HomeMy WebLinkAbout20051229.tiff RESOLUTION
RE: APPROVAL OF SPECIAL EVENTS PERMIT ISSUED TO MAKE-A-WISH FOUNDATION
OF COLORADO, INC., AND AUTHORIZE CHAIR TO SIGN
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, Make-a-Wish Foundation of Colorado, Inc. presented to the Board of County
Commissioners of Weld County, Colorado, an application for a Special Events Permit for the sale
of 3.2% fermented malt beverages for consumption by the drink on the premises only, and
WHEREAS, said applicant has paid the sum of TEN DOLLARS ($10.00)to Weld County,
Colorado, pursuant to the laws providing therefore in payment for a County Retail Permit for the
sale of 3.2% fermented malt beverages for consumption by the drink on the premises only, for an
event scheduled for one day only on May 15, 2005, from 6:00 a.m., to 10:00 p.m., outside the
corporate limits of any town or city in the County of Weld at the location described as follows:
Dandy Acres Painted Horse Farm, 1763 Weld County
Road 20.5, Longmont, Colorado 80504, being more
fully described as Section 18, Township 2 North,
Range 68 West of the 6th P.M., Weld County,
Colorado
WHEREAS, said applicant has also paid the sum of TEN DOLLARS ($10.00) to the
Colorado Department of Revenue and has exhibited a State Special Events Permit for the sale of
3.2% fermented malt beverages for consumption by the drink on the premises only.
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 Special Events Permit#2005-02 to said applicant to sell 3.2% fermented malt
beverages for consumption by the drink on the premises only, only at retail at said location;and the
Board does hereby authorize and direct the issuance of said permit by the Chair of the Board of
County Commissioners, attested to by the Clerk to the Board of Weld County, Colorado, which
permit shall be effective from 6:00 a.m. on May 15, 2005, until 10:00 p.m. on May 15, 2005,
providing that said place where the permitee is authorized to sell 3.2%fermented malt beverages
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 permit.
2005-1229
LC0022
�' � : X, /11 L CS-/,-Pc
SPECIAL EVENTS PERMIT- MAKE-A-WISH FOUNDATION OF COLORADO, INC.
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 20th day of April, A.D., 2005.
!az BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
1861 'k/
,�,,.�A,„r William H. ke, Chair
,r. Clerk to the Board
M. J. i e, Pro-Tern
BY:
Deputy Clerk to the Board
vid E. Long
P JED AS Tr
/� Rob
D. Masdep
ounty Attorney
1!! 1'N/aad
Date of signature: -0'
2005-1229
LC0022
DR 8427(10/03)
COLORADO DEPARTMENT OF REVENUE
LIQUOR ENFORCEMENT DIVISION
1881 PIERCE STREET,SUITE 108
LAKEWOOD,COLORADO 80214
STATE OF COLORADO
DEPARTMENT OF REVENUE
VALID ONLY FOR THIS ORGANIZATION AT THIS LOCATION
MAKE-A-WISH FOUNDATION OF CO, INC
DANDY ACRES REGISTERED PAINTED HORSES
1763 W CR 20-1/2
LONGMONT CO 80501 AMENDED
License Number JE 27-14685-0006
SPECIAL EVENTS PERMIT
3.2% FERMENTED MALT BEVERAGE
VALID ONLY FOR THE FOLLOWING PERIODS
Date Hour Date Hour
FROM MAY 15, 2005 6:00 AM TO MAY 15, 2005 10:00 PM
Date Hour Date Hour
FRO•M XXXXXXXX XXXXX TO XXXXXXXX XXXXX
This permit is issued subject to the laws of the State of Colorado and especially under the
provisions of Title 12, Article 48, Colorado Revised Statutes.
