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Home My WebLink About20101483.tiffRESOLUTION RE: APPROVAL OF RENEWAL APPLICATION FOR TAVERN LIQUOR LICENSE FROM THE FORT 21 LTD, DBA THE FORT 21, AND AUTHORIZE CHAIR TO SIGN - EXPIRES AUGUST 8, 2011 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, 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 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 2010-10 to said applicant to sell malt, vinous and spirituous liquors for consumption by the drink on the premises or in sealed containers not for consumption at place where sold, 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, 2011, 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. BE IT FURTHER RESOLVED that the Licensee shall ensure that all bartenders and wait staff, present and future, shall attend the Training for Intervention Procedures (T.I.P.S.) program or similar training to learn when to stop serving alcoholic beverages to intoxicated patrons. The Licensee shall provide to the Sheriff's Office and the Clerk to the Board's Office, on an ongoing basis, within thirty (30) days after hire or employment, copies of certificates showing the successful completion of said training by the present bartenders and wait staff. Sq 4/A/ `,1,-D Ill 2010-1483 LC0034 RENEW LIQUOR LICENSE - THE FORT 21, LTD., DBA 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 12th day of July, A.D., 2010. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: Weld County Clerk to the BY: _4z Deputy Clerk to the B APP D ASSTT unty Attorney Date of signature: ro2il I 1 fa) — ougla$ Rademac hair bara Kirkmeyer, ^ro-Tem Sean P. (doway David E. Long cia 2010-1483 LC0034 O N AUGUST 8 THIS LICENSE EXPIRES T 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 FORT 21 LTD THE FORT 21 THE 2501 W 26TH ST GREELEY CO 80634-8001 BEVERAGE LICENSE Liability Information Account Number County City Indust. Type Liability Date LICENSE EXPIRES AT MIDNIGHT 06-27829-0000 03 057 722410 C 080902 AUG 08, 2011 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 Revenue, Liquor Enforcement Division, 1375 Sherman Street, Denver, CO 80261. In testimony whereof, I have hereunto set my hand. (Xacrtit- / ) AUG 1 0 201) Division Director Executive $ 500.00 under the provision and shall be the expiration to the Department of adv., Director DR 8400 (11/09/06) LIQUOR OR 3.2 BEER LICENSE COLORADO DEPARTMENT OF REVENUE RENEWAL APPLICATION DENVER, COLORADO 80261 IIrrL11,,.,lLrrrllrrLrll„Lllrr,II IIII IlI,I,,l FORT 21 LTD THE FORT 21 THE 2501w26TH 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 201 1 Liability Information 03 057 722410 C 080902 Business Location 2501 W 26TH ST GREELEY CO current License Expires AUG 08, 2010 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. Thisapplication for rennet must be returned to your art OR.. COUNTY Licensing Authority at feast 45 days prior to the oxpira- Hon.d tte of your current license. Failure to do so may raw -1n' your license not being renewed. Include both pages of this renewal a d 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 P1/4-.N_A,., LC)cyj Date CO _ i In —I 0 Business Phone on ; sa.'g4 Title Q'1il'3 YLS2 1r / OA �'1 Sales Tax Number © - o1%O2 Lo 1 c 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 w 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 d County, Colorado Date 07/1 Sign �� &,^r Title Chair, Board of Weld County Commissioners Attest �7 9 ! /„• By: Ali407 . _i 'a:� Dougla Radelna her DO NOT DETACH__ Deputy_Cler he DR 8400 (11/09/06) LIQUOR OR 3.2 BEER LICENSE Make to check et payable to'. Colorado banki Department of Robank acc I COLORADO DEPARTMENT OF REVENUE check to a one time electronic g transaction. Your bank ax�: RENEWAL APPLICATION early as the same day received by t estate. If converted, your ch i DENVER, COLORADO 80261 If your check is rejected due to insufficient or uncollected funds, the enue may collect the payment amount directly from your banking accou Business Name FORT 21 THE LICENSE NUMBER (Use for all reference) 06-27829-0000 PERIOD '" '- 08-11 TYPE OF LICENSE ISSUED . CASH FUND STATE FEE TAVERN LIQUOR LICENSE - COUNTY 85% OAP MALT, VINOUS, AND 2320-100(999) 2011-750(999) 2190-100(999) SPIRITUOUS $ 50.00 $ 25.00 $ 425.00 your'4 lee 'Ad 4 urnea` ltp SUB -TOTAL $ 500.0 ADD $100.00 TO RENEW RETAIL WAREHOUSE STORAGE PERMIT2210-100(999) $ • TOTAL AMOUNT DUE $ 2010-1483 LCot1ycl 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 The cre- F r 1 Li- d State License Number © lc -a, sgeza5 -60O CD 1. Operating Manager bee Al,1, bio\ke 0o5Kar Home Address al SD LX -5 clod-kS4 Orly et) 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: `vv47v1 If rented, expiration date of lease: Yes . N4— No 8. 