The URL can be used to link to this page

Browse Search

Home My WebLink About840446.tiff RESOLUTION RE: APPROVAL OF RENEWAL REQUEST FOR 3. 2% BEER LICENSE ISSUED TO JOHN E. MARTINEZ , D/B/A GILL RECREATION CENTER, GILL, COLORADO - EXPIRES AUGUST 16, 1985 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, John E. Martinez, d/b/a Gill Recreation Center, Gill, Colorado, has presented to the Board of County Commissioners of Weld County, Colorado an application for a County Retail License for the sale of fermented malt beverages , containing not more than 3 .2% of alcohol by weight for consumption on and off the premises only, and WHEREAS, pursuant to Weld County Ordinance No. 6 , Section II. , C. , 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 Liquor License for the sale of 3 . 2% fermented malt beverages for consumption on and off the premises only, outside the corporate limits of any town or city in the County of Weld at the location described as follows : 5 1/2 Lots 11 and 12, Block 6 , Gill, Colorado 80624 NOW, THEREFORE, BE IT RESOLVED that the Board of County Com- missioners of Weld County, Colorado, having examined said appli- cation and the other qualifications of the applicant, does hereby grant License Number 84-19 to said applicant to sell 3. 2% fer- mented malt beverages o consumption on and off the premises only, only at retail at said location and does hereby authorize and direct the Commissioners of Weld County, Colorado, attested to by the County Clerk and Recorder of Weld County, Colorado, which license shall be in effect until August 16 , 1985, providing that said place where the licensee is authorized to sell 3. 2% fermented malt bever- ages for consumption on and off 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. 84O446 Page 2 RE: 3. 2% BEER LICENSE - GILL RECREATION CENTER The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 16th day of July, A.D. , 1984. ATTEST: 4-424,W BOARD OF COUNTY COMMISSIONERS ELD COUNTY, COLORADO Weld County Clerk and Recorder (idles (Aye) and Clerk to the Boa Norman Carlson, Chairman `c (Afl) De p ty County Clerk J cquu& ine J on, Pro-Tem APPROV AS TO FORM: EXCUSED DATE OF SIGNING (Aye) Gene R. rant C �C,.,,� (Aye) County Attorney Chuck Carlson i. 2 (Aye) J in T. Martin , ;;;KI ••-• - ;_.•-•:-...01" ......„„.,...-.-... -......_ .-.:.:......-. ::n...::- . •,...aiot&...i.1:-. :::.....i....,.:,.:4-itil..,-:= •--... ''— ••••••- •-•:-- --.L: .•,A,,-..--..,..e.-..'--- -:....--- .".--7-2-=.7,-24kir_---:-..:10-,,,,:,_..; •iq ,q gig< . ,,s „, /it. ; , .: . - .. . ., , ri, . 12 T , li :fp T :.1 ; DEPARTMENT OF REVENUE jli � ID ,ii:';"" - ('"••. '0 LIQUOR ENFORCEMENT DIVISION t X47'.. 1375 SHERMAN STREET F ` {{ `vWIi'E'1f DENVER,COLORADO 80261 lla: :_,.,� t t• ,.rr ?L +xfLL •'•CCt,c. A i1ti+'i •'S" • r,•. AI; L,C7i !i •i t Iii:\'k`.r, s •�l LL L,v C`l:aL'f ,' /..71:.,'-,';:fili 'l lir,i< 1 �"' :u * ' 3. 2% BEER LICENSE _,_ '�i LICENSE EXPIRES !'rte r;,:;• amour/_IfiI T18A 4� �,}i;f' ;�•�1� USE Meal UMMAFOR K.