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Home My WebLink About800323.tiffFINDINGS AND RESOLUTION RE: FINDINGS AND RESOLUTION CONCERNING THE 3.2% BEER APPLICATION OF FLORINDA MARTINEZ, D/B/A PESINA'S CAFE The application of Florinda Martinez, d/b/a Pesina's Cafe, Gill, Colorado, for a 3.2% beer application, for consumption on and off the premises, came on for hearing on the 9th day of January, 1980 at 2:00 o'clock p.m., and the Board of County Com- missioners of Weld County, Colorado, having heard the testimony and evidence adduced upon said hearing, and having considered the testimony, evidence, petitions and remonstrances filed with said Board, and having carefully weighed the same, now makes the fol- lowing findings: 1. The evidence discloses that the applicant has sus- tained the burden of proof as to the reasonable requirements of the neighborhood. 2. That no question was raised nor objection offered as to the applicant concerning the standing, character or motives of said applicant. 3. The applicant has proven a prima facie case as to the reasonable requirements of the neighborhood. RESOLUTION 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, the Board of County Commissioners has considered the application of Florinda Martinez, d/b/a Pesina's Cafe, Gill, Colo- rado, 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, and WHEREAS, pursuant to Weld County Ordinance No. 6, Section I., A., applicant has paid the sum of $350.00 to the County of Weld for a new license, and g 6033 WHEREAS, the applicant has paid to the County of Weld the sum of $50.00, pursuant to Section 12-46-110, CRS 1973, as amended, of which sum, $42.50 has been paid over to the State of Colorado, Department of Revenue for credit to the Old Age Pension Fund, pursuant to the requirements of Section 12-46-110, CRS 1973, as amended, and said applicant has produced a State Retail License for for consumption on limits of any town the sale of 3.2% fermented malt beverages and off the premises, outside the corporate or city in the County of Weld at the location described as follows: Lots 15, 16 and 17, Block 7, Gill, Colorado NOW, THEREFORE, BE IT RESOLVED by the Board of County Com- missioners of Weld County, Colorado, having examined the applica- tion and the other qualifications of the applicant, does hereby grant License Number 80-2 to said applicant to sell 3.2% fermented malt beverages for consumption on and off the premises, only at retail at said location, and does hereby authorize and direct the issuance of said license by the Chairman of the Board of County Commissioners of Weld County, Coloradp, attested to by the County Clerk and Recorder of Weld County, Colorado, which license shall be in effect from the 30th day of January, 1980 to the 29th day of January, 1981, providing that said place where the licensee is authorized to sell the 3.2% fermented malt beverages, for consumption on and off the premises, shall be conducted in strict conformity to all of the laws of the State of Colorado and the rules and regulations relating thereto, hereto- fore passed by the Board of County Commissioners of Weld County, Colorado, and any violation thereof shall be cause for revocation of the license. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 9th day of January, A.D., 198O. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO (Aye) C. /1(4'ghairman ao-r ee _Lec. cr 4c (Aye) Leonard L. Roe, Pro-Tem / ( (Aye) Norman Carlson (ABSENT) June K. Steinmark ATTEST: r �Pl.ti�lvlp,�y�/ Weld County Clerk and Recorder an• lerk to the Bo rd eputy Cou- y Cler cv D AS TO FORM: oC unty Att rney DATE PRESENTED: FEBRUARY 20, 1980 A public hearing was conducted on January 9 , 1980 at 2:00 P.M., with the following present: BILL KIRBY CHAIRMAN LEONARD ROE COMMISSIONER NORMAN CARLSON COMMISSIONER LYDIA DUNBAR COMMISSIONER JUNE STEINMARK COMMISSIONER EXCUSED Also present: ACTING CLERK TO THE BOARD, KEITHA WHITE ASSISTANT COUNTY ATTORNEY, R. RUSSELL ANSON ForamalifiXIMMICOMMTAMWASIAWA The following business was transacted: I hereby certify that pursuant to a notice dated December 3, 1979 and duly published December 6, 1979 and December 27, 1979 in the Platteville Herald a public hearing was held on the request of Florinda T. Martinez dba Pesina's Cafe for a 3.2% beer license. Mrs. Martinez was present to answer the Board's questions. Mr. Frank Martinez, a friend of Mrs. Martinez, was also present and translated some questions for Mrs. Martinez. Commissioner Dunbar stated she had made an on site/inspection of the applicants establishment and found no apparent problems. The operators seem to conduct a neat, clean and orderly business. Following discussion Commissioner Calsdn made a motion to approve the 3.2% beer license for Florinda Martinez dba Pesina's Cafe in the Town of Gill. Commissioner Dunbar seconded the motion and it carried unanimously. CHAIRMAN BOARD OF COUNTY COMMISSIONERS ATTEST: WELD COUNTY CLERK AND RECORDER CLERK TO THE B uty County .-erk # 80-1L TAPE # 80-3 LHR 658 NOTICE Docket No. 80-1L PURSUANT TO THE LIQUOR LAWS OF THE STATE OF COLORADO, PESINAS CAFE, 3RD AVENUE AND FOURTH STREET, GILL, COLORADO, 80624, HAS REQUESTED THE LICENSING OFFICIALS OF WELD COUNTY, COLORADO, TO GRANT A RETAIL 3.2% BEVERAGE LICENSE FOR CONSUMPTION, BOTH ON AND OFF THE PREMISES, LOCATION MORE PARTICULARLY DESCRIBED AS FOLLOWS: The South Forty Feet of Lots 15, 16 and 17 in Block 7, Town of Gill, Colorado. THE BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY, COLORADO HAS DECLARED THAT THE NEIGHBORHOOD TO BE SERVED WILL BE AS FOLLOWS: All of Section 27, 28, 33 and 34, Township 6 North, Range 64 West of the 6th Principal Meridian, Weld County, Colorado. THE HEARING ON SAID LICENSE WILL BE HELD IN THE FIRST FLOOR ASSEMBLY ROOM, WELD COUNTY CENTENNIAL CENTER, 915 10TH STREET, GREELEY, COLORADO, ON WEDNESDAY, JANUARY 9, 1980, AT 2:00 P.M. DATED AT GREELEY, COLORADO, THIS DECEMBER 3, 1979. THE BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO BY: MARY ANN FEUERSTEIN COUNTY CLERK AND RECORDER AND CLERK TO THE BOARD BY: Keitha White, Deputy PUBLISHED: December 6, 1979 'and December 27, 1979, in the Platteville Herald I .� Affidavit of Publication STATE OF COLORADO, County of Weld, 1 38. of said County of Weld, being duly h'worn, say that I anypgblisher of tQ r'd 412) L that the same is a weekly newspaper of general circulation^.d printed and published in the town of --�Lf-kxe et- in said county and state; that the notice cr adver tisement, of which the annexed is a true copy, has been published in said weekly newspaper for consecutive weeks; that the notice was published in the regular and entire issue of every number of said newspaper during the period and time of publi canon of said notice and in the newspope: proper and not in a supplement thereof; that the first publication of said noLce was contained in the issue of sr nd'Nspaper !manna date. the day of X.,.: c -72. P, A .. 