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Home My WebLink About20070498.tiff RESOLUTION RE: APPROVAL OF RENEWAL APPLICATION FOR 3.2% BEER LICENSE ISSUED TO LILLIAN GOOCH, DBA CROW VALLEY CAFE AND AUTHORIZE CHAIR TO SIGN - EXPIRES FEBRUARY 23, 2008 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, Lillian Gooch, dba Crow Valley Cafe, presented to the Board of County Commissioners of Weld County,Colorado,an application for the renewal of a County Retail License (On/Off Premises) for the sale of fermented malt beverages, containing not more than 3.2% of alcohol by weight, and WHEREAS,pursuant to Exhibit 5-H of the Weld County Code, said applicant has paid the sum of$57.50 to the County of Weld for the renewal of the existing license, and WHEREAS,said applicant has exhibited a State License for the sale of 3.2%fermented malt beverages for consumption by the drink on the premises, and/or in sealed containers not for consumption at the place where sold, outside the corporate limits of any town or city in the County of Weld at the location described as follows: P.O. Box 26, Briggsdale, Colorado 80611-0026; being further described as part of Section 20, Township 8 North, Range 62 West of the 6th P.M., Weld County, Colorado 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 2007-01 to said applicant to sell 3.2%fermented malt beverages for consumption by the drink on the premises, and/or in sealed containers not for consumption at the 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 February 23, 2008, providing that said place where the licensee is authorized to sell 3.2% fermented malt beverages for consumption by the drink on the premises only, and/or in sealed containers not for consumption at the place where sold,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. 2007-0498 LC0004 ( 4/ — /c 7 RENEW 3.2% BEER LICENSE - CROW VALLEY CAFE PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 26th day of February, A.D., 2007. B RD OF COUNTY COMMISSIONERS 7 W CO NTY, C LORADO ATTEST: a � `,, � �L. ',, avid E. Long, Chair Weld County Clerk to the oard' illia H. er , Pro-Tem BY: g,w Syr Deputy Clerk to the Board iam F. Garcia APP ED AS1/4 Robert D. Masden eG Attorney ,,,,1s` j �� Doug s RRa acher Date of signature: Y " '- 0 7 2007-0498 LC0004 THIS LICENSE MUST BE POSTED IN PUBLIC VIEW DR 8402(03/08/07) STATE OF COLORADO DEPARTMENT OF REVENUE Liquor Enforcement Division 1881 Pierce Street,Suite 108 Lakewood,Colorado 80214 GOOCH LILLIAN CROW VALLEY CAFE SEC20 118 R62W BRIGGSDALE CO 80611 ALCOHOLIC BEVERAGE LICENSE Liability Information Account Number County City Indust. Type Liability Date LICENSE EXPIRES AT MIDNIGHT 14-21464-0001 03 206 722110 I 022482 FEB 23, 2008 Type Name and Description of License Fee 2126 3.2 PERCENT BEER RETAIL $ 75.00 LICENSE (ON/OFF PREMISES) 2190 COUNTY 85 PERCENT OAP FEE $ 42.50 TOTAL FEE(S) $ 117.50 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. APR 0 5 2007 KA est r��(�,.�-a.`�� . 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License Number License Type DR asco I01102) COLORADO or REVENUE LIQUOR OR 3.2 BEER LICENSE 14-21464-0001 2126 LIQUOR ENFORCEMENT DIVISION RENEWAL APPLICATION Liability Information LAKE PIERCE SCO8we 03 206 722110 I 022482 1881 PIERCE O KKzla IIuI,IInnIl Illa,RII,a,PI II,Iheel,l,Nut,rlrI Business Location ,,,L. • • SEC20 T8 R62W GOOCH LILLIAN BRIGGSDALE CO CROW VALLEY CAFE Current License Expires BX 26 FEB 23, 2007 BRIGGSDALE CO 80611-0026 "This renewal reflects no changes from the last Wholesaler,manufacturer, importer,and public transportation application.Complete page 2 and file now! system license renewals do not need Local Licensing Authority ❑ Yes there we changes from the last application approval and must be returned directly to the Colorado If applicant is a Corporation or Limited Liability Department of Revenue at least 30 days prior to the current company. use DR 8177 and send in with this license expiration date. renewal.Any other changes of ownership require a transfer of ownership. See your Local Licensing Authority immediately. fRs aml�for renewal must be rehrned to you QTY ❑ Delivery Permit requested?Retail Liquor Store.Drug L 9 Y� 45 dsysprar to the Store or 3.2%Beer-Combination On/Off Premises expiration of yotr current license.Fad re to do so may Licenses ONLY. Check the box if you