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Home My WebLink About20052595.tiff RESOLUTION RE: APPROVAL OF RENEWAL APPLICATION FOR 3.2 PERCENT BEER RETAIL LICENSE ISSUED TO MARYJENSEN,DBAHIGHLANDLAKE,INC.ANDAUTHORIZECHAIRTO SIGN - EXPIRES NOVEMBER 9, 2006 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, 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 Weld County Road 5, Mead, Colorado 80542 NOW,THEREFORE,BE IT RESOLVEDthatthe Board of County Commissioners of Weld County,Colorado, having examined said application and the other qualifications of the applicant, does hereby grant License Number 2005-05 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, 2006, 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. 2005-2595 LC0035 (10 : A-Ph_ j -17-O-3-- RENEW 3.2 PERCENT BEER RETAIL LICENSE - HIGHLANDLAKE, INC. PAGE 2 The above and foregoing Resolution was,on motion duly made and seconded,adopted by the following vote on the 7th day of September, A.D., 2005. BOARD OF COUNTY COMMISSIONERS pt\ I 4 WELD COUNTY, COLORADO ATTEST: " / k4 dliam H. J ke, Chair Weld County Clerk to th Rfg. V` ii, vim ^ , I, ^ M. J. ile, Pr -Tem BY: L U � De&ty Clerto the Board cr E David E. Long APPROV5D AS TO F EXCUSED Robert D. Masden oun ttorney Gle n Vaad Date of signature: '°11,4//05 2005-2595 LC0035 THIS LICENSE MUST BE POSTED IN PUBLIC VIEW DR 8402(02/03/04) 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 9, 2006 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 TOTALFEE(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, 1 375 Sherman Street,Denver,CO 80261. In testimony whereof,I have hereunto set my hand. d't OCT 0 6 2005 /�l QpeQ Division Director KA Executive Director ONLY 3 .2 % BEER SOLD HERE a ,fi5.+i�i`� {4;;& i, i4: ' rt i'U / d'x• I.i :a i r, a4.` rt*''.,;�( 'm lit"'"? 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' BY AUTHORITY OF THE BOARD OF COUNTY COMMISSIONERS f0 N Fermented Malt Beverage License ` Il ,,, _ _ mss. 11 1 �, _a;.�,- RETAIL MARY JENSEN DBA HI GHLANDLAKE, INC i�lYis is to f�rritfy, Thalx_...._-._-- - _...-•--__-•---,-•-••- ...................._._.-___.. _._:.....................__._-_._........--_-............................... t44' ` of the State of Colorado, having applied for a License to sell FERMENTED MALT BEVERAGES at retail and having ' �p,y to paid to the Treasurer of Weld County, the sum of_Fi£ty___Seven_and__50l1.Q0-- Dollars therefor, the above applicant is f t.11,79:{.."-?%272k _ hereby licensed to sell FERMENTED MALT BEVERAGES containing not more than 3.2% of Alcohol by weight at `1 16983 Weld County Road 5, Mead,, Colorado 80542 , M� C` :4 in the County of Weld, Colorado, for one year from the 10th day of November RS__2QQS, !Is`i r, to the 9th day of November , $82006 unless this License be sooner revoked A ��" as provided by law. ;�� <lzvif � ag �:� Ij xa' ai' This License is issued subject to the Laws of the State of Colorado, and especially under the pro ,4 ..s- , i® ; i �,�, `;visions of Article 46 of Title 12, Colorado Revised Statutes, as amended. "; " ' ^'' 'r,.r 3- 4 �', IN TESTIMONY WHEREOF, The Board of County Commissioners has hereunto subscribed its � � ,-�YxQ t� /�^ 7th September 2 `� „- name its rs ly uthorized,this day of P , p� 005 i 441 �r:+�,u tll' .�tOUlfty'i'�d1.sSkO�'l0rd� .'k ". ,�, `�' +�' es Lf ,� 1 F �j• +,P �'' dR - 43 ,�. 'tY ay .r- y�ff 4a\ fr, t i9i 9, _ 'Au f// \,y154 \i ff iyIll /f/ /`/ .i.1, \. /• �+. Li t ;IL :•b -..'),,,,,.`,:.",?//:'J r:Ss W.'.TE 3 -+a': '••.Y...vL.:_ ,y 'Y::s^-••:s-' i.�---vim) �`c.,z----aaf ',,..:, .....=--ate' "°.:J�^-.e.. ..,.,_ ---.....