HomeMy WebLinkAbout20030847.tiff RESOLUTION
RE: APPROVE APPLICATION FOR TRANSFER OF OWNERSHIP OF TAVERN LIQUOR
LICENSE FROM JERRY SAMBER,DBA DEWEY'S BAR AND GRILL,TO DEWEY'S BAR
AND GRILL, LLC, DBA DEWEY'S BAR AND GRILL - EXPIRES APRIL 10, 2004
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, Dewey's Bar and Grill, LLC, dba Dewey's Bar and Grill, presented to the Board
of County Commissioners of Weld County, Colorado, an application for a Transfer of Ownership
of a Tavern Liquor License for the sale of malt,vinous and spirituous liquors,said license previously
held by Jerry Samber, dba Dewey's Bar and Grill, and
WHEREAS, pursuant to Exhibit 5-H of the Weld County Code, said applicant has paid the
required fees to the County of Weld for a Transfer of Ownership 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, outside the corporate
limits of any town or city in the County of Weld at the location described as follows:
41611 Marble Avenue, Stoneham, Colorado 80754
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 2003-08 to said applicant to sell malt, vinous and spirituous
liquors for consumption by the drink on the premises only, and 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 April 10, 2004,
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, 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.
2003-0847
LC0043
do t5£/
,
TRANSFER OWNERSHIP OF LIQUOR LICENSE - DEWEY'S BAR AND GRILL
PAGE 2
The above and foregoing Resolution was, on motion duly made and seconded, adopted by
the following vote on the 31st day of March, A.D., 2003.
BOARD OF COUNTY COMMISSIONERS
W COU TY, COLORADO
ATTEST: L4/1 1 ` E La
a ,• �� Davi E Long Chair
Weld County Clerk to th= '•oa
V1861 Robert D. sden, Pro- em
Deputy Clerk to the Bo ,j N
. J. Geile
APPROVED AS TO F. - :
EXCUSED
Willis H. Jerk
ounty Attorne ,/,/,u
Glenn V��
Date of signature: /-a
2003-0847
LC0043
I
THIS LICENSE EXPIRES APRIL 10 ,20 04
,.;:t---- -` : LICENSE FEE
('• y' 1 vw is e •O. .\� F AillIMIWY
f( h
A-•
T
ST ATE OF s COLORADO
i
—.I.:` ` COUNTY OF WELD
r- 64 - BYAUTHORITY OFTRE BOARD OF COUNTY COMMISSIONERS
A;
RETAIL LIQUOR LICENSE ,
FOR I. ', Tavern
' 4, Tavern
SPECIFY: Retail Liquor Store,Liquor Licensed Drug Store,Hotel and Restaurant,Club,Tavern etc.
- a TO SELL AT RETAIL Malt, Vinous, and Spirituous LIQUOR
fF SPECIFY KINDS OF LIQUORS
OS I$ to Certlfp, That Dewey's Bar and Grill,LLC_, dba Dewey's Bar and Grill
t t of the State of Colorado,having applied for a License to sell Malt, Vinous a_ and Spirituous i
Liquors,and having paid to the County Treasurer the sum of Seventy-five and 00L100
($_7J 00 J Dollars therefor,the above applicant is hereby licensed to sell Malj_. V}ngf1._s�
and:-$giiituous Liquors containing more than 3.2%Alcohol by weight ,
by the drink for consumption on the premises only
• (Insert"by the drink for consumption on the premises"or"in sealed container NOT for consumption at place where sold.")
asa Tavern at41611 Marble Ave.,. Stoneham, CO 80754in the County of
4 6 Weld,for a period beginning on the Pith day of April ,20_03 _,and ending on the 10th
day of April ,20 04 _,unless this License is revoked sooner as provided by law.
41`.- _ This License is issued subject to the Laws of the State of Colorado and especially under the provisions of Article 47 of Title 12,
. Colorado Revised Statutes,as amended.
