HomeMy WebLinkAbout20072515.tiff RESOLUTION
RE: APPROVAL OF RENEWAL APPLICATION FOR 3.2 PERCENT BEER RETAIL LICENSE
ISSUED TO MARY JENSEN,DBA HIGHLANDLAKE, INC.,AND AUTHORIZE CHAIR TO
SIGN - EXPIRES NOVEMBER 9, 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, Mary Jensen, dba Highlandlake, Inc., presented to the Board of County
Commissioners of Weld County, Colorado, an application for the renewal of a 3.2 Percent Beer
Retail Liquor License for the sale of fermented malt beverages, containing not more than
3.2 percent of alcohol by weight,for consumption by the drink on the premises only, and in sealed
containers not for consumption at the place where sold, 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 fermented malt
beverages containing not more than 3.2 percent of alcohol by weight for consumption by the drink
on the premises,and 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:
16983 County Road 5
Mead, Colorado 80542
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 2007-04 to said applicant to sell fermented malt beverages,
containing not more than 3.2 percent of alcohol by weight, for consumption by the drink on the
premises, and 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 November 9, 2008, providing that said place where
the licensee is authorized to sell fermented malt beverages containing not more than 3.2 percent
of alcohol by weight, for consumption by the drink on the premises, and 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.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to
sign said application.
2007-2515
LC0035
re Sa, JAL Qq -a2o -o7
RENEW 3.2 PERCENT BEER RETAIL LICENSE
PAGE 2
The above and foregoing Resolution was, on motion duly made and seconded, adopted by
the following vote on the 8th day of August, A.D., 2007.
BO A ' , OF COUNTY COMMISSIONERS
I . / 4 \ WELD •OUNTY, COLO'�'DO
1
J _
ATTEST: ��/ Q® / ? i �\ r
bihN�[{C� 4;2 avid E. Long, Chair
Weld County Clerk to the •BY: . /
William . Jerke ro-Tem
�•�.-- �.;l �i
;�'LG OW
D ty Cle 'to the Board'
William F. Garcia
APPS •
P Robert
un y 1 torney C rh .)
ug as R demacher
/
Date of signature: 1 I ll lo,
2007-2515
LC0035
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
HIGHLANDLAKE INC
16983 CR 5
MEAD CO 80542-9737
ALCOHOLIC BEVERAGE LICENSE
Liability Information
Account Number County City Indust. Type Liability Date LICENSE EXPIRES AT MIDNIGHT
14-27324-0000 03 206 451110 C 111087 NOV 09, 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.
SEP 1 0 2007
Acting Division Diredor Executive Director
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License Number License Type
DR 8400101/021 LIQUOR OR 3.2 BEER LICENSE 14-27324-0000 2126
COLOMDO DEPT OF REVENUE
LIQUOR ENFORCEMENT DIVISION RENEWAL APPLICATION Liability Information
1881 PIERCE ST aloe 03 206 451110 C 111087
LAKEWOOD CO 80214
Business Location
16983 CR 5
HIGHLANDLAKE INC MEAD CO
17029 RD 5 Current LicenseExpires
MEAD CO 80542 NOV 09 , 2007
N 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 are 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. this IICation for renewWMust be rearmed to your ca 1 T
❑ Delivery Permit requested?Retail Liquor Store,Drug OR C t1.JTY Licensing Authority at least 45 days prior to the
Store or 3.2%Beer-Combination On/Off Premises expiration date of your arrant license.Faikre to do so may
Licenses ONLY. Check the box if you want the result in you'license not bong renewed kictide 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.
Authorized Signature Date Business Phone
/,r ., </ ��,yVLG>c/ 7�/,1/a 7 ?'70-53S-`ni J
C`�
Title of Signer(if corporatiri) Sales Tax Number
2 Y
The foregoing application has been examined and the premises,business conducted and char xer Cif,the'ftppfigent,eR atisfactory,and we do
hereby report that such license, if granted, will comply with the provisions of Title 12r'Articl6 4$ en*41LT C . THEREFORE THIS
APPLICATION IS APPROVED. I /.. . , e
Local Licensing Authority for
❑ Town/City unty 2007
Weld Count Colorado te .5 /
Signature \/\. (1 Title Chair, Board of Atte •
i,
David E. Long Ck.N County Commissioners By. {'� it/flan/I
DO NOT DETACH DO NOT DETACH Deputt Cie to the HAMDETACH
OR 8400 10I/02) 21
S
COLORADO OTT OF REVENUE LIQ R OR 3.2 BEER LICENSE
1881 PIERCE ST 4108 R NEWAL APPLICATION
LAKEWOOD CO 80214
Business Name LICENSE NUMBER(Use for all reference) RENEWED LICENSE EXPIRES AFTER
HIGHLANDLAKE INC 14-27324-0000 11-08
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
2007-2515
Make check payable to:Colorado Department of Revenue
. LC Ca 3.5
DR 8401 (0797)
COLORADO DEPARTMENT OF REVENUE
' LIQUOR ENFORCEMENT DIVISION
1881 PIV✓ERC 0090261 ATTACHMENT TO LIQUOR OR
LAKEOOD(303)205-2300 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
f-llf4/(ti 1 Ia 7_5--
1.Operating Manager Hare Address I Date of Birth
,%0 01 170)4 wc-4r, MCA, a , Gd yOtV
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: If rented,expiration date of lease: IR ❑
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 ^ p
materially interested. '
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. ❑ SY
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 Yes No
revoked,or had interest in any entity that had an alcoholic beverage license denied,suspended or revoked?If yes,attach a detailed n
explanation.