19 7,9 and the last publtcaticn thetcot, in the issue o' Fal�yrewspaper bearing date, the Y7 day at 'e.ti /J, L4ej 9 29: that the said has been published continuously and uninterrupt- edly during the period of at least fifty-two con- secutive weeks next prior to the first issue thereof containing said notice or advertisement above referred to; and that said newspaper was at the time of each of the publications of said notice. duly qualified for that purpose within the mean- ing of an act, entitled, "An Act Concerning Legal Notices, Advertisements and Publications, and the Fees of Printers and Publishers thereof, and to Repeal all Acts and Parts of Acts in Conflict with the Provisions of this Act," approved April 7, 1921, and all amendments thereof, and particu- larly as amended by an act approved, March 30, 1923, and . act approved M 18, 1931. Pu sher Subscribed sworn to before me this -_-/r_- day of C2/_..-_._ _._..____,(ADD., 19dd aZ-Z it />- 7- -12. My commission expires Notary Public Legal -Notices NOTICE Docket No. 80-1L PURSUANT TO THE LIQUOR LAWS OF THE STATE OF COLORADO*,-f"ESINAS- CAFE* 3RD AVENUE:. AND FOURTH -STREET• GILL- COLORADO* 80624, HAS REQUESTED` THE LICENSING OFFICIALS. OF WELD COUNT** COLORADO, TO GRANT A RETAIL 3.2 PERCENT BEVERAGE LICENSE FOR CO- SUMPTION, EOTH ON AND OFF THE PREMISES, LOCATED MORE PARTICULARLY DES- CRIBED AS FOLLOWS: The South Mtn tty Feet of Late 15, 16 and I7 in Block 7, Town of';Gill, Colorado. THE BOARRD'. OF COUNTY COMMISSIONERS OF WELD COUNTY, COLORADO HAS°DE- CLARED THAT THE NEIGHEOR. HOOD TO BE -SERVED WILL BE AS FOLLOWS:;'. All of Sectl(att 27, 28, 33 and 34, Township 6 North, Range 64 West of the 6th Princgshl Meridian, Weld County, ColonApo. THE HEARING ON SAID LI- CENSE WILL'EEIHELD IN THE FIRST FLOEEEEE I3 ASSEMBLY ROOM, WELD COUNTY CEN- TENNIAL CENTER, 915 10TH STREET, GREELEY, COLO+ RADO, ON WEDNESDAY, JAN- UARY 9, 1980,AT 2:00 P.M. DATED AT- OREELEY, COLO- RADO, THIS DECEMBER 3, 1979. THE -BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO BY: MARY ANN PEUERSTEIN COUNTY CLERK AND RECORDER AND CLERK TO THE BOARD BY: Keilpil White, Deputy Published in the Platteville Herald, La Salle Bader, Thursday, December 6, 1979 and Thursday, December 27, 1979. w z 0 z IS LICENSE -y. y • +g e t i:: 4) . ��rr^ iltv r �� t I lI 1 I [Vr DEPARTMENT OF REVENUE iR R, - s 7 t ; DMARTINEZ FLORINDA PESINAS CAFE LTS 15 16 & 17 BLK 7 GILL CO 80624 3.2% FERMENTED MALT- BEVERAGE LICENSE F0R THE YEAR ENDING USE INF.� fE F0 IA LEFERENC IACII ITY LINRER U3T.EIT,PE1 LIABILIOTY PATE 14-10921-001 03 053 5813 1 013080 012981 Till NAME AND DESCRIPTION OF LICENSE - Ell J 3.2 PERCENT RETAIL BEER LICENSE $25.00 COUNTY 85 PERCENT OAP FEE $42.50 $67.50 TOTAL FEE(S) 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, AS AMENDED. THIS LICENSE IS NON -TRANSFERABLE AND SHALL BE CONSPICUOUSLY POSTED IN THE PLACE ABOVE DESCRIBED. IN TESTIMONY WHEREOF, I HAVE HEREUNTO SET MY HAND AND SEAL FEB 7 1980 DRL 401 L (Rev. 3/75) EXECUTIVE DIRECTOR 0 6 0 I - z -o K • • Li 5 1-5 • " u O E Eqd u¢� a O Er• 11 1 V o o v Y '1 N v v -t. Y m F v A v Yaa u W 'a 24°> ≥ a • 'O .V. r,44 % -O Q w Q 'O O c 3 3 V 3 V 3 2 2 a 2 a 2 2 • 3 3 3 3 0 • 122n2(nU V F ❑❑❑ ❑ V V LU r, -° o O PS Form 3811, Aug. 19„ o, o, a co c(a) W 11 R s ti 1 - RETURN RECEIPT. REGISTERED, INSURED AND CERTIFIED MAIL O z P.O., STATE AND ZIP CODE to 0 0 CERTIFIED FEE He SPECIAL DELIVERY RESTRICTED DELIVERY M teZ to 331M35 1d1333a N80138 S33IA83S 1YN011d0 S334 nod a31SYw1S0d n05NO3 6. UNABLE TO DELIVER BECAUSE: a. 1 TOTAL POSTAGE AND FEES 9L61 add '0088 uliOd Sd O z a ORL 403 (Rev. £176) STATE OF COLORADO DEPARTMENT OF REVENUE APPLICATION FOR 3.2% FERMENTED MALT BEVERAGE LICENSES (RETAILERS, WHOLESALERS OR MANUFACTURERS) THIS APPLICATION MUST BE FILED WITH THE COLORADO DEPARTMENT OF REVENUE, TELEPHONE (303) 8923741, STATE CAPITOL ANNEX BUILDING, 1375 SHERMAN STREET, DENVER, COLORADO 80203. NO LICENSE WILL BE GRANTED UNTIL THE APPLICATION HAS BEEN APPROVED BY THE LOCAL LICENSING AUTHORITY. IMPORTANT: CHECK THE APPROPRIATE BOX FOR THE TYPE OF LICENSE(S) BEING APPLIED FOR. THIS IS AN ORIGINAL APPLICA- TION AND A COPY MUST BE KEPT IN YOUR FILES FOR REFERENCE WHEN APPLYING FOR RENEWAL LICENSES. O a ❑ RETAIL 3.2% BEVERAGE LICENSE- IN CITY FEE $ 46.25 RETAIL 3.2% BEVERAGE LICENSE -IN COUNTY FEE 67.50 WHOLESALE 3.2% BEER LICENSE* FEE $ $100.00 MANUFACTURER'S 3.2% BEER LICENSE* FEE $100.00 *MAY REQUIRE BOND THE UNDERSIGNED HEREBY MAKES APPLICATION FOR A STATE LICENSE AS INDICATED ABOVE, UNDER THE PROVISIONS OF TITLE 12, ARTICLE 46, CRS 1973, AND FOR THAT PURPOSE MAKES THE FOLLOWING ANSWERS TO THE QUESTIONS CON- TAINED IN THIS APPLICATION. EVERY APPLICABLE QUESTION MUST BE ANSWERED. ANY FALSE ANSWER OR STATEMENT MADE BY THE APPLICANT CONSTITUTES PERJURY AND THE PERSON MAKING SUCH FALSE STATEMENT SUBJECTS. ANY LICENSE ISSUED HEREIN TO REVOCATION. ,/ / I. Name of Applicant(s) t/tii,la. /-.0974.14/0/0171 2. Trade Name PPs,•il/2.v 732A 3. Address of place to be licensed: EXACT LOCATION OF PREMISES MUST BE GIVEN. Give street and number, where possible. If place to be licensed is located in a town or rural district where it is impossible to give street and rvirnbpr, the lot and block number or part of section here located must be g .772t• rrnt.' sse . 07.4 o /OILS /S /6 and /7 lid a7/K 7 7oa✓n dr 64// 4 4. City or Town , County d PAC , Colorado Mailing Addresss Zip Code tra4 Zif 5. Type of Business P AC fattint,14 e. Do you have legal possession of the premises for which this application for license is made? /VCR 7. Are the premises owned or rented? (11)t) Ped If rented, from whom? (a) Effective date of Iesse (b) Expiration Date of Lease a Under CRS 1973, 1246-117 (TO BE FILLED IN BY RETAILERS ONLY) (eV) The Focal licensing authority, basso upon one of the following clarifications specified in the application, shall restrict the use of said license to: Check one: (ii) Sales for consumption off the premises otthe licensee; or O (ill) Sales for consumption on the premises of the licensee; or O (iv) Sales for consumption both on and off the premises of the licensee. (v) The provisions of this paragraph (e) shall not apply to any license issued or applied for under this article prior to the effective date of this paragraph; nor to any renewal or reissuance thereof. Effective date — July 1, 1967. 9. Is applicant(s) or all officers of the corporation cinema) of the united Mates of America? Y`S 10. Is applicant s resident of the State of Colorado? yes 11. Will you install and keep at a conspicuous place on the outside of your establishment a sign with letters not smaller than ten inches each, containing the following words: "ONLY 3.2% BEER SOLD HERE"? (APPLIES ONLY TO RETAILERS) C ' 12. Are these premises now licensed under the State Liquor Law or the Colora o Beer Code? M/G If so, to whom is the license issued? State license No 13. DO you HAVE A COLORADO STATE SALES TAX ACCOUNT? YES)kt NO ❑ IF YES, GIVE THE'ACCOUNT NUMBER 14. la any person employed in selling or dispensing of Fermented Malt Beverages by any of the applicants In the business for which this application was made under the age of eighteen years? Yes No X Business Telephone No 15. Has th8applicant, or any of the partners, or any of the. officers, stockholders or directors of said applicant (if it is a corporation) ever been convicted of a crime in the State of Colorado or elsewhere? Yes No X If so, state full details 18. Has the applicant, or any of the partners, or any officer, director or stockholder of said applicant (If It is a corporation) ever: (a) been denied a license under the liquor law of Colorado or any other state? Yes __No (b) had an alcoholic beverage license suspended or revoked? Yes No If the answer is yes, explain fully (attach