-4.-Ef. .ALL PlFEAENCE C0{MTY I N'TYI T• ITi uAWUTY DATA›riPl TYPE PIE �e NAME AID DESCRIPTION OP LICENS( .u:,.. l -'�f!- n i ,,I t3J TY o� r�'CKLL NT LAN F F 4. ',..•11111-: ›,t,„...:,,„:,,,. • i ` ,t „..:•,..7,m1,1 �,I,,[, TOTAL PEEIt1 _';'';( . _c., i .r•r 'jr°Y*..'•'' sr:v41' - t . . c›,44., THIS LICENSE IS ISSUED'SUBJECT TO THE LAWS OF THE STATE OF COLORADO `" = _• ' + ~~ AND ESPECIALLY UNDER THE PROVISIONS OF TITLE 12,ARTICLE,46,CRS 1973, ;('1: r 1 _ AS AMENDED. THIS LICENSE IS NON-TRANSFERABLE AND SHALL BE CONSPICUOUSLY POSTED � ''. .> IN THE PLACE ABOVE DESCRIBED, ANY INFORMATION CHANGES TO THE LIQUOR ''` LICENSE INVOLVING OWNERSHIP OR FINANCIAL INTEREST IN THE LICENSED :,,< PREMISES MUST BE REPORTED. WITHIN 10 DAYS, IN WRITING TO THE DEPART .) � •6',"' MENT OF REVENUE, LIQUOR ENFORCEMENT DIVISION, STATE CAPITOL ANNEX 1375 SHERMAN STREET,DENVER,COLORADO 80261. ;t < • 1 •I IN TESTIMONY WHEREOF,!HAVE HEREUNTO SET MY HAND AND : 5\ : • :- JUL 2 51964 • .• • . - : i SEAL • E:y}, . ' t, ", >4:; .A.4,.... V. /76._ 4-0-- \ I-:.•:-. O1-tv -^' kt<:-:'::. ) ; :i):1.•� DEPUTY DIRECTOR EXECUTIVE DIRECTOR DRL 401 B (Rev.5/83) r1. 2,,(D, {"i i �' _ t1�/ r r 1 �✓ qi�'U' U ,.r a \�e rjfA.ry+ Li.ro°•t ♦ r I rF":I, °,4 V l r ":" ��/ °, ::(1.;........( 1'g"IFIk \roA lu,Jr�1 IV �>• ° ��s / ro� ' /A °°41'"�h r" e o Y "' ew ` '� M �' v°}, d J N$`¢ �r. la- e x q n 4 +,{Yyr ',.;.-4,. i'° 'i7M1kC k r� r 1 yL} r fps�k x�t tai n r"� q. Norm- . ' . 5 9 -:mil 4t '4 VA ;1 Qa > eff ' 9014114.-00.;e:141:1100"1014. rip: 4- r,n 3dn a 401N A Nr0A �� 7e ° ♦) �,f v l USA n et-' » ♦ ,i11091400904.00.4. A {r Z ;� to as '�' V' ll!JIWI* ! ti;LflIIi1tqF: a A A n U A YJ r 0�1 AM n1tl% ".. .d N N a t n 40'.1011.4914,1;2;94' d k`SS .� i �r e ) g 0 ad 1 np :teat n4-1.),1‘3,t414:44,4,0:,-.),44-44 �1 AK Wa t r G C 66 it n nr e u n » e 4(d .J, N �W AKA A a� °11 0 se w ,r .b AA N;B M Nf. y}6�t�'A\`K M OJ U N U A W S t�'F +4 w. r. " r� h db re: q A "M—.TAM, t eie a"` oS O " O CL -0 ea 1 BB- r�af�rypn ° `jl rif 1 I ( l \ s_°ur f,:Es �� ill ill 141D I� ill ti 00 en S.. .0.I' / /Uzi �y+�'�q `�� W hill .� d. V2 v. O b .a { ..p +� ��A. ' • Fn II I O O a 7 "I �'``id'4¢ l r A II f w d O O '4 S. IN. .. ti0 S th � <07« i blittettej ''r b IMI cc d) • a) 0M 'a 0 cd .� xi; Al •V 0 n rt 0 r0> z m [[,., FC m Fe 4) . 8 a 4 4 ?^fix s .`wt 1 V W a) ^O 'p h. 'g», efrski rim I ( n1 yU• z E �' O rd O b d gN d ' 8 b t 1(iU R o ` v 0 0 ..0 env a A ICI x ca o rr H . ° 1 Q E s yoy A' H ��+ 1 z$ Cd m o dd 0 O y0 a1:i�4.1p p li i )' .f pis + rc W '11 F+ O O -0 re -gin r" D, T o 4 . i 94/4'�4��.3�, ip %W �? 1, !_ O L� WW pfl'i d .� Iy. a A»��ndg v�rle •."3 \ ►.J al •e n� bW cx n o o m 'i1 .ri FA .,� .. �y ( . II1 8 a $ vHor •p OM rou ' ra Wt.�iAAA 1O • J x.11 `ls �dd ' tn; U . E21 cd :aweN eN J, F! yrfi Cal il?