HomeMy WebLinkAbout20092888.tiff RESOLUTION
RE: APPROVE APPLICATION FOR TRANSFER OF OWNERSHIP OF TAVERN LIQUOR
LICENSE FROM SIPRES LOUNGE, INC., DBA SIPRES LOUNGE,TO EL CENTENARIO
NIGHT CLUB, INC., DBA EL CENTENARIO NIGHT CLUB, AND AUTHORIZE CHAIR
TO SIGN - EXPIRES DECEMBER 15, 2010
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, El Centenario Night Club, Inc., dba El Centenario Night Club, presented to the
Board of County Commissioners of Weld County, Colorado, an application for a Transfer of
Ownership of a Tavern Liquor License for the sale of malt,vinous and spirituous liquors,said license
previously held by Sipres Lounge, Inc., dba Sipres Lounge, and
WHEREAS, pursuant to Exhibit 5-H of the Weld County Code, said applicant has paid the
required fees to the County of Weld for a Transfer of Ownership 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:
1490 County Road 27, Brighton, Colorado 80603
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 Sheriffs 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
Sheriffs 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 2009-19 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 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 December 15, 2010, 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.
2009-2888
Co , Sci k,fi-- P-449 LC0028
TRANSFER OWNERSHIP OF LIQUOR LICENSE - EL CENTENARIO NIGHT CLUB
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 2nd day of November, A.D., 2009.
s L�1�BOARD OF UNTY COMMISSIONERS
E OY, R�GyO
/
ATTEST: . <1 x i:.' h,,..� ■
iam F. Garcia, Chair
Weld County Clerk to the Bo �
//� 1 •
S(() r
I'\ , I � ' ✓ Douglas 'ademac r, Pro-Tem
BY:A tLi �G t7! ( ' 2 c
epu Cler to the Board s—�-- �- ,_
Sean P. Conway
APPROVED AS FQRif /T,�- -I((t ( l -t1.C c` / ] ( 1\ i//-_< c_
ara Kirkmeyer
{ /
C4rGldfy A torney o 4
David E. Long cpC
Date of signature:
2009-2888
LC0028
THIS LICENSE MUST BE POSTED IN PUBLIC VIEW
DR 8402(10/29/07)
STATE OF COLORADO
DEPARTMENT OF REVENUE
Liquor Enforcement Division
1881 Pierce Street,Suite 108
Lakewood,Colorado 80214
EL CENTERNARIO NIGHT
CLUB INC
EL CENTENARIO NIGHT
CLUB
1490 CNTY RD 27
BRIGHTON CO 80603-9332
ALCOHOLIC BEVERAGE LICENSE
Liability Information
Account Number County City Indust. Type Liability Date LICENSE EXPIRES AT MIDNIGHT
42-75192-0000 03 206 722410 C 121609 DEC 15, 2010
Type Name and Description of Ucense Fee
2011 TAVERN LIQUOR LICENSE - $ 75.00
MALT, VINOUS, AND
SPIRITUOUS
219O COUNTY 85 PERCENT OAP FEE $ 425.00
TOTALFEE(S) $ 500.00
This license is issued subject to the laws of the State of Colorado and especially under the provision
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. Questions concerning this license should be addressed to the Department of
Revenue,Liquor Enforcement Division, 1375 Sherman Street,Denver,CO 80261.
In testimony whereof, I have hereunto set my hand.
DEC 1 7 2009
4) PULA,
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OR 8404(05/07/09)Page 1 21 DEPARTMENT USE ONLY
COLORADO DEPARTMENT OF REVENUE
LIQUOR ENFORCEMENT DIVISION COLORADO LIQUOR
DENVER CO80281
RETAIL LICENSE APPLICATION
❑ NEW LICENSE ZI TRANSFER OF OWNERSHIP ❑ LICENSE RENEWAL
• ALL ANSWERS MUST BE PRINTED IN BLACK INK OR TYPEWRITTEN
• APPLICANT MUST CHECK THE APPROPRIATE BOX(ES)
• LOCAL LICENSE FEE $
• APPUCANT SHOULD OBTAIN A COPY OF THE COLORADO LIQUOR AND BEER CODE(Call 303470.2165)
1. Applicant is applying as a ❑ Individual
Z) Corporation ❑ Limited Liability Company
❑ Partnership(includes Limited Liability and Husband and Wile Partnerships) ❑ Association or Other
2. Applicant If an LLC,name of LLC;it partnership,at least 2 padnees names;if corporation,name of corporation Fein Number
El Centemario Night Club, Inc. 27-0991485
2a.Trade Name of Establishment(DBA) State Sales Tax No. Business Telephone
El Centenario Night Club 4275192 303-659-8596
3. Address of Premises(specify exact location of premises)
1490 County Road 27
City County State ZIP Code
Brighton Weld CO 80603
4. Mailing Address (Number and Street) City or Town State ZIP Code
5. If the premises currently have a liquor or beer license,you MUST answer the following questions:
Present Trade Name of Establishment(00A) Present Stale License No. Present Class of License Present Expiration Date
Sipres Lounge 03-69427-0000 Tavern 10/10/2009
LIAB SECTION A NONREFUNDABLE APPLICATION FEES LAB SECTION B(CONT.) LIQUOR LICENSE FEES
2300 O Application Fee for New License $1,025.00 1985❑Resort Complex License(City) $500.00
2302 0 Application Fee for New License- 19860 Resort Complex License(County).. $500.00
w/Concurrent Review $1,125 00 1988❑Add Related Facility to Resort Complex...$ 75.00 XTotal
2310 0 Application Fee for Transfer $1,025.00 1990❑Club License(City) $308.75
1991❑Club License(County) $308.75
2010❑Tavern License(City) $500.00
LIAR SECTION B LIQUOR LICENSE FEES 2011 0Tavern License(County) $500.00
2012❑Manager Registration
905 0 Retail Gaming Tavern License(City) $500.00
Tavern $ 75.00
2020❑Arts License(City) $308.75
906 O Retail Gaming Tavern License(County) $500.00
2021❑Arts License(County) $306.76
940 O Retail Liquor Store License(City) $227.50
2030❑Racetrack License(City) $500.00
941 O Retail Liquor Store License(County) $312.50
950 O Liquor Licensed Drugstore(City) $227.502031❑Racetrack License(County) $500.00
951 2040❑Optional Premises License(City) $500.00
O Liquor Licensed Drugstore(County) $31250