separate sheet, if necessary) 17. Does any manufacturer or wholesaler have any direct or indirect financial interest in the business `, for which this application for license is made? Yes No�� X 18. Do you have any financial interest directly or indirectly in any business engaged in the -- `{{' manufacture or wholesaling of Fermented Malt Beverages? Yes No_, 19. Ne you receiving directly or indirectly any financial assistance, equipment, fixtures, chattels, decorations, or furnishings usedin the stor- ing, handling, serving or dispensing of food or Fermented Matt Beverages within the premises or any structural change in the building, except exterior signs, from any manufacturer or wholesaler of Fermented Malt Beverages? Yes No 20. Ne you / interested in any banking, loaning or financing company? Yes No 1( 21. If the tppllmnt is at Individual en (s), (b) (■) j Pfls nNam T in ne). G;�) �p'' 5// manager of the business is not the applicant answer (b) (b) Name Home Address City Date of Birth 22. If the applicant is a co -partnership, answer(a), (Cr), (c) (e) Name Home Address City Date of Birth (b) Name of Manager Home Address City Date of Birth (c) When did said partnership commence doing business end submit a copy of partnership agreement? (Except husband and wife partnership.) 23. if the applicant is a corporation answer (a), (b), (c), (d), (e), end (f). (a) Organized under the laws of the State of Date (b) Principal business is conducted at County of , State of (c). Date of filing last annual corporate report to the Secretary of State (0) Name Home Address City Date of Birth President Vice -President Treasurer Secretary Manager (e) List all stockholders owning or controlling the Capital Stock of the Corporation. (Include actual owner or pledgee). Use separate sheet if needed. Percent of Date of Birth Name Home Street No. and City Stock Owned Month, Day, Yew (f) List all directors of the corporation. Use separate sheet if needed. Name Home Street No. and City Date of Birth Month, Day, Year 24. When did you purchase or start operating this business? Date 7410/66 If purchased, from whom? 25. Give the names of three responsible character references who can vouch for your qualifications and desirability as a licensed operator, showing the number of yews hype avq kn con each; &OMP1A 76 Name �v , R, Address - City _ tae of }� Mown �'u erne Address illy to No. of Years Known �. ' di�zgnc) di Ze des Nome Address Inv Stara n ennrn 26. List below your business or employment record for the past five years. Prat Nerds Address ^ Your Position Date Employed Immediate Supervisor IF THE APPLICANT applicantthasoccupied premises to be licensed CaWE OU 7 '&1OQ27 THROUGH 32. 27. State since n 29. State whether applicant owns, leases or operates any warehouse or storage plant Inconnection with its business --d If so, state full details regarding same 22. Does any of the applicants, or any of the partners, or any officer, director or stockholder of said applicant, if It is a corporation, have any direct or Indirect financial interest in the business of selling malt, vinous or epiritous liquor at retail? Yes No-- — 30. Does any person or company In any way interested in any other winery, brewery or distillery, or any retail liquorestablishment, own, either directly or indirectly, in whole or in part, the building or premises to be occupied by the business or any fixture for which this application v for license Is made? Yes Noy 31. Does any owner, part owner, shareholder or person in any way interested in any other winery, brewery, distillery, or retail Iiquorestablleh- ment, have any direct or indirect financial interest in the business for which this application for license is made? If so, give particulars Yes _ No 32. USE LAST PAGE TO EXPLAIN ANSWERS GIVEN TO QUESTIONS 29, 30 or 31, ABOVE. (The following affidavit to be signed and ac nowiedged by individuals and each member of partnerships and by Corporation.) STATE OF COLO County of �4-' l ss. and bet g 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 (Title) 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 this P day of (Signature, Notary Public) Mach My Commission expires 7 Individuals and all members of Partnership must sign here: Corporation sign here (CORPORATE SEAL) (Corporate Name) By (President or Secretary) REPORT AND APPROVAL OF LOCAL LICENSING AUTHORITY (MANUFACTURERS, WHOLESALERS AND RAILROADS DISREGARD THIS SECTION) The original application nas oeen 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 provisions of Title 12, Article 46, CRS 1973. THEREFORE THIS APPLICATION IS HEREBY APPROVED. DATED ATSq%2; it44,, THIS DAY OF)I?'Ilt-rCOIL/ A.D 19V) (NAME OF TOWN, CITY OR COUNTY) Li �j2{ HIdo BY: (MAYOR OR CHAIRMAN OF BOA$) OF COUNTY COMMISSIONERS OR O HER TITLE OF LICENSING AUTHORITY.) ,„pm, Uu:3f1'y',�nsy'• ATTEST: 1i;-a'if4' '3A -ail de '� '� i iC-/rt , Cl_) ( , �, (CLERK OR SECA Y OR OTHER OFFICER HAVING THE OFFF(pl SEAL OF THE LICENSING AUTHORITY.) .1 (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 to the board. If, by ordinance or otherwise, the local licensing authority is some other official, then such approval should be given by such official.) USE THIS SPACE FOR ADDITIONAL COMMENTS APPLICA'"1C113 mmq 3.2% F'r't iENTrD `1\L'I' H' \.'1'rtAGr; LICFNS ,S ,Irv, Colorado -1x977 date "'O 'Fur BOARD OP COO"✓TY CORM.ISSIONLRS OF HELD COUNTY, COLORADO The undersigned hereby makes application for a County Retail 3.2% Beverage License. v;:flier:,nt(s) Address of Aoplicant(s) _ A/ 1196 /leaillo_e_rafzeze 4. Busin-ys Telephone I'''''' T el enhone lumber(s) / �jn Rusin- s i n :; s Address _- Z / 111 e 7. if Partnership, give names of partners; if a Corporation or Club give names of principal officers—_._---- F)r"cl- the appropriate line for the tync of retail license being applied for: For Sales for consumption OFF the premises of licensee only. For Sales for consumption ON the premises of licensee only. )(For sales for consumption ON and OPT the promises of licensee. 9. E::ACT LOCATION OF PREMISES. Give street and number, Lot and Block number or Range, Township and Section (if possible give Quarter of Section). tn. Do you have legal nossessio❑ of the premises for which this application for license is made? 1 I . Are the premises owned or rented? 17. Slate nature of business conducted: If rented, from whom? 13. If restaurant, state whether other business is conducted except sale of food, meals, drinks and tobaccos: • 14. If club, state whether operating for yi national, social., fraternal, patriotic. political or athletic nature: 15. If club, state whether it is for pecuniary gain: 16. If club, state whether the property and advantages of club bolong to members: )7. Is applicant(s) or all officers of Li'• corporation a citizen(s) of the ,e. ,, fee'1.8. Has aphlicant((s a state license 'ou he sale' of 3.2". fermented malt • I'everaue? United Sates? I^. cIp' ,innlic.ant(s) ever been convice'h of a.f,.lonv? Yaf 20. If answer to Question 19 is "yes" give full details: tylzie� �7 ii day of '21. Has applicant been adjudoed guilty laws covering the prevention of q,n Colorado, or untie. the laws of the a court of record of violating the ing under the laws of hc. Slaty of i 1 t o 1Staten? - ---- 11_ ---___- -_ 22 If answer to question 21 is 'yes', give full details: 23. Will a:»licant.