HomeMy WebLinkAbout20042636 RESOLUTION
RE: APPROVAL OF RENEWAL APPLICATION FOR 3.2 PERCENT BEER RETAIL LICENSE
- MARY JENSEN, DBA HIGHLANDLAKE, INC. AND AUTHORIZE CHAIR TO SIGN -
EXPIRES NOVEMBER 9, 2005
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 malt, vinous and spirituous liquors, 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 Liquor License for the sale of malt,vinous
and spirituous liquors for consumption by the drink on the premises only,and/or in sealed containers
not for consumption at 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 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 2004-05 to said applicant to sell malt, vinous and spirituous
liquors for consumption by the drink on the premises only, and/or in sealed containers not for
consumption at 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, 2005, providing that said place where the licensee is authorized to sell malt, vinous,
and spirituous liquors for consumption by the drink on the premises only,and/or in sealed containers
not for consumption at 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.
2004-2636
LC0035
RENEW LIQUOR LICENSE - HIGHLANDLAKE, INC.
PAGE 2
The above and foregoing Resolution was, on motion duly made and seconded,adopted by
the following vote on the 1st day of September, A.D., 2004.
BOARD OF COUNTY COMMISSIONERS
14 EL' D COUNTY, COLORADO
1861 ( .�' % " S"'4 Robert D. Masden, Chair
k to the Board
Itt
'CO 4 William H. J ke, tro-Tem
ty Clerk to the Board pl,.,✓
M. J. eile
APED AS ra •
EXCUSED
cam' David E. Long
County Attorney
EXCUSED
Glenn Vaad
Date of signature: 1, ��?le,�e
2004-2636
LC0035
THIS LICENSE MUST BE POSTED IN PUBLIC VIEW
DR 8402102/03/04)
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 09, 2005
Type Name and Description of License Fee
2123 3.2 PERCENT BEER RETAIL $ 75.00
LICENSE (ON/OFF PREMISES)
2190 COUNTY 85 PERCENT OAP FEE $ 42.50
TOTAL FEEIS) $ 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 P 2 3 2004 QQe_
Division Director Executive Director
ONLY 3 .2 % BEER SOLD HERE
di \A !.. Y( Y tel.);/ el tf a:7:k1";41‘ /> \ %4' Po A �Y Ffe ,, ilk
�I, Ayt Vl ( 6F ell I, �A RA ,F! ^ i fI • 6 ti i f; /F Y 1, j
i '�g , iii
• * - sa. ®" • A • .
LICENSE PEE
t1.
i
' - , STATE OF '-, Ei-� - COLORADO��
a yg
.� CA,C
.V ``` '' COUNTY OF WELD
BY AUTHORITY OF THE BOARD OF COUNTY COMMISSIONERS /
Fermented Malt Beverage License
a fl
: ' ' RETAIL :)
1 4 HIGHLANDLAKE, INC.
Tilts is to (IIertifg, That
of the State of Colorado, having applied for a License to sell FERMENTED MALT BEVERAGES at retail and having
paid to the Treasurer of Weld County, the sum of Fifty Seven and 50/100--Dollars therefor, the above applicant is I
hereby licensed to sell FERMENTED MALT BEVERAGES containing not more than 3.2% of Alcohol by weight at
a 16983 WCR 5, Mead, Colorado 80542-9737 S
,
.' in the County of Weld, Colorado, for one year from the 10th day of November Rifi.._2-Q04,
"` to the 9th day of November , x2005, unless this License be sooner revoked ,°
+. i as provided by law. a
, " This License is issued subject to the Laws of the State of Colorado, and especially under the pro-
• . visions of Article 46 of Title 12, Colorado Revised Statutes, as amended. :1
' + IN TESTIMONY WHEREOF, The Board of County Commissioners has hereunto subscribed its
name b its officers
/dd ly authorized,this 1st day of September ,40(204.4
n Al:TEST:8T: c—i- `. The Board of County Commissioners
2 p !-4 • s* Weld unty, Colorado
/44-4/947_. __Deputy Clerk / 7 ip \ By - k
p y w MO j ctik� 1 ) �' Chair, Board of County Commissioners
1 � l
7
At4fficil
MEMORANDUM
TO: Bruce Barker August 27, 2004
inkFROM: Debra Miller, Deputy Clerk to the Board
COLORADO SUBJECT: Liquor License Renewal
Attached is the Renewal Application, DR 8400/8401 and accompanying staff comments for:
14-27324-0000
Mary Jensen
dba Highlandlake, Inc.