960 O Beer and Wine License(City) $351.25 2041❑Optional Premises License(County).. $500.00
2045❑Vintners Restaurant License(City) $750.00
961 0 Beer and Wine License(County) $436.25
2046 0 Vintners Restaurant License(County) $750.00
970 0 Hotel end Restaurant License(City) $500.00
2220❑Add Optional Premises to H 8 R $100.00 X Total
971 0 Hotel and Restaurant License(County) $500.00
2370❑Master File Location Fee $ 25.00 X_Total
975 O Brew Pub License(City) $750.00
2375❑Master File Background $250.00 X__Total
976 0 Brew Pub License(County)., $750.00
980 ❑ Hotel and Restaurant License w/opt premises(City)....$500.00
981 0 Hotel and Restaurant License w/opt premises(County) $500.00
983 0 Manager Registration.H 8 R $ 75.00
DO NOT WRITE IN THIS SPACE-FOR DEPARTMENT OF REVENUE USE ONLY
LIABILITY INFORMATION
County City Industry Type License Account Number Liability Date License Issued Through
(Expiration Dale)
FRON TO
State City County Mangers Rag
-750(999) 2180-100(999) 2190-100(999) _ -750(999)
Cmh Fund Mae Lin GM Fund n`w.Lt.ue TOTAL
2300-100 2310-100
(999) (999)
•
2009-2888
DR 8404(05/07/09)Page 2 APPLICATION DOCUMENTS
CHECKLIST AND WORKSHEET
Instructions:This check list should be utilized to assist applicants with filing all required documents for licensure.All documents must
be properly signed and correspond with the name of the applicant exactly.All documents must be typed or legibly printed. Upon final State
approval the license will be mailed to the local licensing authority. Application fees are nonrefundable.
ITEMS SUBMITTED, PLEASE CHECK ALL APPROPRIATE BOXES COMPLETED OR DOCUMENTS SUBMITTED
I. APPLICANT INFORMATION
2 A. Applicant/Licensee identified.
2 B. Slate sales tax license number listed or applied for at time of application.
QI C. License type or other transaction identified.
Z D. Return originals to local authority.
Q] E. Additional information may be required by the local licensing authority.
II. DIAGRAM OF THE PREMISES
2 A. No larger than 8 1/2"X 11".
(n B. Dimensions included(doesn't have to be to scale).Exterior areas should show control(fences,walls,etc.).
❑ C. Separate diagram for each floor(if multiple levels).
Z D. Kitchen-identified if Hotel and Restaurant.
III. PROOF OF PROPERTY POSSESSION
❑ A. Deed in name of the Applicant ONLY(or)
2 B. Lease in the name of the Applicant ONLY.
❑ C. Lease Assignment in the name of the Applicant(ONLY)with proper consent from the Landlord and acceptance by the Applicant.
❑ D. Other Agreement if not deed or lease.
IV. BACKGROUND INFORMATION AND FINANCIAL DOCUMENTS
O A. Individual History Record(s)(Form DR 8404-I).
m B. Fingerprints taken and submitted to local authority.(Slate authority for master file applicants.)
• C. Purchase agreement,stock transfer agreement,and or authorization to transfer license.
❑ D. List of all notes and loans.
V. CORPORATE APPLICANT INFORMATION(If Applicable)
® A. Certificate of Incorporation(and/or)
❑ B. Certificate of Good Standing if incorporated more than 2 years ago.
❑ C. Certificate of Authorization if foreign corporation.
2 D. List of officers,directors and stockholders of parent corporation(designate 1 person as"principal officer").
VI. PARTNERSHIP APPLICANT INFORMATION(If Applicable)
❑ A. Partnership Agreement(general or limited).Not needed if husband and wife.
VII. LIMITED LIABILITY COMPANY APPLICANT INFORMATION(If Applicable)
❑ A. Copy of articles of organization(date stamped by Colorado Secretary of State's Office).
❑ B. Copy of operating agreement.
• C. Certificate of Authority(if foreign company).
VIII. MANAGER REGISTRATION FOR HOTEL AND RESTAURANT,TAVERN LICENSES WHEN INCLUDED WITH THIS
APPLICATION
❑ A. $75.00 fee.
O B. Individual History Record(DR 8404-I).
OR 8404(05/07/09)Page 3
6. Is the applicant(including any of the partners,it a partnership;members or manager if a limited liability company;or officers.stock- Yes No
holders or directors if a corporation)or manager under the age of twenty-one years? ❑ IZ
7. Has the applicant(including any of the partners,if a partnership;members or manager if a limited liability company;or officers,
stockholders or directors if a corporation)or manager ever(In Colorado or any other state);
(a) been denied an alcohol beverage license? ❑ PI
(b) had an alcohol beverage license suspended or revoked? ❑ La
(c) had interest in another entity that had an alcohol beverage license suspended or revoked? ❑
II you answered yes to 7a,b or c,explain in detail on a separate sheet.
& Has a liquor license application(same license class),that was located within 500 feet of the proposed premises,been denied within the
preceding two years?If"yes,"explain in detail. ❑
9. Are the premises to be licensed within 500 feet of any public or private school that meets compulsory education requirements of
Colorado law,or the principal campus of any college,university or seminary? ❑ 0
10. Has a liquor or beer license ever been issued to the applicant(including any of the partners,if a partnership;members or manager if a
limited liability company;or officers,stockholders or directors if a corporation)?If yes,identify the name of the business and list any
current or former financial interest in said business including any loans to or from a licensee. ❑ m
11. Does the Applicant,as listed on line 2 of this application,have legal possession of the premises by virtue of ownership,lease or other
arrangement?