want the reutltnyotr license not being renewed.include both pages permit to be issued of this renewal aid payment 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. Authorize e e Date (� Business Phone .4 Sign � ,o.r •e- 02— O —96 / 7c.'irr.. is-s3/ Title of Sales Tax Number 7,7 c::: ::.: ::: :AP?Ri01KA OGI7Y:QFiCO irryti :A . :T•. ::: The foregoing application has been examined and the premises.business conducted andihaiacter of the 4pplican(are satisfactory,and we do hereby report that such license, if granted, will comply with the provisions of Titll;12, ftrjic(es 46 and 47, C.R.S. THEREFORE THIS APPLICATION IS APPROVED. ^'� Local Licensing Authorityfor Date Zd c.Qu , Colorado ❑ Town/City ( Courtly 6 Q�� Signature `S / Title Chair, Board of We �`�"-'Atfeela "�. / (, '^u��' David Lons! r County Commissioners By: i ;1.;`}yt DO NOT DETACH DD NOT nETgCH �-' b��eTK 20 WI NGff{AC6GON OR 8400 (o1,D]) 2 1 COLORADO DEPT REVENUE LIQUOR OR 3.2 BEER LICENSE LAKE PIERCE ST 4108 LAKEWOODKEWOODEwooD CO 80214 RENEWAL APPLICATION Business Name LICENSE NUMBER(Use tor all reference) RENEWED LICENSE EXPIRES AFTER CROW VALLEY CAFE 14-21464-0001 02-23-08 TYPE OF LICENSE ISSUED CASH FUND STATE FEE 3 . 2 PERCENT BEER RETAIL COUNTY 85% OAP LICENSE (ON/OFF PREMISES) 2330- 100(999) 2126-750(999) 2190- 100(999) $ 50.00 $ 25. 00 $ 42.50 $ 117. 50 Make check payable to:Colorado Department of Revenue 2007-0498 DR 8401 (0797) COLORADO DEPARTME►T OF REVENUE LIQUOR ENFORCEMENT DIVISION 1891 PIERCE ATTACHMENT TO LIQUOR OR LAKEWOOD,CO 80281 (303) 2300 • 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 State License Number S Establishment L % G�hrc_ i 9� !/ ooce 1.flinger D Home Add s vy �J E r �4Dgte of Birth 9/ lC 0"i fGfiK .d 0 / ,41.e.it.--,/1- . 2. , Do you have legal possession of the premises for which this application for license is made? Yes No Are the premises owned or rented: iL .J It rented,expiration date of lease: ..2- ?� -- o f gl ❑ 3, Has there been any change In financial interest(new notes,loans,owners,etc.)since the last annual application?If yes,explain in Yes No detail and attach a listing of all liquor businesses In which these new lenders or owners,(other than licensed financial institutions)are I�I materially interested. I I 4. Since the date of filing of the last annual application,has the applicant,or any of its agents,owners,managers,principals,or lenders Yes No (other than licensed financial institutions),been convicted of a crime?If yes,attach a detailed explanation. ❑ CZ 5. Since the date of filing of the last annual application,has the applicant,or any of its agents,owners,managers,principals,or lenders �N (other than licensed financial institutions),been denied an alcoholic beverage license,had an alcoholic beverage license suspended or Yee No revoked,or had interest in any entity that had an alcoholic beverage license denied,suspended or revoked?If yes,attach a detailed ❑ explanation. 8. Does the applicant,or any calls agents,owners,managers,principals,or lenders(other than licensed financial institutions),have a yes No direct or Indirect Interest in any other Colorado liquor license(Include loans to or from any licensee,or interest in a loan to any Cia licensee)?If yes,attach a detailed explanation. ❑ 7. Sole owners or husband-wife partnerships answer this question.Since the date of filing of the last annual license application: Has ownership changed in whole or in part,from a sole owner to any other person,partnership,corporation,or limited liability Yes No company other than the licensee listed on your state liquor license?If yes,this license must be transferred to the new owner and ❑ may not be renewed.Contact your Local Authority immediately. 8. Partnership applicants must answer this question.Since the date of filing of the last annual license application; Yes No (a) Are there,or have there been any general partners added to,or deleted from the partnership?If yes,this license must be ❑ I� transferred to the new partnership and may not be renewed.Contact your Local Authority immediately. �U (b) Are there,or have there been any limited partners with a 10%or more interest,added or deleted from the partnership?If yes,this ❑ license must be transferred to the new partnership and may not be renewed.Contact your Local Authority immediately. 