX
Hour
XXXXXXXX
This permit is issued subject to the laws of the State of Colorado and especially under the
provisions of Title 12, Article 48, Colorado Revised Statutes.
This permit is non -transferable. It is issued only for the specific location described above, and
must be conspicuously posted at that location.
In testimony whereof, I have hereunto set my hand and seal 09/20/11 CAC
LIO OR ENFORCEMENT DIRECTOR
EX&QUTIVE DIRECTOR
DR 8439 (06/28/06)
COLORADO DEPARTMENT OF REVENUE
LIQUOR ENFORCEMENT DIVISION
375 SHERMAN STREET
DENVER CO 80261
(JU3) ZU5-ZJUU
IN ORDER TO QUALIFY FOR A SPECIAL EVENTS PERMIT, YOU MUST BE NONPROFIT
AND ONE OF THE FOLLOWING (See back for details.)
III SOCIAL ATHLETIC 25 PHILANTHROPIC INSTITUTION
• FRATERNAL MI CHARTERED BRANCH, LODGE OR CHAPTER M POLITICAL CANDIDATE
El PATRIOTIC OF A NATIONAL ORGANIZATION OR SOCIETY MUNICIPALITY OWNING ARTS
MI POLITICAL RELIGIOUS INSTITUTION FACILITIES
LIAB TYPE OF SPECIAL EVENT APPLICANT IS APPLYING FOR:
2110 n MALT, VINOUS AND SPIRITUOUS LIQUOR $25.00 PER DAY
2170 CZ FERMENTED MALT BEVERAGE (3.2 Beer) $10.00 PER DAY
DO NOT WRITE IN THIS SPACE
LIQUOR PERMIT NUMBER
1. NAME OF APPLICANT
rneeta
�ORGANIZATION OR POLITICAL CANDIDATE
ko-bs (Lb Fou.t&cc\lnw
State Sales Tax Number (Required)
Nov. (1.e.vrti SO)
2. MAILING ADDRESS OF ORGANIZASN OR POLITICAL CANDIDATE
(include street, city/town and ZIP) llvU)1
I (o°‘3 1 P0-45 Place
',Ant ea? Co. ICc0S`4 Z
3. ADDRESS OF PLACE TO HAVE SPECIAL EVENT
(include street, city/town and ZIP)
6l oS w ca 3 Z
2‘. ve„. it -e , Co. to(oSI
NAME
DATE OF BIRTH
HOME ADDRESS (Street, City, Slate, ZIP)
PHONE NUMBER
0. PRES./SEC'Y OFI�ORG. or POLITICAL CANDIDATE
D 4Y.. e4...,
1217 . , Ae41es Gc . l,ay.gyn a
leoIgg0old
C t) ' D 5-0-
6. HAS APPLI T ORGANIZ N OR POLITICAL CANDIDATE BEEN
ISSUED r�A S IAL EVENT IT THIS CALENDAR YEAR?
AI NO YES HOW MANY DAYS?
7. IS PREMISES NOW LICENSED OUNDER CATE LIQUOR
X NO n YES TO WHOM?
OR BEER CODE?
8. DOES THE APPLICANT HAVE POSSESSION OR WRITTEN PERMISSION FOR THE USE OF THE PREMISES TO BE LICENSED? II Yes
No
LIST BELOW THE EXACT DATE(S) FOR WHICH APPLICATION IS BEING MADE FOR PERMIT
Date 912`(I II
Hours From f(;OO Am.
To 1t100 p.m.
Date
Hours From m.
To .m.
Date
Hours From .m.
To m.
Date
Hours From m.
To .m.
Date
Hours
From .m.
To m.
OATH OF APPLICANT
I declare under penalty of perjury in the second degree that I have read the foregoing application and all attachments
that all information therein is true, correct, and complete to the best of my knowledge.
thereto, and
SIGNATURE
i .
TITLE
A 4-
DATE
i
1yIII
L ORT AND AP VAL OF LOCAL LICENSM AUTHORITY (CITY OR COUNTY)
The foregoing ap tion has been examined and the premises, business conducted and character of the applicant is satisfactory,
and we do report that such permit, if granted, will comply with the provisions of Tit e 12, Article 48, C.R.S., as amended.
THEREFORE, THIS APPLICATION IS APPROVED.