�' '..a...r^'-q.:. ' .-....'--•�._./ DR 8400 Ia tm21 License Number License Type COLORADO DEPT OF REVENUa LIQUOR OR 3.2 BEER LICENSE 14-27324-0000 2125 • 18811OR P TIERCE ST #1087 DIVISION RENEWAL APPLICATION Liability Information LAKEWOOD CO 80214 03 206 451110 C 101087 Business Location 16983 CR 5 HIGHLANDLAKE INC MEAD CO 17029 RD 5 MEAD CO 80542 Current License Expires. Q � 2005 Nov o9, o?tV fie r 5u) (* 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 tram(r r of nwnorchip See your local Licensing Authority immediately. -[as application for renewal mist be returned to your M ❑ Delivery Permit requested?Retail Liquor Store,Drug OR COUNTY Ling Authority at least 45 days prior to the Store or 3.2%Beer-Combination On/Off Premises expiration date of yaw anent license Faikre to do so may Licenses ONLY. Chock the box if you want the result in your license not being renewed Include both pages permit to be issued of this renewal and payment. Tkk9!t✓.A'FIXAiNT: tt;:';>cr :;>::;: :;,::.>:i;:.:i'::.:.:;;;;'::._;::;:> >i::i»i: > i ii : 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 --ariCL, t C. j�,44-e—rat-- (j )e// 0,S-- q 7 u ,5-3S �/a . k-3 Title of Signer(if corporation) t �'" Sares Tax Number r7Ll�cete- / 9— ;17 3 ; 51 : %'' ;: i cT NC::APPF'OKAR'OF crrY ciwoOvIY CITAISINI A VTHQRtTY The foregoing application has been examined and the premises,business conducted an. applicant are satisfactory,and we do hereby report that such license, if granted, will comply with the provisions of + .t. and 47, C.R.S. THEREFORE THIS APPLICATION IS APPROVED. ,•�'.,' I l 44\, Local Licensing Authority for 0, Date Weld County Colorado 0 Town/C1 I, elt„t e P;Jac Signature4/1.1....‘„,...„, Title ( �i %I , % stn__., Chair, Board .L -ilk: �/ William H. Jerke County CommissioneraI Nil /!��f`/y� -- DO NOT DETACH DO NOT DETACH 1 0 r r � a`�I ler to t eDBoagrd)ETACH R 40101/02)101/02) ' OR 8400 10 D 8 10 Dear OF taavmea LIQUOR OR 3.2 BEER LICENSE 21 HMI PIERCE ST #108 RENEWAL APPLICATION LAKEWOOD CO 80214 Business Name LICENSE NUMBER(U..for ell reference) RENEWED LICENSE EXPIRES AFTER ,4r HIGHLANDLAKE INC 14-27324-0000 t6-08-418. /./.09-06 sit' 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 LC 0 CJ'5 2005-2595 DR 8401 (0797) COLORADO DEPARTMENT OF REVENUE LIQUOR ENFORCEMENT DIVISION 1881 PIERCE LAKEWOOD,CO 80261 ATTACHMENT TO LIQUOR OR (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 off Establishment State License Number (�Iu�an�Fi �Glhcr//LGG n�/ a�i _ / . - 1.Operating ger Home Address MAR IDateofBirth Y 3c MSc )✓ 12 D. -7 k�/ r M r! D e O �c'Sv L 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: O can e cS If rented,expiration date of lease: Iti 3. Has there been any change in financial interest(new notes,loans,owners,etc.)since the last annual application?If yes,explain In e detail and attach a listing of all liquor businesses in which these new lenders or owners,(other than licensed financial institutions)are Yes No materially interested. n f�1 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. S�11 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. 8. 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 IZ licensee)?If yes,attach a detailed explanation. 