9. Corporate applicants must answer this question.Since the date of filing of the last annual license application: Yes No (a) Are there,or have there been any officers or directors added to,or deleted from the corporation?If yes,complete and attach ❑ DR 8177 and submit to your Local Authority Immediately. (b) Are there,or have there been any stockholders with 10%or more of the Issued stock,added to,or deleted from the corporation? If yes,complete and attach DR 8177 and submit to your Local Authority Immediately. ❑ (c) Date of filing lest annual corporate report with the Colorado Secretary of State: 10. Limited Liability Company applicants must answer this question.Since the date of filing of the last annual license application: (a) Are there,or have there been any managing members added to,or deleted from the company?If yes, Yes No gamcomplete and attach ❑DR 8177 and submit to your Local Authorityimmediately. R. (b) Are there,or have there been any members with 10%or more membership interest,added to,or deleted from the company? If yes,complete and attach DR 8177 and submit to your Local Authority immediately. ❑ 14 (c) Date of filing last annual LLCO report with the Colorado Secretary of State: 11. Bed and Breakfast applicants must answer this question and certify compliance with 12.47-118.5 C.R.S.,to the state licensing authority by Initialing the following listed questions: That it has no more then 20 sleeping rooms,and That it provides at least 1 meal per day at no charge other than for overnight lodging,and That it does not sell alcoholic beverages by the drink or in sealed containers,and That it shall not serve alcoholic beverages for more than 4 hours In any one day,as follows: MONDAY HOURS TUESDAY HOURS WEDNESDAY HOURS THURSDAY HOURS FRIDAY HOURS SATURDAY HOURS SUNDAY HOURS From: m. From: m. From: m. From: m. From: m. From: m. From: m. To: m. To: m. To: m. To: m. To: m. To: m. To: m. MEMORANDUM 't1 a TO: JENNY LUNA, FROM: DAN JOSEPH IENVIRONMENTAL HEALTH SERVICE ilC. SUBJECT: 1QU0OR LICENSE INQUIRY 7COLORADO CC: CINDY SALAZAR; SARA EVANS In response to your request, Environmental Health Services has reviewed the Retail Food Service Establishment file for Crow Valley Cafe, located at 37937 HWY 14, Briggsdale, 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 djoseph@co.weld.co.us or by phone at 970-304-6415 extension 2206 Thank you. Dan Joseph Environmental Specialist III 'kw or V La s16 VI MEMORANDUM To: Jenny VanEgdom, Deputy Clerk to the Board February 21, 2007 VIIP�. From: Ann Siron, Zoning Compliance Officer, Dept. of Planning Services COLORADO Subject: LC0004 Review of the following liquor license renewal by the Department of Planning Services shows the following: 14-21464-0001 Lillian Gooch dba Crow Valley Café PO Box 26 Briggsdale, CO 80611-0026 Zone District: Agricultural This use has existed prior to zoning and a Nonconforming Use File (NCU-393), has been set up by the Planning Department. Upon review of my case files and computer, no violations were noted. SERVICE,TEAMWORK,INTEGRITY,QUALITY LIQUOR/BEER RENEWAL REVIEW FORM Date: February 12, 2007 TO: (DEPUTY} FROM: John Broderius 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: FEBRUARY 23, 2007 ESTABLISHMENT: LILLIAN GOOCH DBA CROW VALLEY CAFE BOX 26 BRIGGSDALE, CO 80611-0026 Current license expires: FEBRUARY 23, 2007 n*YYYYnf*YYYYY YYnn*********************Afl.. 4 *******I*********t************** _.A4Hrw41 LAA No concerns IgerntL.iR I eputy's In als �,,-s w, n�>2S 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) MMMYN! **IM YYnn*****nYn*Y***Int YY*YYYYYn1YYYn******* Yn****YYYYn*YYYYYYMYYQ*** Please notify at Extension of the date and time of the Board of Commissioner's renewal hearing. DR 4679(09/21/06) COLORADO DEPARTMENT OF REVENUE 't of 'ei�y r.. , --tNT el.,, AFFIDAVIT - RESTRICTIONS ON PUBLIC BENEFITS i, /C4 4 1 G e L.,` 44 / A47 a d o e-- l i , swear or affirm under penalty of perjury under the laws of the State of Colorado that(check one): [✓r 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 faise,fictitious,or fraudulent statement or representation in this sworn affidavit is punishable under the criminal laws of Colorado as perjury in the second degree under Colorado Revised Statute 18-8-503 and it shall constitute a separate criminal offense each time a public benefit is fraudulently received. Signature Date Hello