LOCAL LICENSING AUTHORITY (CITY OR COUNTY)• CITY
Weld County, Colorado QJ COUNTY
TELEPHONE NUMBER OF CITY/COUNTY CLERK
(970) 356-4000 Ext 4225
sICNATURF--- ) C------- I TITLE Sean P. Conway, Pro-Tem
✓
DAttp -
r 2011
r� -� , Board of County Commissioners
DO NOT WRITE IN THIS SPACE - FOR DEPARTMENT OF REVENUE USE ONLY
LIABILITY INFORMATION
License Account Number
Liability Date
State
TOTAL
$ •
-750 (999)
APPLICATION FOR A SPECIAL
EVENTS PERMIT
Department Use Only
(Instructions on Reverse Size)
Cc'
2011-2373
SPECIAL EVENT PERMIT QUESTIONNAIRE AND AFFIDAVIT
1. What type of an event is planned (e.g., annual, quarterly, benefit, etc.)?
4\nvnua‘
2. Explain in detail the nature of your organization, its function, and who or what benefits from
its operations (attach separate sheet if necessary).
3. Who or what organization will be the recipient of funds derived from this event?
rctok R Clain �v tw.daA-a�
4. How many attendees are expected at this event? 3o D
5. Describe the premises at which this event will take place.
6. What type of security will be provided at this event? PI‘i.).42.- Sec, ,t,4L c
S k2in it/ s fr (V.\o (aaw�t.)
7. How many security personnel will be on hand? 2
8. How will security personnel be identified? Qtrice S.
9. If this event is being held outdoors, how will the exterior boundaries of the premises be
marked (e.g., roped, fenced, etc.)?
10. What type of entertainment will be provided, if any, for this event?
ovs.¢-
11. What method will be used in checking identification for proper age of attendees (e.g., at the
door, at the bar, etc.) and how will underage patrons be identified so as not to be served
alcoholic beverages (e.g., stamp or mark on the hand, etc.)
trtu.('S ^tc0lrlbs2.
(0 t -tai ( i) ( cat Da,4aC)
M:\CTB\CTBFORMS\FOSPECIALEVENT.DOCSpecia (Event
12. How will the conduct and level of intoxication of atten ee�sbe monitored and by w�}om?
VlSu.4 h41, "kw.o,c,>,a yY`Qr•PP .`p cv- C h VY1� IoeC5
13. Have volunteers or members of your organization been trained in the sale/service of
alcoholic beverages: If yes, what training have they received and by whom?
\ea,,r, iJ `Jca yas;
C' LiPJA 5 .
for & p rte.; i
14. What types of alternate beverages and food/snacks will be available?
w 0-irt POP
Co oo
15. Has a State Sales Tax Number been initiated by you or a member of your organization? If
so, write that number in the space provided.
Mot. Ste,,, , — Cc>
16. Explain how this event will be marketed describing what kinds of advertising material will be
distributed and the targeted recipients of such material.
I� ` C L.10 Pry _'c wy s
I hereby certify, under penalty of perjury, that the information provided to the Board of County
Commissioners of Weld County contained in this affidavit is true and accurate to the best of my
knowledge.
STATE OF COLORADO )
ss
COUNTY OF WELD
Subscribed and sworn to before me this
Date 7 It S I I/
day of CI
Witness my hand and official seal. My commission expires:
O, Wit��•
7c�P
PyT OF Bo`oP
My Commission Expires: 03/15/2012
Ty Pub c
20 H.
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M:\CTBICTBFORMSIFOS PECIALEVENT. DOCSpecialEvent
OFFICE OF THE SECRETARY OF STATE
OF THE STATE OF COLORADO
CERTIFICATE
I, Scott Gessler, as the Secretary of State of the State of Colorado, hereby certify that, according to the
records of this office,
Mead Rotary Club Foundation
is a Nonprofit Corporation formed or registered on 10/02/2008 under the law of Colorado, has complied
with all applicable requirements of this office, and is in good standing with this office. This entity has
been assigned entity identification number 20081524989.
This certificate reflects facts established or disclosed by documents delivered to this office on paper
through 07/13/2011 that have been posted, and by documents delivered to this office electronically
through 07/15/2011 @ 06:24:05.
I have affixed hereto the Great Seal of the State of Colorado and duly generated, executed, authenticated,
issued, delivered and communicated this official certificate at Denver, Colorado on 07/15/2011 @
06:24:05 pursuant to and in accordance with applicable law. This certificate is assigned Confirmation
Number 7994772.