❑ Ownership ® Lease ❑ Olher(Explain in Detail) ❑ ❑
a.If leased,list name of landlord and tenant,and date of expiration,EXACTLY as they appear on the lease:
Landlord Tenant Expires
Mary Sipres El Centenario Night Club, Inc. April 1,2011
Attach a diagram and outline or designate the area to be licensed(including dimensions)which shows the bars,brewery,walls,partitions,
entrances,exits and what each room shall be utilized for in this business.This diagram should be no larger than 8 1/2"X 11'.(Doesn't have
to be to scale)
12. Who,besides the owners listed in this application(including persons,firms,partnerships,corporations,limited liability companies),
will loan or give money,inventory,furniture or equipment to or for use in this business;or who will receive money from this business.
Attach a separate sheet if necessary.
NAME DATE OF BIRTH FEIN OR SSN INTEREST
Cristina Lopez Gift of$3,000 from mother
Attach copies of all notes and security instruments,and any written agreement,or details of any oral agreement,by which
any person(including partnerships,corporations,limited liability companies,etc.)will share in the profit or gross proceeds of
this establishment,and any agreement relating to the business which is contingent or conditional in any way by volume,
profit,sales,giving of advice or consultation.
13. Optional Premises or Hotel and Restaurant Licenses with Optional Premises Yes No
Has a local ordinance or resolution authorizing optional premises been adopted? 0 ❑
Number of separate Optional Premises areas requested. (See License Fee Chart)
14. Liquor Licensed Drug Store applicants,answer the following:
(a) Does the applicant for a Liquor Licensed Drug Store have a license issued by the Colorado Board of Yes No
Pharmacy?COPY MUST BE ATTACHED. ❑ 0
is. Club Liquor License applicants answer the following and attach:
(a) Is the applicant organization operated solely for a national,social,fraternal,patriotic,political or athletic purpose and Yes No
not for pecuniary gain? ❑ ❑
(b) Is ore applicant organization a regularly chartered branch,lodge or chapter of a national organization which is
operated solely for the object of a patriotic or fraternal organization or society,but not for pecuniary gain? ❑ ❑
(c) How long has the club been incorporated? (d) Has applicant occupied an establishment for three years
(Three years required) that was operated solely for the reasons stated above? ❑ ❑
16. Brew-Pub License or Vintner Restaurant Applicants answer the following: Yes No
(a) Has the applicant received or applied for a Federal Permit? ❑ ❑
(Copy of permit or application must be attached)
17a. Name of Manager(for all on-premises applicants) Vicente C11PVac-I ope, (If this is an Date of Birth
application for a Hotel,Restaurant or Tavern License,the manager must also submit an Individual History Record(DR 8404-I).
17b. Does this manager act as the manager of,or have a financial interest in,any other liquor Yes No
licensed establishment in the State of Colorado? If yes,provide name,type of license and account number. ❑ (2
16. Tax Distraint Information. Does the applicant or any other person listed on this application and including its partners,officers,
directors,stockholders,members(LLC)or managing members(LLC)and any other persons with a 10%or greater financial Interest Yes No
in the applicant currently have an outstanding tax distraint issued to them by the Colorado Department of Revenue? ❑ d
If yes,provide an explanation and include copies of any payment agreements.
DR 8404(05/17071 Page 4
19. if applicant is a corporation,partnership,association or limited liability company,applicant must list ALL OFFICERS,DIRECTORS,
GENERAL PARTNERS,AND MANAGING MEMBERS.In addition applicant must list any stockholders,partners,or members with OWNER-
SHIP OF 10%OR MORE IN THE APPLICANT.ALL PERSONS LISTED BELOW must also attach form DR 8404-I(Intividual History record),
and submit finger print cards to their local licensing authority.
NAME HOME ADDRESS,an,&STATE
i ifor< -t9,--
i1 tag ownership percentage disclosed here does not total 100%applicant must check this box sr
Applicant affirms that no individual other than these disclosed herein,owns 10%or more of the applicant
Additional Documents 1too�be submitted by type of entity
.s CORPORATION Cert.of Incorp. ❑ Cert.of Good Standing(II more than 2 yrs.old) ❑ Cert.of Auth.(if a foreign corp.)
PARTNERSHIP ❑Partnership Agreement(General or Limited) ❑Husband and Wile partnership(no written agreement)
❑LIMITED LIABILITY COMPANY ❑ Articles of Organization ❑ Cert.of Authority(if foreign company) ❑ Operating Agrml.
❑ASSOCIATION OR OTHER Attach copy o1 agreements creating association or relationship between the parties
Registered Agent(if applicable) Address for Service
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. I also acknowledge that it is my responsibility and the responsibility of my agents and employees
to comply with the provisions of the Colorado Liquor or Beer Code which affect my license.
Authorized Si nature The Date
.��� PYP>Ie- v tiJ9-61I-a1
REPORT AND APPROVAL OF LOCAL LICENSING AUTHORITY(CITY/COUNTY)
Date application flied with local authority Date of local authority hearing(tor new license applicants;cannot be less
than 30 days from date of application 1247.311(1))C.R.S.
September 23, 2009
THE LOCAL LICENSING AUTHORITY HEREBY AFFIRMS:
Yes No
That each person required to file DR 8404-I(Individual History Record)has:
® Been fingerprinted n ❑
® Been subject to background investigation,Including NCIC/CCIC check for outstanding warrants P ❑
That the local authority has conducted,or intends to conduct,an inspection of the proposed premises to ensure that the applicant is in
compliance with,and aware of,liquor code provisions affecting their class of license Pi ❑
(Check One) hf-�,,,,,�.,����,,���� qq '�1,�,,✓�'
�1 Date of Inspection or Anticipated Date�L<bi r 9,� 00
❑ Upon approval of state licensing authority.
The foregoing application has been examined;and the premises,business to be conducted,and character of the applicant are satisfactory.
We do reportthat such license,if granted,will meet the reasonable requirements of the neighborhoodand the desires of the adult inhabitants,
and will comply with the provisions of Title 12,Article 46 or 47,C.R.S. THEREFORE,THIS APPLICATION IS APPROVED.