• # .I. 00 ` i o h Q) a) 4 U t'd . r YrH r '# r f/1 LL �0 O,H' i�G H p ya <�� YG,ker ^L'''�\k'L y �: '1' ' 1 ; '3' �C {� D. MM ct oil �[��ix1117], td " n'' rr W 1 'f pf' o cp M� IR P W G a Ci! = v, r. U OS •0 ^y W -G 'i7 rE CU O al Kv W K <tQ W 4. U 7 A� HUB ? It Q W � � ! p�� 1 ,0, G'I V' •Ow O "I' r R r !r '' f r� rcr)7 n � � tr! e O N m � a� F N GJ l0 6r 'O cilm mg Et g ;3 O H V O w O 'U GQ r A r lei,+r JN I�h N o v a a � E' m a � ti °} E °' j I {.M, \'• /tf ,�..,1•Ws, J w V F`i 40 0 �, y 0 , -o P 1 y-•I . 21 1'v!a a`�rx° i«0 IA t Sw y,. O U ,: •N u-11. '� A q ;y= W } / heW t u' 1 tHI -O *�A O O U CV {07O 1 p@�" 17 '�r..•Zrr .lrr' u a .2 w ' :1 d M0 .b7� k • ''0 p '4' ' iay�4 y. ( 0J a o E a ggg... F�•:- s a'1 ;yra J I U Ea 1 c 41 cd A . A c y ' kka \Z � ,F A Iii III Q eel s.t 1 i t ' �.:.1 .C O r-i U i .� N 14, .. ias !r 1'r'H _I 1 64:3-42) 1, . rec:, , -:rr,%'t1 } � II W •• • W F ` Nko G •-, M p ' Its:'A ti' FRt."` 1 € y: `��/ ^'I� *g.� ' ;' + p 7 O rN-1 b v ¢F' E a ,I 't b� Hof : @ n4ta o3 II '' si O ,b 0 a. ,0 •�l w m ow* ,) .•srr.- ai�h�-.�' n .-. ISO Ci) a) O O {'il m N %% + j r'. 1 ,.a r « cH a 1 d o [ q H eli:� ' � t E L asvA i O +' v� cis { t•-•;44-4;‘)%.,,. 'jI e�e. ! a « /I.—, D.= . .t' 0 " 4" O A.N liA n a41 r7ii n14.C N p xIS vw's,f 2-„ ,.j r Y ..C1 'Ly y r 1 d A A V A 3 ,q A ro r W ¢,r d 6 .. p y M .),31 tl' p A A n ro 1ry1 N A gN'm t^r r „: 5E o ... of •� 1d,aN ,q 4// 1 A a W n » a' -.:, rrrG I O 0..52 ❑ 01...10.0.50.144. ../1-*„... N „` 1 I. ',/ .40390•11t9 10 r '^ I n N419,11414 N N p D 4 itA A40":"9":104;a p�, � � � e0 104n '01°1 n4141 �a, , te' i1 �� 1 Wit l' '''.4 Ipg l .I�jl1 "41,014.?‘ ,pp A G a a ."a1,O1‘.... .iiii, _ _ .4 13fl3.r AiA.aA n 8'N.d, ., a n 0 a » n 7, >"5 7, r .n,' 1�1�,lL. IV'' rc �. m r.` , 1 rYl'' tsr r .,, n\ !" 13,T, I T..±V.,•,),:-.1t,',,1„ n IvYr "7 y��, t+ ��1,y.,T rvti. \t t FP.... Y �°Jr 5. r T�a**yy gt. 1 rrl`.. { G 4.0 ✓ `'W..'0. '1....,...4`49...;A. f r I.. i V a r1i �ti 1'� I� kTS � 11 i+. ) t�la) x7,"i �� ,� } ' q �- � r"fi��)r !�''�"Jl i Lr.;, �� lAi � `414 -uJ.:NP.iicce r .d iViL 9 r 1• ' e r"gin. ° 4x. -1:•/`-&1/41,-_ �.�� ice-�� i��i��_i-- ��.... --�/��_- . E _ o$ _ \c✓ 9 `.mlm o M y� m p V 13 u l a u V N✓ m O S L O J-1 v g l'5 O M J re' FCU m O ` «_� pm i` 0.1 U Z m 6i W is N » > �o. 'm N >~ <T i on of U 1- nm«" HON a` �. pi g= N S". cM ¢ o • �Cc Nom « 'm +� 11O I $ ` V ccaa >ti ON r > < « ' vim m o >' 7.1 � N � a cz i W 15Ei -rl -rim w w me n £ ° sac E.°m ? � N c� « c� �_ b� w o = = = >� aw t o oo DE Do o m E v Q� O cwii N N It; a v 3 U ELLvv«o n N p m w a U '� _en m¢ ¢ Q m ! D \ LL 'ALL 0 O w a W . S C m c6 u u= E >ti rl r-i JUl m ` mW Pi w Ea ¢ 3711 :2 y y c u 4 ri —1 a « « ( Ew ° m m io ,:;a: v m °' m g S33i 80i 831 • a u a °a m- N 'J 3 O `O - o c LOXIXr.. co CC h O O _ PS Form 3811,July 1983 `i/% ' 6s 7 7 DOMESTIC RETURN RECEIPT DATE: July 6 , 1984 SHERIFF' S OFFICE REPORT FOR BEER OR LIQUOR LICENSE RENEWAL REQUESTS APPLICANT: John E. Martinez , dba, Gill Recreation- Center Gill, Colorado 80624 TYPE OF LICENSE: 3. 