Secretary of State of the State of Colorado
*********************************************End of Certificate********************************************
Notice: A certificate issued electronically from the Colorado Secretary of State's Web site is fully and immediately valid and effective. However,
as an option, the issuance and validity of a cert f Cate obtained electronically may be established by visiting the Certificate Confirmation Page of
the Secretary of State's Web site, lutp://www.sos.state.co.usibiz/Certi/icaleSearchCriteria.do entering the certificate's confirmation number
displayed on the certificate, and following the instructions displayed. Confirming the issuance of a certificate is merely optional and is not
necessary to the valid and effective issuance of a certificate. For more information, visit our Web site, hup../Avinv.sos.state.co.us/ click Business
Center and select "Frequently Asked Questions."
CERT GS D Revised 08'20/2001
Rotary Club of Mead
P.O. Box 66
Mead, CO 80542
July 15, 2011
Board of County Commissioners
915 10t" Street
Greeley, CO 80631
Re: Mead Sugarbeet Festival
Dear Commissioners,
Dan Dean and Nick Sekich have been appointed chair persons for the 6th Annual Mead
Sugarbeet Festival to be hosted by the Rotary Club of Mead. This event is to be held on
September 24, 2011 on the Sekich property.
The Rotary Club of Mead will be the legal permit holder for this event. We have applied for
the necessary paperwork and we are asking for a deference of the performance bond listed
in Section 12-1-30 of the Weld County Code because Nick Sekich will be cleaning up on his
own property.
We have applied for insurance for the event and we will fax or email this bindingof coverage
when we receive it from the agency.
We invite the Weld County Commissioners to participate in the years Sugarbeet Festival
with and informational both and attendance at the festival. We will waive the booth fee if
you decide to be part of this community event.
Respectfully,
'n 04(01
Dan Dean
President
Rotary Club of Mead
NICK SEKICH
6790 WCR 32
Platteville, CO 80651
July 15, 2011
RE: Sugarbeet Festival, State of Colorado Liquor License
To whom It May Concern:
I, Nick Sekich, am aware of and in support of the Mead Rotary Sugarbeet Festival that will be
taking place on Sekich Properties on September 24, 2011. I am a member of the Mead Rotary
Club and an one of the sponsors of the event.
This event has my full support to take place on my property.
Please call if you have any questions.
Sincerely,
-n ,
Nick Sekich
i
Pt,
se,
COLORADO
MEMORANDUM
To: Esther Gesick, Deputy Clerk to the Board August 5, 2011
From: Bethany Salzman, Zoning Compliance Officer, Dept. of Planning Services
Subject: LC0022
Review of the following Temporary Assembly Permit by the Department of Planning Services shows the
following:
Applicant:
Mead Rotary Club Foundation
16931 Potts Place
Mead, Co 80542
Property Owner:
Nick Sekich
6790 CR 32
Platteville, Co 80651
Location of Event:
6105 Weld County Road 32
Platteville, Colorado 80651
(Event to take place on September 25, 2010)
Dates and Time of Event:
September 24, 2011, 8:00 a.m. - 8:00 p.m.
General Information:
Zone District:
Comments:
Agriculture
• Question #4 (TA) states 250 as the maximum number of people; however, question #5 (TA) does
not explain how this number will be enforced. Furthermore, question #12 (TA) calls out parking
for 300 vehicles. Question #4 (SE) states 300 as the maximum number of people.
• There are no outstanding violations on this site and staff has no issues with issuance of this
"Temporary Assembly Permit".
TA = Temporary Assembly application
SE= Special Events application
SERVICE, TEAMWORK, INTEGRITY, QUALITY
COLORADO
Memorandum
TO: Esther Gesick, CTB
From: Dan Joseph, Environmental Health
Specialist
DATE: September 2, 2011
SUBJECT: Temporary Assembly Permit for LC0022
In response to your request, Environmental Health Services has reviewed the Special
Events Permit and Temporary Assembly Permit, LC0022, for the Mead Rotary Club
Foundation located at 6105 County Road 32, in Platteville, Colorado.
At this time the Department does not have any concerns. However, the Department would
like to request that the operator/s of the food booths contact the Department to discuss food
operations that are to occur onsite.