This permit is non-transferable. It is issued only for the specific location described above, and
must be conspicuously posted at that location. MAY 1 1 2005
In testimony whereof, I have hereunto set my hand and seal
• KA
OFCry0
18 111fr81
rN
\IT 01
LIQUOR ENFORCEMENT DIRECTOR EXECUTIVE DIRECTOR
ONLY 3 .2 % BEER SOLD HERE
SP TS
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�4 sr .oi 4 STATE OF --� ' COLORADO f �/I
> AA
COUNTY OF WELD S• +'
J' ttla
't'' it t ' "f BY AUTHORITY OF- THE BOARD.OP COUNTY COMMISSIONERS • ;awp
1 t rte, I
Fermented Malt Beverage License `
>. SPECIAL ,EVEe- f PERMIT
°
� � a RETAIL ,• s
This to to Q rf't{fg. That. Make-A-Wish Foundatignoi Qo_lq.;a4Ig_, Inc,
4 of the State of Colorado, having applied for a License to sell FERMENTED MALT BEVERAGES at retail and having • ,m"
? a�4. ' paid to the Treasurer of Weld County, the sum of___Thn..anci. 0QL1PQ Dollars therefor, the above applicant is
hereby licensed to sell FERMENTED MALT BEVERAGES containing not more than 3.2% of Alcohol by weight at
I, Itre,p} ^ Dandy Acres Painted Horse Farms 1763 Word Qqul]Sy__Agnd..29_..5_,__Z.QA$mo.at_,___GP1QLaciv_._a05Q4 , a
‘"` ` I in the County of Weld, Colorado, from 6:00 a.m. on the 15th day of May zoos.__., • wtite
s
to 10:00 p.m. _on the 15t1i__day of May , 2QQ5, unless this License be sooner revoked
4,35a.friserti as provided by law.
\ This License is issued subject to the Laws of the State of Colorado, and especially under the pro- + �5 sy.p„ay
i£ I'S visions of Article 46 of Title 12, Colorado Revised Statutes, as amended. ,;
s� r
-t • V° "' z'_: IN TESTIMONY WHEREOF, The Board of County Commissioners has hereunto subscribed its r� r
',3 ot , '• `.''ttectrustawatekai- na b •
c d authorized this 2Q h day of .Apxik..__ , 2005_ °,iii
.era:1 aLt •r ' 'sups• J 'p� , 4a'yi4s L"�` ,w -tin
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DR
COLORADO 9DEP,�ART OF REVENUE 21
UOUOR ENFORCEMENT DIVISION APPLICATION FOR A
1375 ERMAN STREET
DENVER CO 80261 SPECIAL EVENTS PERMIT
DENVER
(303)205.2300
IN ORDER TO QUALIFY FOR A SPECIAL EVENTS PERMIT,YOU MUST BE NONPROFIT
AND ONE OF THE FOLLOWING (Sae back fprStalls.)
✓CHECK ONE: ❑SOCIAL CHARTERED BRANCH,LODGE OR CHAPTER
OF A NATIONAL ORGANIZATION OR SOCIETY
❑FRATERNAL 0 RELIGIOUS INSTITUTION
❑PATRIOTIC 0 PHILANTHROPIC INSTITUTION
❑POLITICAL ❑POLITICAL CANDIDATE
['ATHLETIC ['MUNICIPALITY OWNING ARTS FACILITIES DO NOT WRITE IN THIS SPACE
UAB TYPE OF SPECIAL EVENT APPLICANT IS APPLYING FOR: IQQ H0T.WRITU THIS SPACE :`
2110 El MALT,VINOUS AND SPIRITUOUS LIQUOR $25.00 PER DAY LIQUOR PERMIT NUMBER
2170 RIERMENTED MALT BEVERAGE(3.2 Beer) $10.00 PER DAY
1. NAME OF APPLICANT ORGANIZATION OR POLrrIICAL CANDIDATE ,.-.%
� � , Sales Tax Numbi,(ReguIred)
MA-tc -A-Lu-iv; --I-0L4 11)4gOe*C 1=.1-L,M cJ-QS 96?