(s) Permit any wholrsLier or manufacturer to be interested financially, by loan or otherwise, in 'applicant's business? /Lb 2e. If answer to euestion 23 is "yes", yes give full details: 25. Will anolicant(s) use any equipment, fixtures, chattles, decorations or furnishings supplied or loaned by any manfactur.er or wholesaler?__ /2__ 26. Ts answer to question 25 is 'yes", explain: "'he annl scant hereby agrees, if license is issued for sale of „�- alt Beverage only,} l 3.sFtherreforr as herein requested, the place of business used therefor will he conducted in strict conformity with all Jaws of the State of Colorado, and the rules and reau.ations of the Hoard of County Commissioners of Held 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 liearrng.thereott. The applicant(s) further agrees that he, she (they) has full knowledge of the aforesaid state laws and Hoard rules and regulations ition- existing at the dote of thi ; application and iigt ees he, she (they) will. keen advised as to all suhseguent state low, Hoard ruLe-, and regulations, that r,'ay he hereafter passed relating thereto during the term of said license. `;''A"P� OF COflO2ADO) 'CI Tea"' ' OF f9T11,r- Ss _[41 mot, being n<r first ha' her ;i „ t '.ulv sworn on oath, desposes and says: ( r v) i s/ ire the appl leant (s) above named: That he, she (they) has/have read L'le above e and foregoing application on and ,iraa ..,,,Tthe answers made thereto, t knows the contents hereof, and that the answers merle to the intor-rarretories therein set forth are rue to his, her (their} own l+nor,+ledac. Subscribed and sworn before me this n.n.e) ... 1 Norar.' Public Y/24/1C Applicant(s) . Applicant(s) NOTICE Docket No. 80-1L PURSUANT TO THE LIQUOR LAWS OF THE STATE OF COLORADO, PESINAS CAFE, 3RD AVENUE AND FOURTH STREET, GILL, COLORADO, 80624, HAS REQUESTED THE LICENSING OFFICIALS OF WELD COUNTY, COLORADO, TO GRANT A RETAIL 3.2% BEVERAGE LICENSE FOR CONSUMPTION, BOTH ON AND OFF THE PREMISES, LOCATION MORE PARTICULARLY DESCRIBED AS FOLLOWS: The South Forty Feet of Lots 15, 16 and 17 in Block 7, Town of Gill, Colorado. THE BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY, COLORADO HAS DECLARED THAT THE NEIGHBORHOOD TO BE SERVED WILL BE AS FOLLOWS: All of Section 27, 28, 33 and 34, Township 6 North, Range 64 West of the 6th Principal Meridian, Weld County, Colorado. THE HEARING ON SAID LICENSE WILL BE HELD IN THE FIRST FLOOR ASSEMBLY ROOM, WELD COUNTY CENTENNIAL CENTER, 915 10TH STREET, GREELEY, COLORADO, ON WEDNESDAY, JANUARY 9, 1980, AT 2:00 P.M. DATED AT GREELEY, COLORADO, THIS DECEMBER 3, 1979. THE BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO BY: MARY ANN FEUERSTEIN COUNTY CLERK AND RECORDER AND CLERK TO THE BOARD BY: Keitha White, Deputy PUBLISHED: December 6, 1979 and December 27, 1979, in the Platteville Herald v r G C r1 0 g t 1. The following service is requested (check one) IN Show to whom and date delivered—t '❑ Show to whom, date and address of ddlvmy_< . p RESTRICTED DELIVERY o. Cda ow to whom and date delivered —d CTED DELIVERY. Show to whom, date, and address of dellvery.f (CONSULT POSTMASTER FOR FEES) Z:1; O to 8 I 0 o 5 ' l II$ - R G N G M a+ o G1 r cg 'a'' Uoo e :..� f. Irt a0 O o � C 6 � ` Z �3 W U W <2 1 0 / `a S v Qp roWm:wl lewj, �� neluni APPLICANT: A [ 1 L N 1) A tJ PESINA'S CAFE DATE: January 9, 1980 R l) TIME: 2: PM REQUEST: 3.2% beer license DOCKET?0-1L NAME ADDRESS COLORADO To mEMORAIMUm THE BOARD Date January 8. 1980 From THE CLERK TO THE BOARD OFFICE subject APPLICATION FOR 3.2% BEER LICENSE PESINA CAFE In the town of Gill, Colorado 1. Edith J. Lesser DBA Lesser's Trading Post Lot 18 Block 8 Gill, Colorado 80624 2. John E. Martinez DBA Gill Recreation Center 5h Lot 11 and 12 Block 6 Gill, Colorado 80624 we have the following active beer licenses. 3.2% Beer Retail License for consumption Off the premises only 3.2% Beer Retail License for consumption ON and OFF the premises Hearing Title: a CLERK TO THE BOARD CHECKLI6T PESINA'S CAFE /-1/711� DOCKET NO. 80-1L Received from Planning Department Hearing date approved Notice typed Notices sent to: Legal advertising Planning Department Health Department Bulletin board Local newspaper Adjacent landowners Packets made Packets to Commissioners NOTICE Docket No. 80-1L PURSUANT TO THE LIQUOR LAWS OF THE STATE OF COLORADO, PESINAS CAFE, 3RD AVENUE AND FOURTH STREET, GILL, COLORADO, 80624, HAS REQUESTED THE LICENSING OFFICIALS OF WELD COUNTY, COLORADO, TO GRANT A RETAIL 3.2% BEVERAGE LICENSE FOR CONSUMPTION, BOTH ON AND OFF THE PREMISES, LOCATION MORE PARTICULARLY DESCRIBED AS FOLLOWS:, The South Forty Feet of Lots 15, 16 and 17 in Block 7, Town of Gill, Colorado. THE BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY, COLORADO HAS DECLARED THAT THE NEIGHBORHOOD TO BE SERVED WILL BE AS FOLLOWS: All of Section 27, 28, 33 and 34, Township 6 North, Range 64 West of the 6th Principal Meridian, Weld County, Colorado. THE HEARING ON SAID LICENSE WILL BE HELD IN THE FIRST FLOOR ASSEMBLY ROOM, WELD COUNTY CENTENNIAL CENTER, 915 10TH STREET, GREELEY, COLORADO, ON WEDNESDAY, JANUARY 9, 1980, AT 2:00 P.M. DATED AT GREELEY, COLORADO, THIS DECEMBER 3, 1979. THE BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO BY: MARY ANN FEUERSTEIN COUNTY CLERK AND RECORDER AND CLERK TO THE BOARD BY: Keitha White, Deputy PUBLISHED: December 6, 1979 and December 2.7, 1979, in the Platteville Herald the office of r Greeley, Colorado is DOARD OF .COUNTY COMMISSIONERS ,,%rtO cOUNTY, COLORADO December 3 , 1979 Publisher: Please insert the enclosed notice in your issue the week of Qeeemhen31,_.19I9____._____ one time only. Regarding payment, complete the enclosed voucher and forward it to us.' When returning the voucher, please include an affidavit of publication so we may complete our files. Thank you for your cooperation. Docket No. 80-1L Tribune S.i.neuxel.y, 'rin: ROATU) OF r'nliN'I'V CoMMJ.SSIONERS WELD COUNTY, . COLORADO BY: Mary Ann Feuerstein Cohn ty Clerk and Recorder and Clerk to, the'Board By: Keitha White, Deputy County Clerk' DATE: Decen - 3, 1979 TO: The Board of County Commissioners Weld County, Colorado FROM: Clerk to the Board Office Commissioners: If you have no objections, we have tentatively set the following hearing for the 9th day of January, 1979, at 2:00 P.M.: Docket No. 80 - 1L - Pesina's Cafe, Retail 3.2% Beverage License Docket No. 80 - 2 - Weld County Commissioners, Proposed Amendments to Weld County Zoning Resolution OFFICE OF THE CLERI O THE BOARD , BY: % Deputy / i Y The above mentioned hearing date and hearing time may be scheduled on the agenda as stated above. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO 1/2 r J/4, NJ/ay/U/4 4214(02/4m mEmORAnDUm VACToBoard of Commissioners Date December From Lydia Dunbar, County Commissioners subject; 197q Pesinas Cafe, Application for 3.2% Beer Irk -tense During my on -site inspection, November 30, 1979, of the applicant, Pesinas Cafe, I found no apparent problems at the establishment. The operators seem to conduct a neat, clean and orderly business. Affidavit of Publication STATE OF COLORADO ss. County of Weld, OF THE. STATE OF[ COLORADO, ,PESINAS CAFE, 3RD AVENUE AND FOURTH STREET,GILL,COL- ORADO, 80624, HAS REQUESTED THE. LICENSING OFFICIALS OF WELD COUNTY, COLORADO, .,TO ,GRANT A RETAIL -0a% BEVERAGE LICENSE- FOR CONSUMPTION, -'BOTH ON AND OFF THE PREMISES, LOCATION MORE PARTICULARLY bESCRIBED AS FOLLOWS: The St thh Forty Feet of. Lots 16,: 16 end 17 In Block 7, Town of ONl, Colorado THE BOARD OF COUNTY COMMIS- SIONERS OF WELD COUNTY, COL- ORADO HAS DECLARED THAT THE NEIGHBORHOOD TO BE SERVED \ WILL BE AS FOLLOWS: All of Section 27, 28, 33 and 34, Township 6 North, Rends 61 West of the 6th Principal Merl - Men, Weld County, Colorado. THE HEARING ON. SAID LICENSE WILL BE HELD IN THE. FIRST FLOOR ASSEMBLY ROOM,. WELD COUNTY- CENTENNIAL CENTER, 915 10TH STREET,GREELEY, COL- ORADO, ON WEDNESDAY, JANUARY 9, 1980, AT 2:00 P.M. DATED AT GREELEY, COLORADO, THIS DECEMBER J,1919. THE BOARD OF COUNTY COMMISSIONERS' WELD COUNTY, COLORADO BY: MARY ANN FEUERSTEU/. COUNTY CLERK -AND RECORDER AND CLER Charleen Rudd of said County of Weld, being duly sworn, say that I am an advertising Berk of THE GREELEY DAILY TRIBUNE, and THE GREELEY REPUBLICAN that the same is a daily newspaper of general circulation and printed and published in the City of Greeley, in said county and state; that the notice or advertisement, of which the annexed is a true copy, has been published in said daily newspaper for consecutive (days) (weeks); that the notice was published in the regular and entire issue of every number of said newspaper during the period and time of publication of said notice, and in the newspaper proper and not in a supplement thereof; that the first publication of said notice was contained in the issue of said newspaper bearing date thirty-first day of December A.D. 1979 and the last publication thereof; in the issue of said newspaper bearing date the thirty-first day of December A.D. 1979 • that said The Greeley Daily Tribune and The Greeley Republican, has been published continuously and uninterruptedly during the period of at least six months next prior to the first issue thereof contained said notice or advertisement above referred to; that said newspaper has been admitted to the United States mails as second-class matter under the provisions of the Act of March 3, 1879, or any amendments thereof; and that said newspaper is a daily newspaper duly qualified for publishing legal notices and advertisements within the meaning of the laws of the State of Colorado. December 31, 1979 Total charge $ 12.76 Ithct& QQ Y\ lL JCL Advertising Clerk Subscribed and sworn to before me this 31st December AD 1979 expires rei, 28, 1982 Notary Public r _ �C3 a4.-- 6 4, o r ' 6 �1 ,r ' m J JP? u � 11 1.7 ay to the order of dollars Gi ■ The Greeley national Bank pay to the order of pay to the order of �?O ida dollars for I I I • II I • I Ir_ OW*4 nll. -in sat /G, ,77 y � : u) Leenr �v- ajatia -f f6 /7' /' �ievn .)" 2, a AZ -004e e 712✓. ✓?ecrUm- / A, c."4„ .-t, , ,4„7 -if -e5tce:efe -tzi? !?-G 1 t- ,-,fr, la+,-C'Gi,(..e %-ie -alt 2jl 9, Q te- Atli' -ci.21.�� ✓1 tk- 2r c S r e-� �iY/L-�y{ict-p lG. �z� .ice<-I"D'1-�."�� / ✓�-�t...�C.-%C-e._�. 1m JO Recorded at o'clock _. M Reception No. _._1654056 FEB 13 1975 S. LEE Si ILKEE, Jit. Recorder. i tf• M 0 0 THIS INDENTURE, Made this 7th day of February in the year of our Lord one thousand nine hundred and between whose address part y THAT, WHEREAS, The said seventy-five FLORINDA T. PESINA P. 0. Box 23, Gill, Colorado 80624 of the first part, and the Public Trustee of Weld County , In the State of Colorado, party of the second part, Witneaseth: FLORINDA T. PESINA ha S executed her promissory note bearing even date herewith, for the principal sum of Two thousand one hundred sixty and no/100 Dollars, payable to the order of GREELEY INDUSTRIAL BANK 1400 8th Avenue, Greeley, Colorado 80631 whose address at the rate of 24.04. after the date thereof, with interest thereon from the date thereof per cent per annum, payable (February 10, 1977 ) according to the teno of a note of even date and amount herewith, maturity date of which is February 10, 1977. AND WHEREAS, The said part y of the first part I s desirous of securing the payment of the principal and interest of said promissory note in whos., hands soever the said note or any of them may be. NOW, THEREFORE, The said party of the first part, in consideration of the premises, and for the purpose aforesaid, do es hereby grant, bargain, sell a9,d convey unto the said party of the second part in trust forever, following described property, situated in the County of Weld , State of Colorado, to -wit: The South (40 feet of Lots Fifteen (15) Siacteen (16) and Seventeen 17), in Block Seven (7?, in the Town o T11, Colorado II H� TO HAVE AND TO HOLD the same, together with all and singular the privileges and appurtenances, thereunto belonging: In Trust Nevertheless, That in case of default in the payment of said note or any of them, or any part thereof. or in the payment of the interest thereon. according to the tenor and effect of said note or any of them, or In the payment of any prior encumbrances, principal or interest, if any, or in case default shall he made in or in case of violation or breach of any of the terms. conditions, covenants or agreements herein contained, the beneficiary hereunder or the legal holder of the indebtedness secured hereby may declare a violation of any of the covenants herein contained and elect to advertise said property for sale and demandsuch sale, then. upon filing notice of such election and demand for sale with the said party of the second part, who shall upon receipt of such notice of election and demand for sale cause a copy of the same to be recorded in the recorder's office of the county in which said real estate is situated, it shall and may be lawful for said party of the second part to sell and dispose of the same len masse or in separate parcels. as said Public Trustee may think best), and all the right, title and interest of said party of the first part, her heirs or asaiana therein, at public auction at the east front door of the Court House, in the County of WE I D State of Colorado, or on said premises, or any part thereof as may he specified in the notice of said sale, for the highest and bent price the same will bring in cash, four weeks' public notice having been previously given of the time and place of such sale, by advertisement. weekly, In some newspaper of general circulation at that time published in said county of We I d , a copy of which notice shall be mailed within len days from the date of the first publication thereof to the said part yof the first part at the address herein given and to such person or persons appearing to have acquired a subsequent record interes' t sail real estate at the address given in the recopied instrument: where only the county and state is riven as the address then such notice shall be mailed to the county seat, and to make and give to the purchaser or purchasers of such property at such sale, a ertifirate or certificates in writing describing such property Pelrchasel, and the sum sums paid therefor, and the time n -hen the purchaser or purchaser, (or other person entitled thereto) shall be entitle) to a deed or deeds therefor, unless the same he reclecmel as is provided by law: and said Public Trustee shall, upon demand by the person or persona holding the raid certificate r or certificates of purchase when said demand is made, or upon demand by the person entitled to a deed to and for the property purchased, at the time such demand is made, the time for redemption having