Should you have any questions regarding this matter, please contact me at extension 2206
or via e-mail at diosephna,co.weld.co.us.
Thank you.
CC: Cindy Salazar, Environmental Health Services
Debra Adamson, Environmental Health Services
Esther Gesick
From:
Sent:
To:
Cc:
Subject:
Esther Gesick
Friday, September 02, 2011 4:05 PM
Terry Enright
Esther Gesick
FW: Mead Rotary Temp Assembly/Special Event Permit
Terry,
Please see comment below. Thanks!
PLEASE NOTE ADDRESS CHANGE BELOW
Esther E. Gesick
Deputy Clerk to the Board/Office Manager
1150 O Street, P.O. Box 758/Greeley, CO 80632
tel: (970) 336-7215 X4226
1/{I.101
WE i'&u/C dV N1r
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: Jonathan Gesick
Sent: Friday, September 02, 2011 11:28 AM
To: Esther Gesick
Subject: RE: Mead Rotary Temp Assembly/Special Event Permit
The building department has no issues with the permit.
Jonathan D Gesick
Plans Examiner/Building Inspector
Planning
1555 N 17th Ave
Greeley, CO 80631
tel: (970) 353-6100 x3532
WE N
W El1f1COV NAY
u
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
1
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: Esther Gesick
Sent: Friday, September 02, 2011 11:05 AM
To: Dan Joseph; Jonathan Gesick; Roy Rudisill
Subject: Mead Rotary Temp Assembly/Special Event Permit
Dan, Jonathan, and Roy,
Just a friendly reminder I need to get your referral responses back regarding the Mead Rotary Sugar Beet Festival so the
applicant can try to address any concerns prior to the meeting scheduled for next Wednesday (9/7/11).
Thanks!
PLEASE NOTE ADDRESS CHANGE BELOW
Esther E. Gesick
Deputy Clerk to the Board/Office Manager
1150 O Street, P.O. Box 758/Greeley, CO 80632
tel: (970) 336-7215 X4226
wECC1 EoV NTY
u
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.
2
MEMORANDUM
TO: Christie Peters, Clerk to the Board DATE: 08/8/11
FROM: Janet Carter E.I., Public Works
SUBJECT: Temporary Assembly Mead Rotary Club Foundation
The Weld County Public Works Department has reviewed this proposal. Our requirements are as follows:
REQUIREMENTS:
1. No parking will be allowed on Weld County Roadways.
2. Approximately 300 vehicles will require parking on the property.
3. Use the existing access off WCR 13 instead of WCR 32.
4. Please submit a Traffic Control Plan (TCP) prepared by a certified Traffic Control Supervisor (TCS)
5. This area is not in a Special Flood Hazard Area (SFHA) as determined by the Federal Emergency
Management Agency (FEMA).
6. Please submit an Incident Command Plan for the Office of Emergency Management.
Page - 1 - of 1 August 8, 2011
CADocuments and Settings\egesick\Local Settings\Temporary Internet Files \ContentOutlook\MAM2CSX8\Temp Assembly Mead Rotary Club Sekich 2011 (2).DOC
Esther Gesick
From:
Sent:
To:
Subject:
Roy Rudisill
Friday, September 02, 2011 2:05 PM
Esther Gesick
RE: Temp Assembly & Special Events Request
Esther, I have sent a message to representatives with Mt View Fire and WCPS to see if they have any concerns with this
event. I have confirmed that the Sheriffs Office Posse and Reserves will be providing security for the event. The only
item that stood out is the number of attendees, on the permit application it states 250, on the liquor license permit is
indicates 300.
Is the assembly permit required due to the request for the liquor license?
Roy Radish!!
Director
Weld County Sheriff's Office
Office of Emergency Management
Terrorism Liaison Officer
970-304-6540 Office
970-381-0417 Cell
www.weldsheriff.com
*
inbwrovf
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: Esther Gesick
Sent: Tuesday, August 16, 2011 11:03 AM
To: Roy Rudisill
Subject: FW: Temp Assembly & Special Events Request
Roy,
In looking at Christie's e-mail, it looks like she inadvertently sent this to the wrong "Roy". Sorry about the delay, but the
event is not until 9/24 and won't be considered by the BOCC until 9/7, so don't worry about the referral deadline; just
send it through when you have it done. Let me know if you need anything else. Thanks!