IN TESTIMONY WHEREOF,The Board of Coun y ommissioners has hereunto subscribed its name by its officers
I duly authorized this_31st day of March 003__
p��J County Commissioners '1
ATTEST: Boa s ountJ
C Cman,‘ ,
Deputy Clerk to the Bond I I :, Chairsmn,Board of County C
t , , l
THIS LICENSE MUST BE POSTED IN PUBLIC VIEW
DR 9402102199)
STATE OF COLORADO
DEPARTMENT OF REVENUE
Liquor Enforcement Division
1375 Sherman Street
Denver,Colorado 80261
DEWEY'S BAR & GRILL
LLC
DEWEY'S BAR & GRILL
41611 MARBLE AVE
STONEHAM CO 80754-9302
ALCOHOL BEVERAGE LICENSE
Liability Information
Account Number County City Indust. Type Liability Date LICENSE EXPIRES AT MIDNIGHT
12-61135-0000 03 128 722211 B 041103 APR 10, 2004
Type Name and Description of License Fee
2010 TAVERN LIQUOR LICENSE - $ 75.00
MALT, VINOUS, AND
SPIRITUOUS
2190 COUNTY 85 PERCENT OAP FEE $ 425.00
TOTAL FEEIS) $ 500.00
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.
APR 15 2003
"~
Division Director Executive Director
DR 8404(06/02)Page 1 21
COLORADO DEPARTMENT OF REVENUE
LIQUOR ENFORCEMENT DIVISION COLORADO LIQUOR
DENVER CO60261 OR 3.2%FERMENTED MALT BEVERAGE
RETAIL LICENSE APPLICATION
D NEW LICENSE Idl TRANSFER OF OWNERSHIP 0 LICENSE RENEWAL
• ALL ANSWERS MUST Bl PRINTED IN BLACK INK OR TYPEWRITTEN
• APPLICANT MUST CHECK THE APPROPRIATE BOX(ES)
• LOCAL LICENSE FEE $
• APPLCANT SHOULD DETAIN A COPY OFTHE COLORADO LIQUOR AND BEER CODE(Call 303-321.4164) DO NOT WRITE IN THIS SPACE
1. Applicant a applying as a
❑ Corporation E Individual
❑ Limited Liability Company
11 Partnership(includes Limited Liability and Husband and Wife Partnerships) ❑ Association or Other
2. Name of Appaycantls K parinersNp,had partners'names(at least two))a corporation,name or corporation Fein Number �/
2e.Tra °Name or Eslebla�(D8� &r��l ,( iG State Sales Tax No. BusIsine��el Telephone
Dewe 's- t n € 'G)e. (1 IA-wigs-•ooa�D 970-7354747
3. Address of Pre ' es(Specily emst location of premises)
Ali 4/l m/9tblc Rot-
CITY Sfo4P.&faill °Dun). We/di StateCA
ZIP 9°7541
4. Maine Address (N r City or Town State ZIP Code
Ni!� f►tbhb e Rya Stoneham eo go759
5. N the premises currently have a liquor or beer license,you MUST answer the rdlowing questions:
Pr Trade Name at Esta hmegl(DEA) Present State License No. Present Class of Unsnap Present Expiration Date
I ewfN's Lpit 1.6 te.'((03 128605&72,am to 34a2-oa'
Y&8 SECTON A Nonrefundable APPLICATION FEES LIAR SECTION D LIQUOR LICENSE FEES
2300 ❑ Application Fee for New License 900.00 1940 O Retail Liquor Store License(city) $227.50
2300 O Application Fee-New License Concurrent Review..1000.00 1940 E Retail Liquor Store License(county) 312.50
2310 1*Application Fee for Transfer of Ownership 900.00 1950 0 Liquor Licensed Drugstore (city) 227.50
SECTION a 3.2%BEER LICENSE FEES 1950 0 Liquor Licensed Drugstore (county) 312.50
2121 ❑ Retail 3.2%Beer On Premises-(city) $96.25 1980 O Beer S Wine License (city) 351.25
2121 0 Retail 32%Beer On Premises-(county) 117.50 1950 O Beer&Wine License (county) 436.25
2122 0 Retail 32%Beer Off Premises-(city) 96.25 1970 O H&R License❑city❑county 500.00
2122 0 Retail 32%Beer O0 Premises-(county) 117.50 1980 ❑H&R License w/opt Prom Q city❑county 500.00
2123 0 Retail 32%Beer On/Off Premises-(city) 96.25 1990 ❑Club License Qcity 0 county 308.75
2123 O Retail 3.2%Beer On/Ofl Premises-(county)...........117.50 2010 El Tavern License Q Qty Q county 500.00
SECTION C RELATED FEES AHD PERMITS2020 ❑Arts License D city❑county 308.75