7. Sole owners or husband-wlfe 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 [l 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 ❑ L transferred to the new partnership and may not be renewed.Contact your Local Authority Immediately. L (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 n ❑ 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: (a) Are there,or have there been any officers or directors added to,or deleted from the co Yes No rporatbn7 if yes, DR 8177 and submit to your Local Authority Immediately. complete and attach ❑ D (b) Ma 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. I. (c) Date of filing last annual corporate report with the Colorado Secretary of State: L - 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,complete and attach Yes No DR 8177 and submit to your Local Authority immediately. n r' (b) Are there,or have there been any members with 10%or more membership interest,added to,or deleted from the company? �J If yes,complete and attach DR 8177 and submit to your Local Authority immediately. (c) Date of filing last annual LLCO report with the Colorado Secretary of State: r(r . -i t.1., d/y 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 than 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: /top gal. From://,sr-,v m. From: (<'ry n m. From:(r:47 M m. From://:or rh. From:y:9 rz m. From: q l.v,7m. To: u-v /fn. To: 7.." P m. To: 754- Pm. To:a:4 Pm. To: 7 Fc a m. To: 9:rc r.-m. To: f."err err m. LIQUOR/BEER RENEWAL REVIEW FORM Date: August 30, 2005 TO: Deputy William (Bill)Wagner 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: July 12, 2005 ESTABLISHMENT: HIGHLANDLAKE, INC. DBA HIGHLANDLAKE, INC. 16983 WELD COUNTY ROAD 5 MEAD, CO 80542 Current license expires: October 9, 2005 ******It 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. �*..,....»...*. (Comple`teiAttached Worksheet)t Please notify at Extension of the date and time of the Board of Commissioner's renewal hearing. MEMORANDUM TO: DONNA BECHLER, DEPUTY CLERK TO THE BOARD FROM: DEBRA ADAMSON C. DATE:ISUBJECT: LIQUOR�LICENSE INQUIRY 0 LY 11, 05 COLORADO CC: CINDY SALAZAR, ENVIRONMENTAL HEALTH SERVICES In response to your request, Environmental Health Services has reviewed the Retail Food Service Establishment file for Mary Jensen dba Highlandlake, Inc., located at 16983 WCR 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 at extension 2243 or via e-mail at dadamson@co.weld.co.us . Thank you. M:\ENVIRONMENTAL HEALTH SERVICES\EOOD\Memos\Liquor License Inquiry Shell..doc MEMORANDUM To: Donna Bechler, Deputy Clerk to the Board From: Bethany Salzman, Zoning Compliance Officer Date: June 29, 2005 COLORADO 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. SERVICE,TEAMWORK,INTEGRITY,QUALITY tea; MARY MEAD JENSEN cyvy,^ 1/...29/0 czy,• `fly zo-,c... rite. hCv-,yf arc. -'- c).- riflre r-#- Va aT.d-j.Gi4K d-L.r7 V 0 (79-7 Goy/_ la,✓G � rs CLERK TO THE BOARD PHONE (970) 336-7215, Ext. 4227 FAX: (970) 352-0242 P. O. BOX 758 O GREELEY, COLORADO 80632 COLORADO June 22, 2005 MARY JENSEN C/O HIGHLANDLAKE INC 17029 COUNTY ROAD 5 MEAD, COLORADO 80542-9739 RE: Liquor License Renewal Dear Ms. Jensen: We received your license renewal form on June 20, 2005; however the application needs to be filled out under the heading "Oath of Applicant" before we can begin to process it. Could you also fill out the last section of the second page listing the hours you are open. I am returning the form to you so you can complete the application and then return it to our office. I tried to call you using the phone number that was listed on last year's application, but I got a recording saying the number had been disconnected or was no longer in use. Could you please list a phone number where we can reach you if we have any more questions,. If you have questions or need additional information, please do not hesitate to contact me at (970) 336-7215, Extension 4227. Very truly yours, Donna Bechler Deputy Clerk to the Board Hello