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 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, 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 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 anyVT 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 , 8. Sole proprietorships, Husband -Wits- Partnerships or Partners in Genera! 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): Ictii—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 6 .C(C)-leN--1._A,,90A(Q ) Printed name c\ ee 4V L.O0\C--c.,(co_SY,≥ ) Date 6 -yo ->1 44itt lURe COLORADO MEMORANDUM TO: JENNY VANEGDOM, CTB FROM: DAN JOSEPH ENVIRONMENTAL HEALTH SERVICE SUBJECT: LIQUOR LICENSE INQUIRY DATE: JUNE 19, 2010 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, Ltd., located at 985 East 18th Street, in Greeley, 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 djoseoh@co.weld.co.us or by phone at 970-304-6415 extension 2206. Thank you. Dan Joseph Environmental Specialist III firton COLORADO MEMORANDUM To: Jenny VanEgdom, Deputy Clerk to the Board June 24, 2010 From: Bethany Salzman, Zoning Compliance Officer II, Dept. of Planning Services Subject: LC0034 Review of the following liquor license renewal by the Department of Planning Services shows the following: 06-27829-0000 The Fort 21, Ltd. dba: The Fort 21 985 East 18th Street Greeley, CO 80631-6135 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 LIQUOR/BEER RENEWAL REVIEW FORM Date: June 21, 2010 TO: Deputy Jennifer Fick 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: JULY 2, 2010 ESTABLISHMENT: THE FORT 21, LTD. DBA THE FORT 21 985 EAST 18TH STREET GREELEY, CO 80631-6135 Current license expires: AUGUST 8, 2010 ************************************************************************************************************ No concerns Dep t y'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 b14)1,1/7 1(�%f/7//i1/7CL- at Extension a of the date and time of the Board of Commiss'ione�r' renewal hearing. 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) Est 6€e A1/4-; blishment Owner, Pleas Establishment S 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 Jennifer Foy Date: June 21, 2010 Re: The Fort 21 Dear Commissioners, I have researched and found no reported calls for service as Fort 21 Tavern, located at 985 East 18th Street, Greeley, CO 80631, from July 1, 2009 to June 21, 2010. I find no grounds for disapproval for the renewal of the liquor license. Respectfully Submitted, 7 WOW fer Fick Resource Unit WELD COUNTY SHERIFF'S OFFICE Community Resource Office LIQUOR ENFORCEMENT WORKSHEET 1950 °'Street Greeley, Colorado 80631 Voice (970) 356.4015. Fax (970) 304-6467 Inspection Report u Incident Report CR#: o l c;)&# -LS -1 T r7 Y�Q ]ff� � 1! IY [Licensee Name: / 1 1 O T `l 621 Laen, ell 1 Type: ' Dale of Report Ina — / 'I/� I Address: O� ORS 0 • Pasorr Contacted. cjd(/,1 Cit)r, State, Telephone t �� -.��eJ' `7`l �l j es No WA es Not NIA State Liquor License Posted v Manager Registered State Sales Tax License Posted I License in Control of Premrses County Liquor License Posted V Trade Name Properly Registered ✓ Federal Form 11 ' Call (800) 398-2822 Premises Physical Control Adequate r� Food Service License Posted Acceptable Dispensing System V Minor Warning Sign Posted Off Premise Storage Licensed Meals and Snacks Available t/t Only Permitted Items Sold ` Cleanliness Adequate V1 Alcohol From Permitted Source Books & Invoices Available V Discuss Sales of Liquor to Minors V Alcohol Beverage Stock Acceptable I, Discuss Sales to Intoxicated Persons []Warning OFollow-Up Inspection ,e y 6 —../-(in L 7�psee r Representative Signature Dale VioFation: Date Time Subject: DOe j Hgt. Wgt: Eyes' Hair: Clothing:DL /IDS. Stale: Address: City: Stale: 4 Evedence' Yes NO • HAN Phone S.Summons It: Court Date: Photos: Yes NO Narrative: Dep � � #: / (/c Date: / ��d N -n 0' r• - M11 rU u") Ph O O O 0 ru rR rl u") O O U.S. Postal Service,; CERTIFIED MAIL,., RECEIPT (Domestic Man Only; No Insurance Coverage Provided) Postage Certified Fee Return Receipt Fee (Endorsement Required) Restricted Delivery Fee (Endorsement Required) Total Postage & Fees 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: &501 w autL S -f. e-takiei to so 3L♦ Postmark Here Ignature ❑ Agent`. c, Addrese Srin : r ; '0,m / D. Is delivery address different If YES, enter delivery address by (Pointed NC. Date df jll'lyety es El No 3. Service Type crieCertified Mail ❑ Registered ❑ Insured Mail 4. Restricted Delivery? (Extra Fee) ❑ Yes p Express Mall ❑ Retum Receipt for Merchandise ❑ C.O.D. 2. Article Number Munsterimm service rebel) PS Form 3811, February 2004 Domestic Retum Receipt 7005 1820 0003 5224 7976 102595-02-M-1540 Hello