Local Licensing Authority for g Telephone Number ❑ TOWN,CITY
Weld County, ado I� `7r (970) 356-4000 X4225 g COUNTY
Signature ills e'. % Date
•// I Ij+-- : .n> :o: d of Commissioners 11/02/2009
Sig ture((4 at) F 1",h / t�,. ];:. c' o "le Board Date
414/14414_, 4? "/7 ► �e-� C 1�to the Board 11/02/2009
r
AMENDED
LEASE AGREEMENT
For
SIPRES LOUNGE
This Lease Agreement is between ►/hA,4 f 5 fl)-4.--s ,said owner,of Sipres
Lounge;and Leaser(s), ez. t?e t' re 1`J pp, _on October 1,2009
for one-and-a-half years(April 1, 2011). N(7h r(.14,411,v c
Leaser(s)will pay a total deposit of$5,000.00. Owner,Mary Sipres agrees to receive half of deposit,
$2,500.00 down and Leaser(s)will continue to pay$500.00 extra each consecutive month for Five
(5)Months until the full deposit of$5,000.00 is reached.
Owner agrees for the first Three(3)months of Leasers Lease, Leaser(s)will pay the amount of
$4,500.00 for 3 consecutive months then on the 4th month on,T Paser agrees to pay the full$5,000.00
a month on the 1st day of each month until Lease is renewed. This does not include the$500.00
extra for Leaser(s)Deposit.
If Leaser(s) is late more than 3 days, Leaser(s)agrees to pay an additional$100.00 per day that
he/she is late,plus the full rental fee of$5,000.00. If not,paid within 7 days, Owner,Mary Sipres
will have rights to terminate Lease Agreement immediately. Leaser(s)will have 3 days of
termination notice to move personal belongings out of Sipres Lounge.
Leaser(s)agrees to give 30 day notice of termination of this lease,and if lease has not completed the
one-and-a-half year from October 1, 2009;the leaser will be responsible to pay the remainder of the
full lease,as well as lose the $5,000.00 deposit.
Leaser(s)will agree to obtain his/her own Liquor License for alcohol sales of the business. Leaser(s)
will also extend his/her liquor license to continue the business until the next leaser/buyer can
purchase his/her own liquor license.
Leaser(s)agrees that any liabilities regarding any patrons will be his/her responsibilities and not
Sipres Lounge.
Owner,Mary Sipres of Sipres Lounge gives permission to have Leaser(s)use the Sipres Lounge
property for business.
Leaser(s)agrees to pay for the following to keep business up and running:
1. Water bill once City has it installed.
2. Septic Tank.
3. Electric and Heat Utilities.
4. Insurance for liquor liability and general liability.
5. BMI—Music Rights.
6. Telephone Bill.
7. Trash pick up.
8. Pool Table.
Page 2: Sipres Lounge Lease Agreement
9. Liquor Sales Taxes
10. Employees Taxes.
Sipres Lounge will continue to pay for Water Control until the City has installed all pipes for running
water.
Sipres Lounge will have rights to check Leaser's books to assure that all building and property taxes
have been paid accordingly and other contracts that is being left for new Leaser's to continue running
the business.
Sipres Lounge will not be responsible for any wear and tear of property inside or outside of building.
Leaser(s)may change or update any fixtures in the building but must have agreement in writing by
Sipres Lounge Owner,Mary Sipres,before changes can be made. Leaser(s)will pay for these
changes and not Sipres Lounge Owner,Mary Sipres.
All fixtures and liquor throughout the Lounge and living quarters will remain when Lease is
terminated. Examples: Tables,chairs, lights,pool tables,juke box, liquor,refrigerator,freezers,
stove,sinks, etc.
If Leaser(s)terminates lease above for any reason before lease is due,Sipres Lounge will have the
right to take this matter to Court and Leaser(s)will pay for Sipres Lounge's Attorney Fees and all
charges that the Court deems necessary.
Before April I, 2011, Leaser(s)may talk to Owner,Mary Sipres to negotiate a new Lease agreement
for future Leasing or purchasing of the Sipres Lounge.
If Leaser(s)agrees to the terms above,sign below
M- \V Q)
Leaser,Print Name Leaser, Signature
Leaser, Print Name Leaser, Signature
Date: 09- 19- 03 Date:
t.. ))9 -
'717- 0' 1
Mary Sip s,Print Name Mary ip gnature
Date: Q — i ' -O9 'CO
Nate:
Notary: „ J.11.i c[t t T•I to i L¶ JENNIFER t-, rl(
4 t•VAN EG00M•
y
t`‘k F0F -
MY COMMISSION EXPIRES:05132013
COMMERCIAL LEASE OF REAL PROPERTY
AND PERSONAL PROPERTY
THIS LEASE is entered into as of the 1st day of October, 2009 in Brighton,
Colorado, by and between Mary Sipres("Landlord"), whose address is 1490 W.C.R. 27,
Brighton, Colorado 80603, and El Centenario Night Club,Inc.("Tenant"), whose address is
15612 E. 96th Way, Unit 3F, Commerce City, Co 80022.
WITNESSEITH:
In consideration of the premises, the mutual covenants hereinafter contained, and each
and every act to be performed hereunder by them, Landlord and Tenant hereby enter into the
following Lease pertaining to the hereinafter described premises:
1490 WCR 27,Brighton, Colorado 80603, except as otherwise excluded in Paragraph
33 below(the"Premises"); and pertaining to the following personal property located on the
Premises:
All furniture, fixtures, equipment and leasehold improvements related to the operation
of a restaurant business located on the Premises, in their present condition, normal wear and
tear excepted, including but not necessarily limited to, all items on the attached Exhibit"A"
(the"Assets").
1. LEASED PREMISES. The Landlord hereby lets and demises to the Tenant and the
Tenant hereby leases from the Landlord the above-stated premises("the Lease Premises")for
the term and upon the terms and conditions set forth in this Lease.
It is the purpose and intent of Landlord and Tenant that the return to the Landlord under
this Lease shall be absolutely"net" so that the share of all costs directly or indirectly
attributable to the Lease Premises shall be the obligation of Tenant.