2. MAILING ADDRESS OF ORGANIZATION OR POLITICAL CANDIDATE 3. ADDRESS OF PLACE TO HAVE SPECIAL EVENT ,i1
(Include street city/town and ZIP) nduda street dty/own and ZIP), ,ovaa D q A-c f e'S -
-Fel5c ` ob, ik11.pleu a, A-t'& tCeye j a
rs4e(e-ol . .r)CD '4oese
S ,,e - /�z(, . g• !'• !v3 t .cR.,2z
AEA- 1.14-ta Vrcl..A jo// I Lo..tyl.,u.-�l c c-ocGI
NAME DATEC7F SOiTH; $OMERDDAESS t5beaL CITY,Stme,ZlPI' .. ,FHONE3/UMBER'
4 PRESJSECY OF ORG.or POLITICAL CANDIDATE
5. EVENT MANAGER C l IAA, ..a O q 6 iett.eA-1A 6T. 303 —
�eta totiG ,Jr C /n 43,,,c), i Ai -6138
S. HAS APPLICANT ORGANIZATION OR POLITICAL CANDIDATE BEEN 7. IS PRIEMISES NOW LICENSED UNDER STATE LIQUOR OR BEER CODE?
ISSUED A SPECIAL EVENT PERMIT THIS CALENDAR YEAR?
✓Z NO ❑ YES HOW MANY DAYS? NO 0 YES TO WHOM?
I. DOES THE APPLICANT HAVE POSSESSION OR WRITTEN PERMISSION FOR THE USE OF THE PREMISES TO BE UCENSED7 es ❑No
'. S)ST BELOWTaf EXACTDATJe(SOtT1RWHICH APP{JCATION IS BEMIG:MADEFDR PEW.IIT .. .
Date S/,S OS Dale Date Date D
Dale
Hours From rj Am Hours From .111. Hours From in. Hours From .m. Hours From .m.:
To /Q P in. To .m. To in. To .m To .m.
OATH OFAPPUCANT
1 declare rJnder pena#y of pegrtrytn the sacorNf ILegree That)have reed the foregoing appi�cauon snap/attachmentsihereto,and
hatatlk*,may[PnFharim rsttve Corret ind+ T/$Mil taft9begot*bira-owiedge
SIGNATURE // � DATE
_O .1 -44-05-
1� AND APPER0NAL OF LOCAL UCENSING AUTHORITY(CITY OR COUNTY}
Theloregoingapplicattonhasbeenexambadandthepramices bnghlesseonducttldandctiaracterofBieappbcantlssatlsfactaly,
and we do tepor6 That Bl eb perlsttt to gralT i, i CWRpiy 4rgh fhb f iii Bil>n§.OEI`d1e:12,Article 48,Q A-S„as amended
t REFRR#E;THmSAPPuCATfQ$.IS:APPRgyED
LOCAL LICENSING AUTHORITY (CITY OR COUNTY) 0 CITY TELEPHONE NUMBER OF CITY/COUNTY CLERK
Weld County, Colorado 0 COUNTY (970)356-4000 Ext. 4225
SIGNATURE TITLE Chair, Board of DATE
t`
� -'L �� O Weld County Commissioners VJ20/2005
DO NOT WRITE IN THIS SPACE-FOR DEPARTMENT OF REVENUE USE ONLY
i'3ABIIfrflNEORM/ATION _>
UdenSRAtxollnIJNygpbers
INS state ' ! TOTAL,i
7510:(999]
.
prlatnrctons on Reverse Size)
� 2005-1229
L-C(XJ..2_
SPECIAL EVENT PERMIT QUESTIONNAIRE AND AFFIDAVIT
1. What type of an event is planned (e.g., annual, quarterly, benefit, etc.)?
Atuxi.UA FrAa=<<; Rtiie Far C,IuJd/zrcl
2. Explain in detail the nature of your organization, its function, and who or what benefits from
its operations (attach separate sheet if necessary). / /
(=rA.JL`S k id-t. PurC-/'.'Ad1 t'-1� 5c-_4 ,4te.-IE,C/" co,- L A;/}%4eJ r-< ' r
!-.Fc-l-kcQ4 (I-161 11 upc u-l r; Auk. 1.);S lc- M.4-14_ I_ lD c 1, (-ou,A)aui o:.1 °c Cc,C.L-.