2% Beer Retail License, (for consumption ON and OFF premises) SHERIFF' S REPORT: No problems HEALTH DEPARTMENT REPORT: i f FORM'JRL401 S1,4TE OF COLORADO (PEEN.5/80) wt DEPARTMENT OF REVENUE ln.O1, RENEWAL APPLICATION FOR 3.2% DOlikor WRITE IN THIS SPACE FERMENTED MALT BEVERAGE,LICENSES (GET APPROVAL OF LOCAL LICENSING AUTHORITY FIRST) STATE LICENSING AUTHORITY APPROVAL AETE A GETTING ------- ANIIOYAL OP LOCAL h1MI ItiLi JLjrii`1 I 14--J'l.67t+ _ 1 LICENSING _ AVTNORITv,' fly DATE REOviRED.stwD JIL.L KLCKLA fT, TO COLORADO OIL OT AAA «U ( Li 1 I�lti CwriTOL I;ILL 1 M'O d b c.4 ANNE R•IJ)E ENIRMAN ST. .,5IGNATUR E DENVER.COLO. .� 10261 LOCAL LICENSING L_ AUTHORITY COPY Rio .. RENEWAL APPLICATION FOR 3.2%FERMENTED MALT BEVERAGE LICENSE FOR THE LICENSING PERIOD ENDING USE ACCOUNT NUMBER FOR -7L __A.-LABILITY-1—leas INF RMAT N •, - ALL REFERENCE .. _____T=cav T I !i:v s L AI UYV°Are .��x:_t5Z)1Jk.._.____- Q3 tt i 1 ifl 9_-I__. C R t T6'9• _ _ • D 8b Soc.Sec Soc.Sec. No. 'I —_ —,— ___ No.2 _ — •FEIN I CERTIFY THAT THERE ARE NO CHANGES TO MY LAST ANNUAL APPLICATION. • ' IF THERE IS A CHANGEKOO NOT USE THIS FORM.USE AN ORIGINAL APPLICATION. NEW TRADE NAME ___ -__ -.___ I • ,.may. SIGNATURE . �_� t.,.:•• • BUSINESS LOCATION ADDRESS __5 I/`2 t• 11. Llf_tAiCki .ILL i.t] T* ---_ Sd_Ei • Street City State Zip Code MANAGER'S NAME - '' sb IF APPLICANT IS A CORPORATION,FILL IN REVERSE SIDE. :t - I TYPE NAME AND DESCRIPTION OF LICENSE FEE 3 _.:S. .2 Pt.K LEkl_.BEtk k IAIA' LIctNSE — — L ''t; - .. Y3.,. • CLWii r_45 Pkk4:r,NT UAP F1E _ I -.t- 4- . 'c, -- y _—MAKE CHECK OR MONEY ORDER PAYABLE TO THE 'v' Dili.` ".:Tor1 1.0?tiy; i Or.5u COLORADO DEPARTMENT OF REVENUE �t�:;;, _:,r 14' 13 ObSiN0;; ,;a- • Li r.you have legal possession of the premises for which this application for license is made? •._...T,_, ...',.';',7:-.A:' . Are the premises owned or rented?. let rented,effective Ali expiration date cif lease ...ilifi is applicant a resident-of the State of.Colorado? Isapplicant(s)or all officers)of the corporation,citI en(s) Iewfully admitted residerlt(s)of the United of America? ..,_ Is the applicant,or any of the partners;or any of thi`#ifficeri;stockholders or directors of""said applicant(I'? eotporation) —_ or employees of any such,under the age of eighteen years?--_--'t-&.O Yes No Has the applicant,or any of the partners,or any of the officers,stockholders or directors of sold applicant(Mc is a corporatibn)ever been Con- victed of a crime in the State of Colorado or elsewhere? 1,• • - Yes B41 No . If so,state full details _--_ Y1 • Has any person,as applicant,partner,officer,director,stockholder or employee,ever: (a)been denied a license under this liquor law? � •• • . Yes No (b)had an alcoholic beverage license suspended or revbked7' 1. 4•>5 l - Yes---- -- No �i I If the answer is yes,explain fully(attach separate sheet,if needed). ' . • Does any brewery or wholesaler have a financial inrest,evidenced.either by loans or equity ownership inApe business for:which this license•is requested?If the answer is yes,state names and addriesees'and amount of such financial interest expressed elt{Pin dollars or other items of lue, • such as inventory,furniture,fixtures and equipment-"- Yes ---- _. No List the names and ad-dresses ofeTI6uslnesses in wFilcai army of the personi- the prev1 ut question are interested. —"---- ---------- :y • . --_. ._.