16983 Weld County Road 5
Mead, CO 80542
License expires: November 9, 2004
Please review with comments and return.
j , L
,
2004-2636
DR 8400 101/02) License Number License Type
LIQUOR� W1/02) OF ENFORCEMENT DIVISION LIQUOR OR 3.2 BEER LICENSE 14-27324-0000 2123
1881 PIERCE 5T #108 RENEWAL APPLICATION Liability Information
LAKEWOOD CO 80214 03 206 451 110 C 1 1 1087
Business Location
HIGHLANDLAKE INC 16983 OR 5
MEAD CO
17029 RD 5
MEAD CO 80542 Current License Expires NOV 09, 2004
❑ 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 charges 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 applic�a0'on for renews twat be rehrned to yar CITY
❑ Delivery Permit requested?Retail Liquor Store,Drug OR COIF Licensing Authority at least 45 days prior to the
Store or 3.2%Beer—Combination On/Off Premises eocpraaion date of yotr current license.Fakre to do so may
Licenses ONLY. Check 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
.......... .............. ..... ...
A?F'I-tCANT::::: :: ::::; :: ::::::::::::::::;:::::;;:::::::z:::is:::>i::;:::::::::>:;: ::
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 C( Date Business Phone
/1n., .4-r-v 7AV9/oV 97d-515-_y,2(-i
Title of Signer(if co rpo v /Nid
tio Sales Tax Number
.,:(�X-e.t, / V— .2-7-9) 14
.;:.:::::...•::..:.::.:,:..::R TA AND : " .0 L,;QF:Crry:OF1COtMryi1
The foregoing application has been examine q•�'� a business conducted and character of the applicant are satisfactory,and we do
hereby report that such license, if gran Y ? %he provisions of Title 12, Articles 46 and 47, C.R.S. THEREFORE THIS
APPLICATION IS APPROVED. �► .._
Local Licensing Authority for C
.u,
Town/City Date ���
Weld County, Colorado 1161 . 0 ® County /�y[/✓ 20
Signature n , �1t C, r Weld County Att t
�1t� 4• •I of Commissioners A
-- DO NOT DETAC Deputy C1 ert
'� - ,,, �, .ID T ETACH DO NOT DETACH-
DR 8400 (01/021
COLORADO DEPT OF REVENUELIQUOR OR 3.2 BEER LICENSE 21
1881 PIERCE ST 8128 RENEWAL APPLICATION
LAKEWORC CO 80214
Business Name LICENSE NUMBER Use for all reference) RENEWED LICENSE EXPIRES AFTER
HIGHLANDLAKE INC 14-27324-0000 11 -09-05
TYPE OF LICENSE ISSUED CASH FUND STATE FEE
3 .2 PERCENT BEER RETAIL COUNTY 85% OAP
LICENSE ( ON/OFF PREMISES) 2330- 100(999) 2123-750(999) 2190- 100( 999)
$ 50.00 $ 25. 00 $ 42. 50
TOTAL AMOUNT DUE $ 117 .50
Make check payable to:Colorado Department of Revenue
•
stall ',,2(0.3l{
DR 8401 (0797)
COLORADS DEPARTMENT OF REVENUE
U. UOR ENFORCEMENT DIVISION
teat PIERCE ATTACHMENT TO LIQUOR OR •
LAKEWOOD CO 90261
(303)2052800 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
(L ,.,/t-,-.-fi"/�r{j �e.�. •
( %] -, .z•
1.Operating Manager - THorne Address Date of Birth
1 f /), ,_f,_ 17 <74 �cs Yri « f 51O.-yam
2. De you haw legal pasession 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: ® ❑
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 end attach a listing of all liquor businesses in which these new lenders or owners,(other than licensed financial institutions)are
bA
materially Interested. I:
4. Since the date of Ming 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. ❑ C'1
5. Since the date of filing of the last annual application,has the applicant,or any of its agents,owners,managers,principals,or lenders P�
(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 cg
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 ❑
licensee)?If yes,attach a detailed explanation. �c
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 n
may not be renewed.Contact your Local Authority Immediately.