2. TERMS. The term of this Lease shall be for a period beginning at twelve o'clock a.m.
on October 1,2009, and extending until twelve o'clock a.m. of April 1, 2011. See Addendum
(Contingency).
3. MINIMUM RENT. The Tenant covenants and agrees to pay a reserved minimum rent
for the Lease Premises for the full term of this Lease in monthly installments in accordance
with the schedule set forth on the attached Addendum. Payment shall be without setoff or
reduction, in advance on or before the first day of the each month during the term of this Lease
at the address of the Landlord first written above or at such other address as the Landlord may
hereafter designate by notice to the Tenant.
4. SALES TAXES. Tenant shall pay all sales taxes related to the operation of a business
on the Premises as the same may fall due and shall provide Landlord with copies of all sales tax
reports to the requisite State and Local governmental entities, and evidence of payment of the
same, on a quarterly basis, commencing December 20, 2009,(for the previous three months)
and continuing March 20, 2010, June 20, 2010 and September 20, 2010 of each year this Lease
is in effect.
5. MAINTENANCE. Tenant shall keep all portions of the building on the Lease
Premises, including the foundation, the four outer walls(including all glass windows and
window frames and doors), gutters, downspouts and roof in good repair. Tenant is also
responsible for maintaining heating/air conditioning equipment, and shall keep all mechanical
appurtenances and equipment, and shall keep all mechanical appurtenances and equipment in
good order, operating condition and repair, including replacement, if necessary. Tenant shall
also be responsible for cleaning and removal of snow from sidewalks and parking areas.
Tenant shall maintain and keep all parts of the interior of the leased premises, which include
but are not limited to, interior wall surfaces, doors,door hardware, plumbing,electrical, and
mechanical equipment within the Lease Premises in a clean, sanitary and safe condition in
accordance with all directions, rules and regulations of any health officers,building inspectors
or other proper officers of the governmental agencies having jurisdiction, and shall dispose of
all trash and waste materials in outside trash containers.
IN WITNESS WHEREOF, the parties hereto have executed this Lease the day and year first
above written in duplicate copy.
LANDLORD: TENANT:
ary �pre� Vineente Cuevas, El Centenario Night Club, Inc,
U Ce
se Rosales,El Centenario Night Club, Inc.
ADDENDUM
(Rent Schedule)
Period Monthly Minimum Rent
October 1, 2009 through April 1, 2011 $5,000.00
See Amended Lease Agreement dated September 19, 2009, for Sipres
Lounge Paragraph 3 for Deposit agreement for the next 3 months.
COLORADO DEPARTMENT OF REVENUE
Liquor Enforcement Division
1375 Sherman St,Denver CO 80261
September,2005
AFFIDAVIT OF TRANSFER AND STATEMENT OF COMPLIANCE
Pursuant to the requirements of 12-47-303(3Xb),Colorado Revised Statutes,Licensee hereby
states that all accounts for alcohol beverages sold to the Applicant are:
11 Paid in full.There are no outstanding accounts with any Colorado Wholesalers.
o Licensee hereby certifies that the following is a complete list of accounts for alcohol
beverages that are unpaid:
Licensee and Applicant agree that all accounts will be paid for from the proceeds at
closing by the: ❑Licensee CI Applicant
❑ Licensee unavailable to certify disposition of accounts for alcohol beverages-
Inventory list attached.Transfer by operation of law- Regulation 47-304.
o Applicant will assume full responsibility for payment of the outstanding accounts as
listed above.
❑ No alcohol beverage inventory transferred or sold.
Licensee hereby authorizes the transfer of its Colorado Retail Liquor License to the
Applicant, its agent, or a company, corporation, partnership or other business entity to be
formed by the Applicant.
Dated this ,f day of IS , 200 9 .
Seller: Euyer: L ease+':
;-2,(.;ii417 Vicewte CLicols - LOPEL
Licensee& License Number Applicant
5, pats )ounc,e . , ZIvc _ FL CENtelvat0
Trade name Trade nam C N g
• th
i at Signature
Position Position -
M n 1(1y 5. FRes U tO ac1i\-e 0_JQU
Print Name Print Name
f i C'(oirerrvcvic r/4..-± (,;:c
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DR 84044 (01/06/05)
COLORADO DEPARTMENT OF REVENUE
LIQUOR ENFORCEMENT DIVISION
1881 PIERCE STREET RM 108A
DENVER CO 80281
INDIVIDUAL HISTORY RECORD
To be completed by each individual applicant,all general partners f a partnership,and limited partners owning 10%(or more)of
a partnership;all Dffiefs and directors of a corporation,and stoholders of a corporation owning 10%(or more)of the stock of
such corporation; all limited liability company MANAGING members,and officers or other limited liability company members
with a 10% (or more)ownership interest in such company and all managers of a Hotel and Restaurant or a Tavern License.
NOTICE:This individual history record provides basic Information which is necessary for the licensing authority investigation.
All questions must be answered in their entirety or your application may be delayed or ntaprocessed.EVERY answer you give
will be checked for its truthfulness.A deliberate falsehood or omission will jeopardise the application as such falsehood
within itself constitutes evidence regarding the character of the applicant.
1.Name of Business •
�L Csen1TCJ J4R so N k.9 C (I �
2.Your Full Name(last,first,middle) 1 � 3.Lis any other names you have used.
CIALU145 - �,oLeZ , VrlceNTC. srrv, „Es--
4.
Mailing address(if different from reside )1 , C mAtelKF. City "'L,Home Telephone
I5(oia E. e� - Loy U/v,7-3-F 2 c - (as - fo9a
5.List all residence addresses below.Include current and revious addresses for the past five years.