__ _ _ —Name Business T Address — •If Federal Employers.Identification Number (FEV) is pm-printed in the above space,please check your ds to see if you have the same number.1f you have adifferent number,correct the o911 above so that it corresponds with your records.If no ber appears in the above space, please.fill in with the FEIN you have on your recordt SEEREVERSE SIDE : •,R*+ • •• IF THE APPLICANT IS. JRPORATION,answer(a),(b),(c), (d),(e)and (f). (a) Organized under the law of the State of_.- Vete (b) Principal business is conducted at_ ,County of_ __,State of__.. (c) Date of filing last annual corporate report to the Secretary of State Name Home Address City Date of Birth Month,Day,Year (d) President: ___. __.__.__ _____. ; — Vice Pres: ____ . ___.__.______ ; Treasurer: ; ...___—__.___ ' Secretary:__._.______. • Manager: _._._.—_.__.__ ' DIRECTORS: List all Directors(at least 3 are required by Law) (e) NAME HOME STREET NO.&CITY DATE OF BIRTH If I List all stockholders owning or controlling any of the capital stock of the corporation. (Include actual owner or pledgee.) Use separate sheet if desired. PERCENT OF DATE NAME HOME STREET NO.&CITY STOCK OWNED OF BIRTH • (The following affidavit to be signed and acknowledged by individuals and each member of partnerships and by Corporation.) STATE OF COLORADO ss. County of..__... and ,being by me first duly sworn,if for himself,deposes and says;that he is the applicant above named; or that he is.__ -._of the above named corporation;that he has read the foregoing application and that he knows the contents thereof,and that all matters and things therein set forth are true of his own knowledge and he agrees to conform to all rules and regulations promulgated by the State Department of Revenue in connection therewith. Subscribed and sworn to before me Individuals and all members of partnership must sign here: this 24�ek day of 8'9' (Signet o Officer of Corporation Sign here: (CORPORATE SEAL) Attach Seal toy Commission Expires June 18, 1906 (Corporate Name) 915 10th Street My Commission expires Oroe)8y,toloradoseI- By_ esiaent or Secretary) REPORT AND APPROVAL OF LOCAL LICENSING AUTHORITY (Manufacturers,Wholesalers, Importers and Public Transportation Systems disregard this section) The foregoing application has been examined and the premises,business conducted and character of the applicant is satisfactory,and we do report that such license, if granted,will meet the reasonable requirements of the neighborhood and the desires of the inhabitants,and complies with the provision of Article 46,Title 12,C.R.S. 1973,as amended. LE THEREFORE THIS APPLICATION IS HEREBY APPROVED. DATED AT_ THIS Lc' --- DAY OF_ A.D. 19 S --- (NAME OF N,CITY O COUNTY) IMAMBR•OACHAIRMA/N`O BARD OF COUNTY COMMISSIONER'S OR OTHER'Nl`IF/O/P�T_1L`ENSTNG?