999 2030 O Racetrack License Q City Q county 500.00
19054 OS( )❑Addition of related Facility Permits to existing 2040 0 Optional Premises License Q Sy Q county 500.00
Resort Complex license 1905 ❑Retail Gaming Tavern Lic c county 500.00
$50.00 x Total Fee ❑ m'❑cou Y
2210100(999)❑Retail Warehouse Storage Permit $100.00 1975 0 Brew-Pub License 750.00
2220100(999)❑Addition of Optional Premises to existing hos/restaurant 1985 ❑Resort Complex License 500.00
$75.00 x Total Fee
❑W R-Tavern Manages Registration $75.00
DO NOT WRITE IN THIS SPACE-FOR DEPARTMENT OF REVENUE USE ONLY
LIABILITY INFORMATION
County City industry Type License Acceunl Number UMMly Cele License lease Through
(Expiration Oath)
FROM TO
Sri cIy County WnpRepan R
-750(999) 2180.100(999) 2190.100(999) _750(999)
_ OA
pwRwa..ur. "'"n io.i"'a"" TOTAL
(x)00 2(999)
00
Aa DoH-3
2003-0847
DR8'e"0t )Page2 APPLICATION DOCUMENTS
CHECKLIST AND WORKSHEET
Instructions:This check list should be utilized to assist applicants with filing all required documents for licensure.All documents must
be properly signed and correspond with the name of the applicant exactly.All documents must be typed or legibly printed.Upon final State
approval the license will be mailed to the local licensing authority. Application fees are nonrefundable.
ITEMS SUBMITTED,PLEASE CHECK ALL APPROPRIATE BOXES COMPLETED OR DOCUMENTS SUBMITTED
I. APPLICANT INFORMATION
❑ A. Applicant/Licensee identified.
❑ B. State sales tax license number listed or applied for at time of application.
❑ C. License type or other transaction identified.
❑ D. Return originals to local authority.
❑ E. Additional Information may be required by the local licensing authority.
II. DIAGRAM OF THE PREMISES
❑ A. No larger than 81/2 X 11'.
❑ B. Dimensions included(doesn't have to be to scale).Exterior areas should show control(fences,walls,etc.).
❑ C. Separate diagram for each floor(8 multiple levels).
❑ D. Kitchen•identified if Hotel and Restaurant.
IN. PROOF OF PROPERTY POSSESSION
❑ A. Deed in name of the Applicant ONLY(or)
❑ B. Lease in the name of the Applicant ONLY.
❑ C. Lease Assignment in the name of the Applicant(ONLY)with proper consent from the Landlord and acceptance by the Applicant.
❑ D. Other Agreement if not deed or lease.
IV. BACKGROUND INFORMATION AND FINANCIAL DOCUMENTS
❑ A. Individual History Record(s)(Form DR 8404-I).
❑ B. Fingerprints taken and submitted to local authority.(State authority for master file applicants.)
❑ C. Purchase agreement,stock transfer agreement,and or authorization to transfer license.
❑ D. List of all notes and loans.
V. CORPORATE APPLICANT INFORMATION(N Applicable)
❑ A. Certificate of Incorporation(and/or)
❑ B. Certificate of Good Standing If incorporated more than 2 years ago.
❑ C. Certificate of Authorization if foreign corporation.
❑ D. List 01 officers,directors and stockholders of parent corporation(designate 1 person as"principal officer').
VI. PARTNERSHIP APPLICANT INFORMATION(N Applicable)
❑ A. Partnership Agreement(general or limited).Not needed if husband and wife.
VII. LIMITED LIABILITY COMPANY APPLICANT INFORMATION Of Applicable)
❑ A. Copy of articles of organization(date stamped by Colorado Secretary of State's Office).
❑ B. Copy of operating agreement.
❑ C. Certificate of Authority(if foreign company).
VM. MANAGER REGISTRATION FOR HOTEL AND RESTAURANT,TAVERN LICENSES WHEN INCLUDED WITH THIS
APPLICATION
❑ A. $75.00 fee.
❑ B. Individual History Record(DR 8404-I).
I.