STREET AND NUMBER CITY,STATE, ZIP FROM TO
Current
15612 C. 96th- Itmy UNLr Ctrninttce C itv,fm AP(11 )-""t C;butrvi
Previous
43/7 PAc A. E2;c.4>cch , Cc Bo&,ot abo40 aoaq
6.List all current and former employers or businesses engaged in within the last five years(Attach separate sheet if necessary)
NAME OF EMPLOYER ADDRESS(STREET, NUMBER,CITY,STATE, ZIP) POSITION HELD FROM TO
• i 47 Ye54-L . — 'It
I1 IPAN5 wlnt'ot- mehl c me-cl++,y ; c aoofr 2ocS
RtNder{$A, pies¢I-
(32 hneAL L-cg;9Ie/L1tch b'8o/ (Jcsern.0 iST. Cps pie 00041 , am8
7.List the name(s)of relatives working in or holding a financial interest in the Colorado alcohol beverage industry.
NAME OF RELATIVE RELATIONSHIP TO YOU POSITION HELD NAME OF LICENSEE
it
B.Have you ever applied for,held,or had an Interest In a State of Colorado Liquor or Beer License,or loaned money,furniture or fixtures,equipment or
inventory,to any liquor or beer licensee?II yes,answer in detail. EI Yes ENO
9.Have you ever received a violation notice suspension or revocation,for a liquor law violation,or have you applied for or been denied a liquor or beer
license anywhere in the U.S.?II yes,explain in detail. Yes ®No
10.Have you ever been convicted of a crime or received a suspended sentence,deferred sentence,or forfeited bail for any offense in criminal or military court
or do you have any charges pending?Include arrests for DUI and DWAI.(If yes,explain In detail.)
Dyes F No
11.Are you currently under probation(supervised or unsupervised),parole,or completing the requirements of e deferred sentence? (if yes,explain in detail.)
❑Yes XfNo
12.Have you ever had any STATE issued licenses suspended,revoked,or denied including a drivers license? (If yes,explain in detail.)
E Yes)4 No
PERSONAL AND FINANCIAL INFORMATION
Unless otherwise provided by WV/in 24-72-204 C.R.S.,information provided below will be treated as CONFIDENTIAL.
Colorado liquor licensing authorities require the following personal information in order to determine your suitability for licensura pursuant to 12.17-307 C.R.S.
13a.Date of Birth b.Social Security Number SSN c.Place of Birth d.U.S.Citizen?
( y1-1 e o Eyes No
e.If Naturalized,State where f.When g.Name of District Court
__J
h,Naturalization Certificate Number I,Date of Certification J.If an Alien,Give Alien's Registration Card Number k.Permanent Residence Card Number
�
I.Height m.Weight In.Hair Color o.Eye Color i p.Sex q.Race c Do you have a current Driver's License?If so,give number and state
(Pd3. soo j 0L1< MN I ra Thcpersr Itf'Yes ❑No &
14.Financial Information. nu-L.,'
•
a.Total purchase price$ 3.goo mmtf )' u-L.' (if buying an existing business)or investment being made by the applying entity,corporation,
partnership,limited liability company,other$
b.list the total amount of your investment in this business including any notes.loans.cash,services or equipment,operating capital,
stock purchases and fees paid$ ooO i?ee-rAL
c.Provide details of Investment. You must account for the sources of ALL cash(how acquired).Attach a separate sheet if needed.
Type:Cash,Services or Equipment Source:Name of Bank;Account Type and Number Amount
CNtc4c;ny 4 5RL+,ny5
LAS !+ (,ucIis -i4Mo
R ..tOLQ A - ,n, PARE w-rs
d.Loan Information(attach copies of all notes or loans)
Name of Lender end Account Number Address Term Security J Amount
15.Give name of bank where business account will be maintained;Account Name and Account Number;and the name or names of persons
authorized to draw thereon.
I:uC2-tIS raaso
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.
\uthorized ignatu Title Date
l', Lao_.nos3r`r o9- sir-o 9
wrh
Pchr7tlrenshospital.or9
The Children's Hospital
September 20, 2009
To Whom It May Concern:
Re: Reference for Vicente Cuevas Lopez
I have known Mr. Vicente Cuevas Lopez in a social capacity as well as a partner and
associate co worker for a pressure washing company for 5 years,and have found him to
be honest,reliable,conscientious and courteous.
I am confident that he will prove to be an asset to your company.
I trust that the information provided will be a help of assistance to any doubts or concerns
you may have about Mr. Cuevas. Although now Tam a current employer of The
Children's Hospital very well you may contact me for any questions or concerns in
regards to Mr. Cuevas and I would be very gladly to express how a wonder person he is
and it was very great pleasure to work with him in the past. Once again feel free to
contact me.
Yours truly,
Arely Olazahal
Patient Financial Services
The Children's Hospital
Office Direct—(720)-777-4488
olazabal.arely@tchden.org
a/finaimwirh (O�
University of Colorado a,Denver Children's
and Health Science:Center 13123 East 16th Avenue,Aurora,CO 80045 • (720)777-1234 (800)624-6553
Mlraclet Network'
September 19, 2009
To Whom It May Concern:
I have known Vicente Cuevas Lopez for approximately 7 years. We met while he
was a customer of mine at my business.
Vicente is dedicated,energetic,positive and conscientious in whatever he undertakes to
do. He is a friend as well as a support to my self-employment venture. Vicente is a very
responsible and great man. He would volunteer to help me with my business.Thanks to
Vicente many days at my business were fun and the day would just fly. If you would like
any additional information please feel free to contact me and I would be glad to express
how wonderful of a person Vicente is. Thank you!
Sincerely,
Emilio Rosales
720-207-1071
September 18, 2009
To Whom It May Concern:
I have known Vicente Cuevas for many years. He's articulate, motivated and
trustworthy. He also has high expectations of himself and of those close to him,
while at the same time being willing to accept people as they with unconditional
positive regard.
Vicente is also a hard worker and critical thinker. He has good decision making
processes and is able to draw from the experiences and expertise of those around
him when confronted with issues that he knows about.
In closing, I believe that Vicente would be an asset to your organization and the
position for which you are considering him. In that regard and for your convenience I
can be reached at 303-547-4227 if you have any questions about this letter of
recommendation.