Frc"- Mc4ey5
3. Who or what organization will be the recipient of funds derived from this evens1?
Pr_✓c.e r ..,.- l-C I-��.4 e.- i 4 _AA L? (';..:c.� . cd-/Qf4ft' -o ti
` f
MIS It_L -1' iy. L 577C;is;tl7 1vn,,S s ri \-GL-Cr.4 1.L
4. How many attendees are expected at this event? 4e,(vu,ua4,>:.) `l r.%e — /6-CG)
5. Describe the premises at which this event will take place.mike e Jc-7..., (-42 .• l_{ F'L' /vela) A-
nal e- P41 A-17-6.0 H-c15.EFAtr' , C..rarc0,4r' %
f c,, \cl ,".O,-+ t C-.!/C. c a S7 d,/ 7/-g s ,5 4 .Z S- Ar_f€ i!1�'� y J-/ P e“'e,.
14- %Ale1 -P1-Ac e c;/-1- i din at: .der re .4I , ar. Ai";<4o.J o , raidr;'�`7
6. What type of security will be provided at this event? Title- /! /%, .nisi' 5 4-4 rp
( f- )) I
(?-4' �L'.Ela':�^S r<,r{l; l.:i.I.l h ,. � .�>✓e `�!>r.Ul Por" f'_.✓e.✓ T
-fA e K.r:-Tre(:2 5 t4- F e Jc:lt,L ,titers
7. How many security personnel will be on hand?c: >,_s,sv-, oc r'r ,no • reryi/e
8. How will security personnel be identified? f;je.
9. If this event is being held outdoors, how will the exterior boundaries of the premises be
marked (e.g., roped, fenced, etc.)?
II. S a.-eTDctr et;' X17 '.. i'fi&5 r-.). [G i3r• C'./epic?
if / frrp S
L'k'ra,-14 5S Feat'e I JL f) �cs-I,>Tn LAP. : A 1{t
10. What type of entertainment will be provided, if any, for this event?
4 (f.r r-L ark S A2r/ t54-'-;i -1,.C? C&r.1 R* n irl/(L C,�i'trnl{� EY`�PI I.•�-�.N I
11. What method will be used in checking identification for proper age of attendees(e.g.,at the
door, at the bar, etc.) and how will underage patrons be identified so as not to be served ,
alcoholic beverages (e.g., stamp or mark on the hand, etc.) .. 41,57‘, e;.=L .fir. 4-k/s ea.)e"'r
e -l� e.->uc:. .s,.;-s ,-.�.'r�� f.�e 1ice.•-1
Cr;/c e; Gtr 0 ei- Art.::: i�-1.>arl-',F,¢..i 7S ,L:'LC_
✓rer1 A D. d"-/reu..:-1 rcyt
ec EA �, ,4,�y -7-nvj: c;4-' e.; C„..;17",
M:\CTERCTBFORMSWOSPECEV
12. How will the conduct and level of intoxication of attendees be monitored and by whom?
rLIc 47r-hi-Ore? 5+4c T- iti• , LL ?Z c -->, hi , /ACT ?µa ttp4ter°,, T/lere
Are r C) S+f-.rr' r,.—..7 n`F?r-r tt•/-lc• •4 - -H yp-S -7-p_A; Lic-4> *O cc c.k. C2,
-1-1-C.C 13{/w; e=• -f /'i`u/5JNX.t, I:6},J /14_5,-441,1 GU/s4H!-1 A 1C4r;c4 Pr Iy -71� (r. (s..
13. Have volunteers or members of your organization been trained in the sale/service/ of
alcoholic beverages: If yes, what training have they received and by whom? - •0 44J e.