6. Does the applicant,or any of its 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 ❑
FM
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 otter than the licensee listed on your state liquor license?If yes,this license must be transferred to the new owner and nrgi
may not be renewed.Contact your Local Authority immediately.
B. 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 � ,®
transferred to the new partnership and may not be renewed.Contact your Local Authority immediately.
(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 rl I�
license must be transferred to the new partnership and may not be renewed.Contact your Local Authority immediately. L�l
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 ElDR 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. ID El
(c) Dale of filing last annual corporate report with the Colorado Secretary of State: .2 - " *2-
10. Limited Liability Company 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 managing members added to,or deleted from the company?If yes,complete and attach ElDR 8177 and submit to your Local Authority immediately.
(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. ❑ 'En
(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 b lowing listed questions:
That it has no more than 20 sleeping rooms,and
That it provides at least 1 meal per day at no charge other than for ovemigM 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:y r"' p. From:fLc ' m. From:111Ore m. From://CoRm. From:irt In. Fromy;Nn m.
To: t' m. To:. 'cor m. To:G:m (• m. 1-0:4(&Y m. To:corn IPm. Tort✓i m. Tol fen m.
MEMORANDUM
Kee 'I
TO: JENNY VANEGDOM,CTB
FROM: DAN JOSEPH
Il ENVIRONMENTAL HEALTH SERVICE
C. DATE:VI
SUBJE 07 07LIQU OR LICENSE INQUIRY
/177
COLORADO CC: CINDY SALAZAR; SARA EVANS
In response to your request, Environmental Health Services has reviewed the Retail Food
Service Establishment file for Highland Lake, Inc., located at 16983 Weld County Road
5, Mead, 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
dioseph@co.weld.co.us or by phone at 970-304-6415 extension 2206.
Thank you.
Dan Joseph
Environmental Specialist III
MEMORANDUM
44C1(1‘16" To: Jenny VanEgdom, Deputy Clerk to the Board
wokFrom: Bethany Salzman, Zoning Compliance Officer
COLORADO Date: July 31, 2007
Subject: Liquor License Referral
Review of the following liquor license renewal by the Department of Planning Services shows the following:
14-27324-0000
Highlandlake, Inc.
dba: Highlandlake, Inc.
16983 CR 5
Mead, CO 80542
Zone District: A(Agricultural)
This use has existed prior to zoning and a Nonconforming Use File (NCU-141), has been set up by the
Department of Planning Services.
The Department of Planning Services is not aware of any violations occurring on the property at this time.
It has been brought to my attention that they may be existing health code violations or issues. Please forward
this renewal request to the Weld County Department of Public Health and Environment.
Cc: Trevor Jiricek, Director
SERVICE,TEAMWORK,INTEGRITY,QUALITY
LIQUOR/BEER RENEWAL REVIEW FORM
Date: July 18, 2007
TO: (DEPUTY}
FROM: Ken Poncelow
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 31, 2007
ESTABLISHMENT: HIGHLANDLAKE, INC.
DBA HIGHLANDLAKE, INC.
16983 WELD COUNTY ROAD 5
MEAD, CO 80542
Current license expires: October 9, 2007
No concerns
Deputy's Initials
The Sheriffs Office had a concern and the deputy has mutually
worked with the licensee to correct the concern.
(Complete Attached Worksheet)
Unresolved concerns exist requiring a Probable Cause Hearing
scheduled by the Board of County Commissioners.
(Complete Attached Worksheet)
4iAfit*********************************************** **************•*************************** ***lM*******
Please notify at Extension of the date and time of the
Board of Commissioner's renewal hearing.
Hello