PLEASE NOTE ADDRESS CHANGE BELOW
Esther E. Gesick
Deputy Clerk to the Board/Office Manager
1150 O Street
1
TEMPORARY ASSEMBLY REVIEW FORM
Date: August 1, 2011
TO: Deputies Lisa Carpenter and Jeremy Frey
FROM: CTB
SUBJECT: Temporary Assembly/Special Events Permit Check
Please review all records on the following property for any associated reports during the last
year and return your report to the Weld County Clerk to the Board's Office within seven days.
Your report will be used by the Board of County Commissioners in considering issuance of a
Temporary Assembly Permit. A copy of the file will be attached in .pdf format, for your
review.
PLEASE RESPOND NO LATER THAN: AUGUST 12, 2011
APPLICANT: MEAD ROTARY CLUB FOUNDATION
EVENT LOCATION: 6105 WELD COUNTY ROAD 32
PLATTEVILLE, COLORADO 80651
EVENT DATE: SEPTEMBER 24, 2011, FROM 8:00 A.M. - 8:00 PM
*****************************************************************
No concerns
Dep""P'"nitials
The Sheriffs Office had a concern and the deputy has mutually
worked with the property owner 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)
******************************************************************************************a ka*********
Please notify at Extension
Board of Commissioner's Temporary Assembly hearing.
of the date and time of the
Temporary Assembly Worksheet
The following concerns are noted:
The property owner 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)
g (/
Property Owner, Please Print Date
Property Owner Signature
"Deputy's Sigithture
Use another sheet of paper or attach separate proposal to this packet if needed.
Attach copies of all reports associated with this property for the last year.
Both the Deputy and the Owner of the establishment will be required to attend the Temporary
Assembly Hearing to testify to the above agreement.
PURSUANT TO TIE LIQUOR LAWS
NOTICE
OF COLORADO
Mao 1LTAEY CLUB rownyAT1&
1031 'Pont ?Vice
MEAD , CO so541z -- HAS REQUESTED TIE LICENSING
OFFICIO OF VELD COW -Tv, Coto010o
TO CousRUEt A SPECIAL Evewrs
LICENSE AT: (005 CourJTy ROAD 3z
�iv�u.E , CO SO�v51
,
A ON APPLICATION TO BE HELD AT:
WELD Cou ry Atri,hUISTRATO4 t'BUILbIikm
ABLY
150
0 stun-, G rye'. C
TIME AND DATE: q cx) Am - , 20
on OF APPLICATION:
By O $R OF: WEw Couuw recARD of e 1SSIomen
OFFS; Nlct SEKICH
TERRY ENRI GHT
HAS REQUESTED TIE LIWISING
arms Of `'M tD Cou�;,r,
10 hS
,,, «� k A SPEun Ev ,32
LICENSE AT: (a Io5 C0W 1 46"°
HArTh,,,ue, CD
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IS
41W HEARING ON APPUCAT TO �„ �y
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2- 021) 1l NO.86007
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NO.86008
Merl c1P-c
NameCAL(b 1 v fr Ph:
Special Event
Date Referrals sent
Environmental Health
Planning Services
Sheriff's Office*
Public Works
Emergency Services*
Date Referrals received-
- 2 —Environmental Health
-2 Planning Services/&I
`Sheriffs Office 9 z
Public Works
61- Z Emergency Services
Application
N Special Events Questionnaire & Affidavit
N Diagram of the Area
NJ Certificate of Good Standing (Non -Profit)
N Copy of Deed, Lease, or Letter of Consent
\ Copies of Receipts for County and State
BOCC Meeting Date
Prepare Sign Posting** 8/9(p
Call Applicant to pick up sign
Photo of Sign Posted by Applicant***
Draft Special Events Permit Reso
Print Final Reso
Ensure Sent to State at Least 10 Days Prior
to the Event
*Receives a Copy of the Application
**Must be posted 10 days prior to hearing
***May turn in Day of Hearing
Soto -0-7).g
cc: Brad
NO PUBLICATION
IS J QUIRED
Mtg Date
Event Datg,
$100 PD (.(0 U/t{)
Amt State
Void State
Weld County and State of Colorado Special Events Permit
and Temporary Assembly Permit for Mead Rotary Club
were picked up in person by Terry Enright on
September 23, 2011.
Terry Enright
Witnessed by JLo-y„,
Deputy(lerk to the B'dard
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