8. Partnership applicants must answer this question.Since the date of tiling 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 r�
license must be transferred to the new partnership and may not be renewed.Contact your Local Authority immediately, ❑ I I
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 o corporetkxh?If yes,complete and attach
,or deleted from theYes No
DR 8177 and submit to your Local Authority Immediately. ❑ Ei(b) Are there.or have there been any stockholders with 10%or more of the Issued stock,added to,or deleted torn the corporation?
If yes,complete and attach DR 8177 and submit to your Local Authority immediately. ❑
(c) Date of Bing last annual cofporate report with the Colorado Secretary of State: Y'�O•- ,"4 J V
10. Limited Liability Company applicants must answer this question.Since the date of riling of the last annual license application:
(a) Are there,or have there been any managing members added to,or deleted from the company?Ifyes, Yes No
DR 8177 and submit to your Local Authority immediately. complete and attach ❑ ❑
(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. ❑ ❑
(e) 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 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: m. From: m. From: m. From: in. From: m. From: m. From: m.
To: m. To: m. To: m. To: m. To: m. To: m. To: m.
Blank Page 1 of 1
Debra Miller
From: Troy Swain
Sent: Friday, August 27, 2004 11:09 AM
To: Cindy Salazar, Debra Miller
Cc: Sara Evans
Subject: RE: Liquor License Renewal for Highland Lake, Inc.
Dear Ms. Miller
The Environmental Health Division has no pending actions against Highland Lake Inc. There were no critical
violations cited during the Department's July 21, 2004 inspection. If you have any questions regarding this
matter, please call me at extension 2219.
Troy E. Swain
Environmental Health Specialist
Weld County Dept. of Public Health& Environment
From: Cindy Salazar
Sent: Friday, August 27, 2004 10:54 AM
To:Troy Swain
Subject: FW: Liquor License Renewal
From: Debra Miller
Sent: Monday, August 09, 2004 10:34 AM
To: Cindy Salazar
Subject: Liquor License Renewal
8/27/2004
MEMORANDUM
August 9, 2004
WI D o TO: Cindy Salazar, Department of Public
Health and Environment
COLORADO
FROM: Debra Miller, Deputy Clerk to the Board
SUBJECT: Liquor License Inquiry
The following applicant has submitted a request for renewal of her 3.2 Percent Beer Retail Liquor
License, LC0035. We need a report from your office by August 23, 2004, please.
14-27324-0000
Mary Jensen
dba Highlandlake, Inc.
16983 Weld County Road 5
Mead, CO 80542
License expires: November 9, 2004
Thank you.
04/0cl '727-ew e/e_)
GUS (_D _1' g6e lm 1 d am,_ .
MEMORANDUM
KitTo: Debra Miller, Deputy Clerk to the Board
win' t From: Bethany Salzman, Zoning Compliance Officer
e Date: August 13, 2004 \
COLORADO
Subject: Liquor License Referral
Review of the following liquor license renewal by the Department of Planning Services shows the following:
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
LIQUOR/BEER RENEWAL REVIEW FORM
Date: August 17, 2004
TO: Bill Wagner
FROM: David Tuttle
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: August 23, 2004
ESTABLISHMENT: HIGHLANDLAKE, INC.
16983 WCR 5
MEAD, CO 80542
Current license expires: November 9, 2004
No concerns
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.
f 'p CLERK TO THE BOARD
PHONE (970) 336-7215, Ext. 4225
FAX: (970) 352-0242
P. O. BOX 758
WI I D O GREELEY, COLORADO 80632
COLORADO
August 4, 2004
Mary Jensen
Highlandlake, Inc.
17029 Road 5
Mead, CO 80542
RE: Liquor License Renewal
Dear Ms. Jensen:
We are in receipt of your 3.2 Beer License Renewal Application. Enclosed with the application
was a check remitted to the Colorado Department of Revenue for $117.50. There is an
additional fee to Weld County of$57.50.
We have retained your application and the Department of Revenue check (#1889). Please remit
a check made out to "Weld County" in the amount of$57.50. When we receive this check, we
will complete the processing of your liquor license.
If you have questions or need additional information, please do not hesitate to contact me at
(970) 336-7215, Extension 4228.
Very t�ly yours, 2
.` ��,�� / GG(` L L{I C�I
bra S. Werg
eputy Clerk to the Board ��
Hello