Yours sincerely,
Miguel Lopez
303-547-4227
Date 10/08/09
SO WELD COUNTY RECORDS GREELEY
1950 "O" STREET
GREELEY, CO 80631
RE: LOPEZ, VICENTE CUEVAS DATE OF BIRTH: 06/30/1985
SOC: 632428267
No Colorado record of arrest has been located based on above name and
date of birth or through a search of our fingerprint files.
The Colorado Bureau of Investigation's database contains detailed
information of arrest records based upon fingerprints provided by
Colorado law enforcement agencies. Arrests which are not supported by
fingerprints will not be included in this database. On occasion the
Colorado criminal history will contain disposition information provided
by the Colorado Judicial system. Additionally, warrant information,
sealed records, and juvenile records are not available to the public.
Since a record may be established after the time a report was
requested, the data is only valid as of the date issued. Therefore,
if there is a subsequent need for the record, it is recommended another
check be made.
Falsifying or altering this document with the intent to misrepresent
the contents of the record is prohibited by law and may be punishable
as a felony when done with intent to injure or defraud any person.
Sincerely,
Ronald C. Sloan, Director
Colorado Bureau of InvestigationOO
CIVIL APPLICANT RESPONSE
ICN E2009282000000003591 CIDN OCA CO0620000
LOPEZ,VICENTE CUEVAS U 603
MNU SOC SEX M
FPC
HENRY CLASS API
COCBI0000 COLORADO B OF I DATE FP
DENVER CO 2009/09/24
A SEARCH OF THE FINGERPRINTS ON THE ABOVE
INDIVIDUAL HAS REVEALED NO PRIOR ARREST
DATA. CJIS DIVISION
2009/10/09 FEDERAL BUREAU OF INVESTIGATION
COCBI0000
CO BUREAU OF INVEST
COLORADO CRIME INFO CTR
STE 3000
690 KIPLING ST
DENVER,CO 80215-8001
SEP. 26. 2009 9:55AM TCH PAITENT FIN SERU NO. 0196 P. 2
am..i,.,,.., uepemme N Use vny
girt °' COLORADO BUSINESS REGISTRATION
-PrEa PREsSHRMLY Ne PRINT LiMALY-1, -ram-nom FORMS FOAM ma wire PUBUCA1ION Caa01 PAID
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(continue on reverse sido of this pogo.) See page 3 for Return Check Policy
SEP. 28. 2009 9:56AM TO PAITENT =IN SERV NO. 0196 P. 3
Colorado Secretary of State
,!cell Date and :09/25/200912:31PM
Document must be filed electronically. ID Number 20091507875
Paper documents will not be accepted
Docent processing fee $50.00 Document number:20091507875
Fees&fmms/cover sheets Amount Paid:$50.00
are subject m Menge.
To access other information or print
copies of filed docmients,
visit www.sossrate.co.us and
select Business Center. acne Imo monsintau
•
Articles of Incorporation for a Profit Corporation
flied pursuant to§7-102-101 and§7.102-102 of the Colorado Revised Statutes(CRS.)
1.The domestic entity name for the corporation is
EL CENTENARIO NIGHT CLUB INC
Ma nmw Cer rporman wen teaad,the or abbreviation"carppmtm°.
amryaaa ,,"aarsPare,ihrad-,ear,Ina'.'Veer WC.See P-S6
601, CAS dda corperSen n a prereima!a amend Man ea 7i0 Kit
law INV aPPIY)
(Cordon:The we ofeerm(n germs or abbreviation,are restricted by law. Read armaetlontfermare bpormadon)
2.The principal office address of the corporation's initial principal office Is
Street address 1490 WCR 27
peenneaNvarum)
BRIGHTON CO 80603
ICN/ UnnStates rzinermlCods)
province—fappaeeble) ,Ceway)
Ma&)ina address
Dare blank if sone as street sddna) hies eea,ber winos or Pine Office Box astremati
(CW) nYej !Ll)Pmd,Codg)
(Av°,^ae-9'Wpamblel (Caamxl
3.The registered agent name end registered agent address of the corporation's Initial registered agent are
Name CUEVAS VICENTE
(sfenindividual) 444 oada-d 1W
OR
(if an entity)
(Caution:Do not provide both an sMdwt and an NOW rmao)
Strcetaddress 15612 E 96 WAY
peint mbereedisev UNIT 3F
COMMERCE CITY co 80022
fib) Ingo (vp/Peed Cade)
ALTINC_PC Page 1 of 9 Rev.02/21/200B
SEP. 28. 2009 9:56AM TCF PAITENT 'IN SERV NO. 0496 P. 4
Mafia address
(lean blank if same as scoot address) (3ewtmabvwdna a yrPenQpla Ba is stiwQ
CO
(tie) (btW.J fafasal Code/
aliefoThmingstemont k adopted by.wlu,,S box)
The person appointed as registered agent above has consented to being so appointed.
•
4.The true feme and mailing address of the incorporator&e
Name CUEVAS VICENTE
Of m individual)
(LaV (b'e+N lserPW
OR
(if an entity)
(Caudon:Do not provide both an bsdWtdaal ands entity nano)
Mailing address 16612 E 96 WAY
UNIT 3F6 a
owe rosier arPae etfkaarW �aev E.
COMMERCE CITY CO 80022
Fa) Ur states ?wudrdeJ
avian.-iJosairabh) (Casey)
(rtho elloamts stance"plat,adopt the aawwgmst*thd box aid sal.an asaeMma)
❑ The corporation has one or more additional incorporators and the name and mailing address of each
additional incorporator are stated in an attachment
S.The classes of shares end number of shares of each class that the corporation is authorized to issue are as
follows.
wmefolkvng=gemmntstha,dew rMaasuase by market the freesias S mothergee/cm)
0 The corporation is authorized to issue 10,000 common shares that shall have unlimited voting
rights end are entitled to receive the net assets of the corporation upon dissolution.
(ytaeAllanlntsrwemnKappau,adopt she enamor by ark*edie box ad Inch*anabdenent)
0 Additional information regarding shares as required by seed=7-106-101.CRS,is included in an
attachment.