expired, make and execute to such person or persons a deed or deeds to the said property purchased, which said deed or deeds shall be in the ordinary form of a conveyance, and shall be signed, acknowledged and delivered by the said Public Trustee. as grantor, and shall convey and quit -claim to such person or persons entitled to such deed, as grantee, the said property purchased as aforesaid and all the right, title. interest, benefit and equity of redemption of the part y of the first part. htsepr heirs and assigns therein and shall recite the mm or sums for which the said property was sold and shall refer tettFie power of sale therein contained, and to the sale or sales made by virtue thereof; and in case of an assignment of such certificate or certificates of purchase, or in case of the redemption of such property, by a subsequent encumbrancer, such assignment or redemption shall also be referred to in uch deed or deeds: but the notice of sale need not be set out in such deed or deeds: and the said Public Trustee shall, out of the proceeds or avails of such sale. after first paying and retaining all fees, charges and coats of making said sale, pay to the beneficiary hereunder or the legal holder of said note the principal and interest due on said note according to the tenor and effect thereof, and all moneys advanced by such beneficiary or legal holder of said note for insurance, taxes and assessments, with interest thereon at Per cent per annum. renderings the overplue, if any, unto the ,said part y of the first part, her legal representatives or -assigns; which sale or sales and said deed or deeds so made shall he a perpetual bar. both in law and equity, against the said part y of the first part, her heirs and assigns, and all other persons claiming the said property, or any part thereof, by, from, through or under said part of the first part. or any of them. The holder or holders of said note or notes may purchase said property or any part thereof; and it shall not be obligatory upon the purchaser or purchasers at any such sale to see to the application of the purchase money. If a release deed be required, it is agreed that the part y of the first part, her heirs or assigns, will pay the expense thereof. DEED OF TRUST —Public Trustee —Receiver's Clause —Attorney's Fees. .6th agetareeee Per.., If Laid 44-4 1654038 of the first part, for her and for her .heirs, executors and adminis- And the said part y trators, covenant and agree these presents are to and with the said party of the second part, that at the time of the ensealing of and delivery of well seized of the said lands and tenements in fee simple, and ha 5 good right, full power and lawful authority to grant, bargain, sell and convey the same in manner sod form so aforesaid; hereby fully and absolutely waiving and releasing all rights and claims she may have in m r to said lands, tenements, and property as a lioettead Exemption, or other a eruption, under and by virtue of any set of me Geaen.i Assembly of the State of Colorado, now existing or whirl, may hereafter be passed in relation thereto nod that the saint are tree and clear of all liens and euenmhran,,ss whatever. No other liens of record and the abuse bargained property in the quiet and peaceable possession of the said party of the sea rod part, his successors and assigns, against all anti every person or persons lawfully claiming ur to claim the whole or ally Part thereof, the said part y of line first part shall and will Warrant and Forever Lcaci.d. And that during the continuance of said indebtedness or any part thereof thesaid part a/ of the first part will in due season pay all taxes and assessments let led under the laws of the State of Colorado (except income taxes) on the obligation hereby secured; and assessments levied on said property; all amounts due or to become due on unt of principal .and interest on prior aennc ubraes, if any; and will keep all buildings that may at any time be on said lands, insured against losh s by fire in such company orcompanies as the holder of said note may, from time to time direct, fur such sum or sums as such company or companies will insure fur, not to exceed the amount of said indebtedness, except at the option of said part y of the first part, with loss, if any, payable to the beneficiary hereunder, as any interest may appear, and will delocr ❑n- policy or policies of insurance to the beneficiary hereunder, as further security for the indebtedness aforesaid. And in case of the lailure of said part V of the first part to thus insure and deliver the policies of insurance, or to pay such taxi, or assessments or amounts due or to ber,om,f db e or, any prior encumbrance, if any, then the holder of said note or any of them, may procure such insurance. or pay such taxes or assessments or amounts due upon prior encumbrances. if any, and all moneys thus paid, with interest thereon at 24.04 per modern] per annum, shall laconic so much additional indebtedness, secured by this Deed of Trust, and shall be paid out of the proceeds of the sale of the propert> aforesaid, if not otherwise paid by said part y of the first part and may for such failure declare a violation of this covenant and agreement. AND 'fltAT IN (:Ash: OF ANY DEFAULT, Whereby the right of foreclosure recurs hereunder, the said party of the second part or the holder of solo note or certificate of purchase, clan at once becunrc e,dillal to the possession, use and enjoyment of the property aforesaid, and to Ise rents, issues and profits thereof, front the accruing of such right and during the n pendency of foreclosure proceedings and the ',nomb of redemption, if ally there be; and such possession shall at once he delivered to the said party of the second part or the holder of said note or certificate of purchase on request, and on refusal. the delis -cry of such possession may he enforced by the said party of the second part or the holder of said note or certificate of purchase by any rmpnrpnate civil suit or proceeding, and the said party of the second part, or the holder of said note or certificate of purchase, or any thereof, shall be untitled to a Re- ceiver for said property, and of the rents, issues and profits thens,f, after such default, including the time covered by foreclosure proceed- ings and the period of redemption, if any there be, and shall be entitled thereto aer a matter of right without regard to the solvency or insolvency of the part y of the first part or of the then owner of said property and without regard to the value thereof, and such Receiver may be appointed by any court of competent jurisdiction upon ex parte application and without notice --notice being hereby ex- pressly waived —and all rents, issues and profits, income and revenue the refrom therefm shall be applied by such Receiver to the payment of the Indebtedness hereby secured. according to law and the orders anddirect-ions of the court. AND, That in case of default in any of said payments of principal or interest, according to the tenor and effect of said promissory note aforesaid, or any of them, or any part thereof, or of a breach or violation of any of the covenants or agreements herein, by the part of the first part, her executors, admi nistnators or assigns. then ail in that case the whole of said principal sum hereby secureY, and the interest thereon to the time of sale, may at. u at the option of the legal holder thereof, become due and payable, and the said property be sold in the manner and with the same effect WS if said indebtedness had matured, and that if foreclosure be ,mule by the Public Trustee, an attorney's fee of the sum of any reasonable amount dollars for services in the supervision of said foreclosure proceeding's shall be allowed by the Public Trustee as a pert of the 01st of foreclosure, and if foreclosure be made through the courts a reasonable attorney's fee shall be taxed by the court as a part of the crises of such fore- closure proceedings. IN WITNESS WHEREOF, The said part y of the first part ha S hereunto set her hand and seal the day and year first above written. WITNESS: may. ' k J IPA Q?') Cpl'{[OR".jDO, C i'o Florinda rnalta� (seAL) (SEAL) (SEAL) The foregoing instrument was acknowledged before me this 7th day of February— , 19 75by Florinda I� _ Pesina Wiulens my hand and official seal. 31y aaipam ex .