+D I HUHII`V.) ATTESTir�q 1:t/WN� '4,4Aery�IC�i1��y 8-7,-'/Xc�., (CLERK OR SECR RY OR OTHER OFFICER HAVING TH OFFIC L-&EAL OF THE LICENSING A Tt . (If the premises are located within a town or city,the above approval should be signed by the mayor and clerk,if in a county,then by the chairman of the board of county commissioners and the clerk of the board. If,by,ordinance or otherwise,the local licensing authority is some other official,then such approval should be given by such official.) NOTICE TO INSURE THAT YOUR LICENSE IS ISSUED ON TIME, IT IS IMPORTANT THAT THIS DOCUMENT, WITH YOUR STATE FEE REMITTANCE, BE AT THE COLORADO DEPARTMENT OF REVENUE, STATE CAPITOL ANNEX BUILDING, 1375 SHERMAN STREET, DENVER, NO LATER THAN THIRTY (30) DAYS PRIOR TO THE EXPIRATION DATE OF YOUR LICENSE. THIS DOCUMENT MUST BE IN THE HANDS OF THE LOCAL LICENSING AUTHORITY AT LEAST FORTY-FIVE (45) DAYS PRIOR TO THE EXPIRATION OF THE LICENSE. APPLICATION FOR 3 . 2% FERMENTED MALT BEVERAGE LICENSE�S7 - / , 19 k Date TO THE BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY, COLORADO: The undersigned hereby makes application for a County Retail 3.2% Beverage License. 1. Name of Applicant (s) �y e `--27 QQ Q Q� 2. Home Address of Applicant (s) not-Al a 7 Se—Cr" Cv� 2d 6 z//C1 L � 3. Trade Name :-/-7' 4. Business Telephone )'J 5. Home Telephone Number (s) 36 3 •---53 .21/ A-r.j%4 (D A%) 6 2/ 6. Business Address 5 a // ctj //;2.--2 7. If Partnership, give names of partners; if a Corporation or Club give names of principal officers (Attach list if necessary) 8. Check the appropriate line for the type of retail license being applied for: For Sales for consumption OFF the premises of license only. For Sales for consumption ON the premises of licensee only. XFor Sales for consumption ON and OFF the premises of licensee. 9. EXACT LOCATION OF PREMISES. Give street and number, lot and block number or range, township and section (identify quarter section). 10. Do you have legal possession of the premises for which this application for license is made? —raj 11. Are the premises owned or rented? au)..-27e. If rented or leased, from whom? 12. State nature of business conducted: 13. If restaurant, state whether other business is conducted except sale of food, meals, drinks and tobaccos: 14. If club, state whether operating for a national, social, fraternal, patriotic, political or athletic nature: 15. If club, state whether it is for pecuniary gain: 7),D 16. If club, state whether the property and advantages of club belong to members: >7D 17. Is applicant(s) or all officers of the corporation a citizen(s) of the United States? 