(Cordon:At lean one bar emit be nuked Bath boxes maybe marked(applicable)
6.(base foliowswaaaw owptnt adopt dm neon by swift os box aid e,clvdeaeoltrhme.U)
0 This document contains additional information as provided by law.
7.(Camtian:Lsosaigt i(the domaentdoes nor how a delayed°cfn;St StaMga delayedsfdhe dahlias
:iceman:legal cwogwnoes. Read awbuclions before ennline°date)
Wthefollowingsenropplin aebpe&mathowby swine doe aeq Capttmbls dal SRI dr caweveftnMU
The delayed effective date and,if applicable,time of this document WareOrahlebynksrusinsts cranxit)
A1T1NCJC Sep 2of3 Rev.0212N200e
SEP. 28. 2009 9:56AM TCH PAITENT FIN SERV NO. 0196 P. 5
Notice:
Causing this document to be delivered to the Secretary of State for filing shall constitute the affirmation or
acknowledgment of each individual causing such delivery.under penalties ofpequy,that the document is the
individual's act and deed,or that the individual in good faith believes the document is the act and deed of the
person on whose behalf the individual is causing the document to be delivered for filing,taken in conformity
with the requirements of part 3 of article 90 of title 7,C.R.S.,the constituent documents,and the organic
statutes,end that the individual in good faith believes the facia stated in the document are true and the
document complies with the requirements of that Pet,the consthuant documents,and the atonic statutes.
This perjury notice applies to each individual who causes this document to be delivered to the Secretary of
State,whether or not such individual 3e named in the documet as one who has mused k to be delivered
B.The true name and mailing address of the Individual causing the document to be delivered for filing are
CUEVAS VICNETE
ru
15612 WAY R�! rn�
gowt b.,..e,u,w or Posrcre.dertpbnaaaW
UNIT 3F
COMMERCE CITY CO 80022
Un $fetes plP7aadcaAy
(Provo=-Y^pplicablo) (Caawrl
Nh.fo7owintas awrappau.adopt the wamrmby,audps the box and inch*an aaeehre ac)
❑ This document contains the true name and mailing address of one or more additional individuals
musing the document to be delivered for filing.
Disclaimer.
This form/cover sheet,and any related instructions,ere not intended to provide legal,business or tat advice,
and era furnished without representation or warranty. While this form/cover sheet is believed to satisfy
minimum legal requirements as of its revision data,compliance with applicable law.as the same may be
amended from time to time,remains the responsibility of the user of this form/cover sheet Questions should
be addressed to the user's legal,business or tax advisor(s).
ARTINCJC Pip 3e3 ef3 at,.02/21/20011
CSC . `��SC9ss��`\
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jotMEMORANDUM
TO: JENNY VANEGDOM, CTB
FROM: DAN JOSEPH ENVIRONMENTAL HEALTH C SUBJECT: LIQUOR LICENSE SERVICE
INQUIRY
COLORADO DATE: OCTOBER 12,2009
CC: CINDY SALAZAR; SARA EVANS
In response to your request, Environmental Health Services reviewed the Retail Food
Service Establishment file for El Centenario Night Club (previously Sipres Lounge),
located at 1490 County Road 27, in Brighton, Colorado. However, it was determined that
El Centenario Night Club has not applied for or obtained a Retail Food Establishment
License from this Department. The Department discussed the requirements with the wife
of the new owner, Vicente Cuevas-Lopez, on October 7, 2009. She stated that they
would submit the required paper work by October 9, 2009. As of October 12, 2009, the
Department has not received the required paper work.
The Department recommends denial of a permanent liquor license until such time
that the facility obtains a Retail Food Establishment License. Should the facility not
submit the required paper work within the week, a Notification of Violation Failure to
Obtain a Retail Food Establishment license will be issued.
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
iigt61
MEMORANDUM
To: Jenny VanEgdom, Deputy Clerk to the Board September 29, 2009
"ANC From: Bethany Salzman, Zoning Compliance Officer, Dept. of Planning Services
COLORADO Subject: LC0028
Review of the following liquor license renewal by the Department of Planning Services shows the following:
Vicente Cuevas-Lopez
Dba: El Centenario Night Club
1490 CR 27
Brighton, CO 80603
Zone District: A(Agricultural)
This use has existed prior to zoning and a Nonconforming Use File (NCU-80), has been set up by the
Planning Department. Any expansion, construction or change in use would need to be submitted to the
Department of Planning Services prior to completion.
No violations are occurring on the property at this time.
SPECIAL NOTICE:
I have been advised that there is or was a water issue; please refer to the Department of Public Health and
Environment. On the Amended Lease Agreement, #1 on the bottom of the first page states the Leaser(s)
agree to pay for the following to keep business up and running: 1.) "Water bill once City has it installed."
SERVICE,TEAMWORK,INTEGRITY,QUALITY
TRANSFER OF OWNERSHIP REVIEW FORM
Date: September 24, 2009
TO: {DEPUTY}
FROM: CTB
SUBJECT: Liquor License Check
In accordance with the 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 the Transfer of Ownership for a
Tavern Liquor License.
PLEASE RESPOND NO LATER THAN: OCTOBER 12, 2009
CURRENT ESTABLISHMENT: NEW APPLICANT:
SIPRES LOUNGE, INC. VICENTE CUEVAS-LOPEZ
DBA SIPRES LOUNGE DBA EL CENTENARIO NIGHT CLUB
1490 COUNTY ROAD 27 1490 COUNTY ROAD 27
BRIGHTON, CO 80603 BRIGHTON CO 80603
Current license expires: October 10, 2009
**A Temporary Permit hearing will be held on September 30, 2009, and if approved,the
permit will be valid for a period of 120 days.**
************r*x*************Irk******************************************************************************
No concerns 75;Vi
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)
****************************************************************************Hi***
Please notify Q e Qu,A-y, fYlt(c a at Extension iq]_334of the date and time of the
Board of Commissioner'§Transfer of Ownership hearing.
Liquor/Beer License Worksheet
The following concerns are noted:
Y1onP-
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)
none_
r\\ QQuU4J 09 - 09
Establishment Owner, Please Print Date nn
trier cC-tl 3'17
Estab its ment Signature puty'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.
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