�_ j 1- �; - 7p O Es THE PUBLIC TRUSTEE FOR THE USE OF Et, .1,ui CI._ d II ;9. r: yRy O • O a O m o ,a II o� X r-, U � u O:� o - F o n 'F. fin W C n w Li_ o A 'O no a, V ts 1 i Notary Public. MAKERS (D ORS) (Last name First) and Address PESINA, Florinda T. P. 0. Box 23 Gill, Co 80624 DIRECT LOAN PROMISSORY NOTE, SECURITY AGREEMENT, FINANCING STATEMENT, DISCLOSURES PRECOMPUTED FINANCE CHARGE LENDER (SECURED PARTY) GREELEY INDUSTRIAL BANK 1400 8th Avenue Greeley, CO 80631 Business Phone (Home Phone Int. Starts 2/7/75 DISCLOSURE TERMS: Proceeds Other Charges: Insurance Official Fees Transamerica Total Other Charges Amount Financed Finance Charges: Interest A 458 09 FINANCE CHARGE (Total) t 458.39 $ 101,52 $ —_ _9.50_ Customer Number Note Number $_A,515.59 186.02 Total of Payments ? fi I(r ANNUAL PERCENTAGE RATE Doe ANNUAL DUST ,•1 6-o© By: Pres..— • Ice Prey ---- N Maker promises to pay to the order of _ GREELEY I NF STRIAL BA •n at its banking house in_Greeley,_.Colorado the sum of $_ 2,_]60.. DQ. __.,(Total of Payments) payable in. 24m nt _. monthly installments of $ -__ _ 9Q, QQ, _each (except the final payment which shall be the balance then due on this note), the first installment to be paid on March 10 on the same day in each successive month thereafter until this note has been- - 75 and subsequent installments paid in full, or as indicated in the space below. for the term of the credit. INSURANCE: Property insurance, if written in connection with this loan, may be obtained by Maker through any person of his choice. Credit Life and Disability Insurance is not required. No charge is made for insurance and no insurance is provided unless the borrower signs the appropriate statement below: FOR FILING OFFICER Date of Note and Agreement Maturity Date 2/7/75 2/10/77 _� Credit Life Insurance alone costing $ for the term of the credit. Credit Life and Disability Insurance costing $ 1.0.1.. 52.___. (Other Insurance) $ I DESIRE THE INSURANCE CHECKED ABOVE 75 ?(,)%x,Lct,. 7 .efY+ct.) (Signature o♦ Maker) If any installment of this note is not paid in full within 20 days after/ its due date the holder of this note (the "holder"), in lieu of acceleration of maturity, may at the holder's sole option either (a) charge Maker an amount, not exceeding $5, which is 5% of the amount of the unpaid installment, or (b) unilaterally grant a deferral for such length of time as the holder may determine and assess and collect charges therefor at the ANNUAL PERCENTAGE RATE. The holder may assess a charge in the amount described in (a) on any payment thus deferred which is not paid in full within twenty days after the deferred due date. At the option of the holder, the unpaid balance of this note and all other obligations of Maker to the holder, direct or indirect, absolute or contingent, now existing or hereafter arising, shall become immediately due and payable without notice or demand if (a) any payment required by this note is not made when due, or (h) a default or event of default occurs under any loan or security agreement or other instrument executed as security for or in connection with this note, or (c) the holder at any time in good faith believes that the prospect of any payment required by this note is impaired, whether or not such belief is caused by any act or failure to act of any Maker or of any endorser, guarantor or accommodation party of or on this note (hereinafter collectively referred to as y other ig ). Maker and any other signer .w demand, presentment . notice of dishonor payment due under this note, to'° and proteaddition and assent to any party.extensionNo of t oe any waive substitution I - or release of collateral and to the , id't'on or release of Peer to my right under this note or security agreement : connection herewith shall operate as a waiver of any other payment ywaiver clof any payment t. other holder enforces this note upon default, Maker or any other signer shalle rig ht, see including ed rightin ofrealizing offset_ n the Security therefor and (b) if referred to an attorney not a salaried employee a of the holder, 5ereasonab reasonable attor for, rney's ) reasonable not inexcessof c15% of the unpidndany ebt after default or, if allowed by the Colorado Uniform Consumer Credit Code (UCCC), such additional fees as may be directed by the Court. In the event of prepayment in full, any unearned Finance Charge will be refunded based on the Rule of 78's or as otherwise provid d in the UCCC with respect to an irregular payment schedule, if $1 or more; but if the earned Finance Charge at the lime of prepayment is less than $- i5 ._QQ, the holder may retain said amount (inclusive of earned finance charge) as a minimum charge. Lender shall have the right of offset against any deposits by any Maker with the Lender or any assignee of the Lender. SECURITY AGREEMENT To secure the payment of the foregoing indebtedness, and any and all liabilities, direct, indirect, absolute, contingent, due or to become due, now exist, trig or hereafter arising (all hereinafter sometimes called "obligations") of the Debtor to the Secured Party, the Debtor grants to the Secured Party a security interest in the following property and any and all additions, accessions, attachments, accessories, repairs, replacements, substitutions and proceeds thereof, thereto or therefrom (hereinafter sometimes called "Collateral"): MAKE T STYLE AND MODEL IDENTIFICATION NUMBER - - - - -- -- - --- - I -. YEAR OIHER IDENTIFICATION Chevrolet Pickup CCE142J121451 1972 Debtor's obligations are further secured by the following I separate iuUumen4s) covering the following described collateral: and First Deed of Lots 15, 16, 17, Block 7, Town of Gill, all Cafe Equipment and Furn and Fix. Purpose of loan. -_ qq Person Family,PHouel:od((ttpp AgrcuD l or Businessr Debtor warrants that he is the owner of the collateral free and clear of liens, encumbrances encumber the collateral without prior written consent of Secured Party; that the is located at and security will interests; dthat he wet not sell, ss above ow ;er collateral and be t at his a motor vehicle not to remove the same from Colorado, and if other collateral not toremovethesame from his address above shownwithout written cn; if onsent of the Secured Party; to pay all taxes when due; to procure such insurance as may legally be required by Secured