18. If pplicant is not a citizen of the United States, specify which country: 19. Has applicant(s) a state license for the sale of 3.2% fermented malt beverage? v� 20. Has applicant(s) ever been convicted of a felony? )2() } • Page 2 Application for 3.2% 21. If answer to question 20 is "yes", give full details: 22. Has applicant been adjudged guilty by a court of record of violating the laws covering the prevention of gambling under the laws of the State of Colorado, or under the laws of the United States? >90 23. If answer to question 22 is "yes", give full details: • 24. Will applicant(s) permit any wholesaler or manufacturer to be interested financially, by loan or otherwise, in applicant's business? `,71 b 25. If answer to question 24 is "yes", give full details: 26. Will applicant(s) use any equipment, fixtures, chattles, decorations or furnishings supplied or loaned by any manufacturer or wholesaler? *,;n 27. Is answer to question 26 is "yes", explain: The applicant hereby agrees, if license is used for sale of 3.2% Fermented Malt Beverage only, as herein requested, the place of business used therefor will be conducted in strict conformity with all laws of the State of Colorado, and the rules and regulations of the Board of County Commissoners of Weld County, Colorado, relating thereto, and any conviction of violations of said laws, rules and/or regulations shall be cause for revocation of such license, without further hearing thereat. The applicant(s) further agrees that he, she (they) has/have full knowledge of the aforesaid state laws and Board rules and regulations existing at the date of this application and agrees he, she (they) will keep advised as to all subsequent state law, Board rules and regulations, that may be hereafter passed relating thereto during the term of said license. Applicant(s) STATE OF COLORADO ) COUNTY OF WELD ) ss. being first duly sworn on oath, deposes and says: That he, she (they) is/are the applicant(s) above named: That he, she (they) has/have read the above and foregoing application and the answers made thereto, and well knows the • contents hereof, and that the answers made to the interragatories therein set forth are true to his, her (their) own knowledge. e Applicant(s) Subscribed and sworn to before me this c� day of , A.D. 19 �/ / ountyCer Notary Public- MY Coiimissosi Expires 915 Sh1er ado 80831 J5 1 \a 4 ic — x 4.) iii li i & .P M # J Y V foe tl 0 w a o N e N o COLLwc Cl °m 4.1 + W veg iveg tiz is 4-I ��j"' ri > 0 3l gi; _� ... . O W N w �o 2.b" o� o'Gd'W WM 5 W > c t f tc ttoW 0 W cn 1Y yUjF V r 03 W C W si l � o¢j oy3 F 44 PI �' a 8 g g s it' 58i Esc g g �u Y 1 z o O 8 E a 33ION3S 14B03N NN013S i I a V i z P O N a S331M1S riN0Nd0 qF 5334 NO!N31SYN180d 1l0SN0S 8 8 m 9fbt'EIV'008Ewi0gSr, TREASURER'S OFFICE, WELD COUNTY N° 7076 Q �,, Greeley, Colorado Oka* , . , 19. Q g. SPr RECEIVED OF . .� /"`-VV.1Y s, �JL(� A/�/�Q 000 $ A 151-LXX . azlizy_�J . . FOR. . . . CREDIT t^ ^) L/County General Fund `f ' C Health Department Human Resources I. G.S. Payroll Road& Bridge Fund Weld County General Hospital Fund County Clerk Cash Escrow Fee Fund School District Gen Fund School District C R F School District Bond Fund FRANCIS M. LOUSTALET I TOTAL AMOUNT County Treasurer Clerk CC) 1/45-0 Hello