/O na em�.r5 ems c- V FrA NJjr_. - STAr r ,.; F..z' .J;Lvc' (-r.—
f' ./ I?c;;•l,_i.5, /Z1 4 Per, rPS F'/F'/ (2-..:t4-h ;,r (J.> .CC `1./ S"r.
9e c,-c-c;- e-rA -e, 4-fi79 `�i'4F r t4a c hcit c=/..
14. What types of alternate beverages and food/snacks will be available? s�•l,v. i -6,,n,/t,J
:.cArer AS At--r si?..e,ier:tci6'-. rt., .-1.7-4_ :}-14n-P"-7i , A/so .4 Re :fr. -_
•
Gt.•. / / �r o-��SYf k B.i/ C. its-77..!/• )•t�.,v /'
t' .. Jct./ ,? ,u•1 C, 7'/�7Ti s..-4,_;.,1 � i:.` • (t...:r .:•5.4-L/c:J •
15. Has a State Sales Tax Number been initiated by you or a member of your organization?
If so, write that number in the space provided.
%tle s arm S,fr' r4x r -L-k I. e- A- 1 S1 i- f L,-d.:-) -
S A5 F'Lt '.-s
16. Explain how this event will be marketed describing what kinds of advertising material will
be distributed and the targeted recipients of such material. - ,/y e r S , 73,a�f,-r er 1
??4,1;c, C_.(.r.. n\.r:(G: ..4-C Si -1-',.., r /.., c_ 5t'(V : lit F1 s 11-4„, ./.1Cf n. e,.]T 5
•
i,(.1 lke (h1:. /vl il:.�, 4-,{ L ridcii Jt'5 SE'S to fie./ /2.-f{it L�;IKe< Lance 7/44,€'
i=o✓ ccA�. s%9c:, G.k.,`cl/.e,-1, /
I hereby certify, under penalty of perjury, that the information provided to the Board of County
Commissioners of Weld County contained in this affidavit is true and accurate to the best of my
knowledge.
Applicant'' Signatur Date
STATE OF COLORADO )
)SS.
COUNTY OF WELD ) / 1
Subscribed and sworn to before me this -2I('' �J day of , 1 !4f/('II ,200
Witness my hand and official seal. My commission expires: •5'/y/C((
c .....e s....,..- j 7;
TEPHENY WOOLEVER
NOTARY PUBLIC ( - // -2A. -e
`2e-let—�
S LSTATE OF COLORADO N0tar�PUbIiC
My Commissicn Expir°s 08/08/2006 i 7
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_AV.for g_n_.Cranccbooths .a-fobJ strvihg «Ar .. 3 - S+.q c. __ .. ... ......._.
i-1 f osn_. To.i1c .F�,I;4'its 6- Cookcrs . .. 7-Two8,:v -i-ra.sl,crk,\
Area- 9-Ill oa,r EEY4red\CC- IQ_ ONCE r--K*.ler
Pry,r boo\ Holes la- &a 6.3o.8,, i3 f /y
:,_C7c c.. ___ !S- ciesi ncc4eA •'or medic a1 Fat_11:�
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LETTER OF CONSENT
I, Jesse Thomas,do hereby authorize the use of my property for the sole purpose
of hosting the event known as Frank's Ride for Children. This event benefits Make-A-
Wish Foundation®of Colorado and is scheduled for Sunday May 15,2005.
I do understand that there will be approximately 1,000- 1,500 people attending,
as well as, staff members from Frank's Ride and Make-A-Wish Foundation®of
Colorado. It is also my understanding that there will be a pig roast(served with all the
trimmings),alcoholic/non-alcoholic beverages,as well as, live entertainment on the event
premises.
My property is completely fenced with one main gate serving as the main
entrance to the premises.