Party and deliver the policy to Secured Party with a loss payable clause in favor of Secured Party or a certificate thereof; in default of the foregoing Secured Party may pay such taxes or procure such. insurance, the expense thereof to be secured hereby and paid by Debtor. Debtor may retain possession of the collateral until any default hereunder. If default shall occur in the payment of the Note or other obligations secured hereby or in any conditions of this Security Agreement or the Note secured hereby, or if Secured Party in its security, then the Secured Party may take immediate possession of the collateral wherever found, with or without legal process, insecure ,an may exercise any rights and remedies granted Secured Parties byArticle 9 of the Uniform Commercial Code upon default by Debtor under a security agreement and such other rig ltts as ace permitted and provided by law. This note shall be construed under and nose''ed by the laws of Colorado_ If there is more than one Maker, all of the provisions of this note shall apply to each and any of them jointly and severalty. Secured Party's Signature (FOR FILING OF INSTRUMENT AS A FINANCING STATEMENT) GREELEY INDUSTRIAL B/\NK BY cs./ c, - _. 'C_'r' :✓. BANK By signing this instrument, the undersigned also acknowledges receipt of a copy. Signature of Maker -Debtor: Florinda T. Pesina 3—Cu-,f-L:u(<, j y 668 r ord-rl a 7, /7/arf r nz2 ,rte ;not Oak - /(7 76 - 6.// Co/a /9c - GUI Co/b - /972J - 44/ Co/c) 073 c — /97 , �/ r0/0 - vac,C y rat rOttInd 6. Your Relationship to Applicant: (sole owner/partner/corporate oftener/director/stockholder or manager) RAC Ca.SAer 7. If Stockholder, Number of Shares Owned Beneficially or of Record • DRL 4041 (6/79) STATE OF COLORADO DEPARTMENT OF REVENUE/LIQUOR ENFORCEMENT INDIVIDUAL HISTORY RECORD To be completed by each individual applicant, each general and over 5% limited partner of a partnership, each officer, director, and over 5% stockholder of a corporation, and the manager of the applicant. NOTICE This Individual History Record provides basic information which is necessary for the licensing authorities' investigation. ALL questions must be answered in their entirety. EVERY answer you give will be checked for its truthfulness. A deliberate falsehood will jeopardize the application as such falsehood within itself constitutes evidence regarding the character and reputation of the applicant. 1. Name of Business: 2. Your Fun Name: (frst/last/middle) r Date: kA // /779 3. Also Known As: (maiden name/nick�e/etc.) Social Security 4. Height: �Weightht:,I H/a^iirr Collor: EEye Colors Sex: Race: `1 5. Do you have a Colorado Drivers License? If "YES", give number: Ca " ./fz RI ` 4IrOM VN/ YES ONO Percent of Outstanding Stock Owned: 8. If Partner State Whether: Percent of Partnership Bane Icialt Owned: GENERAL LIMITED 9. Residence ddress: (street d number/city/state/zi I 3'` a. nyujs.s 1rifI, (ia. 10. Is your residence: If rented, from whom? %OWNED (]RENTED 11. Mailing Address, If Different From R sidence: `Po. Omy a3 ;I( RI SW RV 12. Name of PresenttEmpllooyer: t�' VO/r 14. Address of Business Where Employed: (street and number/city/state/zip) 13. Type of Business of Employment: eesfi aran it 15. Present Position: 16. Home Telephone: Business Telephonenuwtee 17. Datest Birth: � Place of Birth: (Yliss,bfu lexQ5 18. U.S. Citize ?: YYES ENO if nat1ralized, state where: When: Name of U.S. District Court: aturalization Certificate No.: Date of Certificate: If an alien, give Alien's Registration Card No.: Permanent Residence Card No.: 19. Marital Status: r+4arrled 20. If spouse is a wife, wife's fun maiden name: Terns A. Y}1asd-snpr 21. Spouse's Date of Birth: Place of Birth: TP la c 22. If spouse's residence address is different than yours, list here.: (street and number/city/state/zip) On knead/0 23. If spouse works, state name at present employer: Occupation: Address of present employer: 24. List the name(s) of all relatives working in the liquor industry, giving their: Name of Relative: f/1'�r Relationship to you: Position held: Name of employer: Location of employer: Name of Relative: \ V ela io Ip to you: Position held: Name of employer: Location of employer: GO, Do you no;,, or have you ever held a di ect or indirect interest in a State of Colorado Liquor or Seer License? If "YES", answer in detail. Yom, �r IN'O 26. Do you now, or have you ever had a direct or indirect interest in a liquor or beer license, or been employed in a liquor or beer related business outside ofthe State of Colorado? If "YES", describe in detail. YES &NO 27. Have you ever been convicted of a crime, fined, imprisoned, placed on probation, received a suspended sentence or forfeited bail for any offense in criminal or military court? (Do not enclude traffic violations, unless they resulted in suspension or revocation of your driver's license, or you were convicted of driving under th •fluence of alcoholic beverages.) If "YES", explain in detail. OYES XNO 28. Have you ever received a violation notice, suspension or revocation for a liquor law violation, or been denied a liquor or beer license anywhere in the U.S.? If "YES", explain in detail. YES NO 29. Have you ever held a gambling or gaming license or owned a Federal Gambling Stamp? If "YES", exp ain in detail. YES NO State/Fe era : Year: City: State: State/Federal: Year: City: State: 30. Military Service: branch: fllnoE From: To: Serial No.: Type of Discharge: 31. List all addresses where you have lived for the last five years.lAttach separate sheet if necessary) Street and Number: a ci City/State/Zip: OSKa t oes°, T1_ From: /977 To:CCf' /9 9 52a'/I Street and Number: City/State/Zip: ' From: To: 32. List all former employers or businesses engaged in within the last five years: (Attach additional sheets if necessary) Name of Employer: Address: (street and number) (city/state/zip) Position Held: From: To: Name of Employer: Address: (street and number) (city/state/zip) Position Held: From: To: 33. List the names and attach letters of recommendation from three persons who can vouch for your good character and fitness in connection with this application. Name of Reference: ffn;&2s*2d4 udes Address: (street and number) (city/state/zip 4,24,45,,,' No.Years Known: Cote. No. YearsKnown: / dyes ame of Reference: Address: (street and number) (city/state/zip) �:7n..fld,/� am o9 N',a my`��g, of ference: //J /l�R'A.///� /.C/t/.t./.iDAJ Address: (street and number) (city/Sate//z/y (Y/�� No. Years Known: /S`'cc STATE OF COUNTY OF aidgc SS. I understand that a false answer to any of the foregoing can subject the application to denial or a license to revocation. I certify that all of the information in this Individual History Record is complete and correct to the best of my knowledge and belief. Subscribed and sworn to me this day of , 19 77 WITNESS my nand and official seal. (ATTACH SEAL) My commission expires' Notary Duo'.: / TREASURER'S OFFICE, WELD COUNTY Greeley, Colo - — NO. `� Y"" // 7 ter] ✓� _/Y7 FOR CREDIT County General Fund -- C" . - 51-":) Road and Bridge Fund Colo. State Sales Tax Weld County General Hospital Fund Fee Fund School District No Gen. Fund Motor Vehicle Fund, Licenses County Clerk Fees Motor Vehicle, Add. Registration Fee Specific Ownership Tax, Auto FRANCIS M. LOUSTALET--'- -s_-.-_--- TOTAL AMOUNT County Treasurer. Clerk. Hello