Respectfully,
STEPHENY WOOLEVER
4765{CM3
NOTARY PUBLIC
STATE OF COLORAADO• •�W.C.R 20 %z My Commis on Expires 08/08/2006
Longmont,Colorado 80504 �. -
APR-04-2005 MON 02:59 PM MAKE-A-WISH FOUNDATION FAX NO. 3037553108 P. 04
OFFICE OF TI-IE SECRETARY OF STATE
OF THE STATE OF COLORADO
CERTIFICATE
I, Donetta Davidson, as the Secretary, of State of the State of Colorado, hereby certify that,
according to the records of this office.
MAKE-A-wiser FOUNDATION OF COLORADO,INC.
is a
Nonprofit Corporation
formed or registered on 05/02/1983 under the law of Colorado,has complied with all applicable
requirements of this office, and is in good standing with this office. This entity has been
assigned entity identification number 19871519647
This certificate reflects facts established or disclosed by documents delivered to this office on
paper through 03/28/2005 that have been posted, and by documents delivered to this office
electronically through 04/04/2005 Q 13:42:01
T have affixed hereto the Great Seal of the State of Colorado and duly generated, executed,
authenticated, issued, delivered and communicated this official certificate at Denver, Colorado
on 04/04/2005 @ 13:42:01 pursuant to and in accordance with applicable law. This certificate is
assigned Confirmation Number 6187939.
jc r�'C"PLC L eGt, .fi-ri.? re 4 4e-st-.i
Secretary of State of the State of Colorado
End of Conde brie..ae ...nnr erprsspewaeaeetepaer
d(aaa•4 steles bead elecosteelpfrom the(Wendel Secretary attarms web stn r Raw wad laissd/aa,'r,rhdsail na Nowever,
as on option the nsaora.and validity ofa cerrrlwb obtainedeleetronlcalb•may be nnblihad by riming the Certificate Cordirnatioa Page of
S Secretary if Ntse'n web the he Ss,rro aloe to uettireren(drwo-b..rcw'.laom der siratg der certificate's calylrmaaon member
Splayed an the cergfma and ASS:go Insaernne displayed Cpdpprg apt stamen a/a earep a b nnnah tgwfmd and u apt
aiaaltlInausaatteltraajaa. Shrews lryanaapan rip mit Web fill, /Asette jratacas/clK48WMS
Canny and sake`Fwgns ly.eakat Wants.-
LIQUOR/BEER RENEWAL REVIEW FORM
Date: March 31, 2005
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 by the date listed below.
Your report will be used by the Board of County Commissioners in considering the Special
Events Permit and Temporary Assembly Permit for an event scheduled for May 15, 2005.
PLEASE RESPOND NO LATER THAN: APRIL 8, 2005
ESTABLISHMENT: FRANK'S RIDE FOR CHILDREN
CIO DOUG KEIM
1763 WCR 20.5
LONGMONT,CO 80504
EVENT DATE: MAY 15, 2005, FROM 6:00 A.M. -10:00 P.M.
No concerns \7 G',rRt.7c�
Deputy's Initials
The Sheriff's Office had a concern and the deputy has mutually
worked with the licensee to correct the concern.
(Complete Attached Worksheet)
Unresolved concerns exist requiring a Probable Cause Hearing
scheduled by the Board of County Commissioners.
(Complete Attached Worksheet)
Please notify at Extension of the date and time of the
Board of Commissioner's renewal hearing.
MEMORANDUM
a
a\ To: Esther Gesick, Deputy Clerk to the Board April 8, 2005
�\I From: Bethany Salzman, Zoning Compliance Officer, Dept. of Planning Services
link Subject: LC0022 `
COLORADO
Review of the following Temporary Assembly Permit by the Department of Planning Services shows the
following:
Frank's Ride for Children
c/o Doug Keim
1763 CR 20.5
Longmont, CO 80504
Zone District: A(Agricultural) / MUD (Mixed Use Development)Area
Upon review of my case files and computer, no violations were noted. The Department of Planning Services
staff does not have any additional information.
SERVICE,TEAMWORK,INTEGRITY,QUALITY
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