DR 6404(06/02)Pape 3
6. Is the applicant(including any of 0le partners.If a partnership:members or manager If a limited liability company;or officers,stock- Yes
holders or directors if a corporation)or manager under the age of Menty-one years?
7. Has the applicant(Including any of the partners.if a partnership;members or manager if a limited liability company;or officers,
stockholders or directors H a corporation)or manager ever(in Colorado or any other state);
(a) been denied an alcoholic beverage license? 0
(b) had an alcoholic beverage tcense suspended or revoked? 0
(c) had Interest in another entity that had an alcoholic beverage license suspended or revoked? U
6 you answered yes 10?Lbw c,explain in detail on a separate sheet.
Be. Has a liquor license application(same license sass),that was located within 500 feet of Die proposed premises,been denied within the
preceding two years?flea'explain n detail. 0
6b. Hasa 3.2 beer license for the premises to be licensed been denied within the preceding one year?If'yes,'explain In detail. 0
9. Are the premises to be licensed within 500 feet of any public or private school that meets compulsory education requirements of 0 51
Colorado law,a the principal campus of any college,university or seminary?
10. Has a liquor or beer license ever been issued to the applicant(including any d the partners.If a partnership;members or manager if a ,,,,,((
limited liability campanili or officers,stockholders a directors If a corporation)?8 yes.Identify the name of the business and list any ❑ fp
current financial interest in said business including any loans b or Iron a licensee.
11. Does the Applicant,as listed on line 2 of this application,have legal possession of the premises for at least 1 year from the dale that Isiss
ued will be by virtue of ownership,lease or other arrangement? th ❑
ship ❑ Lease ❑ Other(Explain in Derail
a.D leased,list name of landlord and tenant,and dale of expiry ion,EXACTLY as they appear on the lease:
Landlord Tenant Expires
Attach a diagram and outline the area to be licensed(Including dimensions)which shows the bars,brewery,walls,partitions,entrances,exits
and what each room shall be utilized for in this business.This diagram should be no larger than 8 I/2"X Ili.(Doesn't have to be to scale)
12. Who,besides the owners listed in this application(including persons,fine,partnerships,corporations,limited Debility companies),
will loan or give money,inventory.furniture or equipment to or for use In this business;or who will receive money from this business.
Attach a separate sheer II necessary.
NAME DATE OF BIRTH FEIN OR SSN INTEREST
Attach copies of all notes and security instruments,and any written agreement,or details of any oral agreement,by which
any person(including partnerships,corporations,limited liability companies,etc.)will share In the profit or gross proceeds of
this establishment,and any agreement relating to the business which is contingent or conditional In any way by volume,
profit,saes,giving of advice or consultation,
19. Optional Premises or Hotel and Restaurant Licenses with Optional Premises Yes No
A local ordnance or resolution authorizing optional premises has been adopted. 0 0
Number of separate Optional Premises areas requested.
It Liquor Licensed Drug Store applicants,answer tie following:
(a) Does Iha applicant for a Liquor Licensed Drug Store have a license issued by the Colorado Board of Yes No
Pharmacy?COPY MUST BE ATTACHED. 0 ❑
IS. Club Liquor License applicants answer the following and attach:
(a) Is the applicant organization operated solely for a national,social.fraternal,patriotic,political or athletic purpose and 0 0
not for pecuniary gain?
(b) Is the applicant organization a regularly chartered branch,lodge or chapter of a national organization which is 0 0
operated solely for the object of a patriotic or fraternal organization or society,but nor for pecuniary gain?
(c) How long has the club been incorporated? (d) How long has applicant occupied the premises
(Three years required) to be licensed as a dub?(Three years required)
16. Brew-Pub License Applicants answer the following:
(a) Has the applicant received or applied for a Federal Brewers Notice? 0 0
(Copy of notice or application must be attached)
17a. Name ol Manager Martian? Cnn4,r/ (If this is an application fora Hotel, Date of Birth
Restaurant or Tavern Leen4 the manager must also submit an Individual History Record(DR 8404-I).
170. Does this manager act as the manager of,or have a financial interest In,any other liquor Yes No
licensed establishment in the State of Colorado? D yes.provide name,type of license and account number. 0 0
18. Tax Dbhalnt Information. Does the applicant or any other person listed on this application and including its parutas,officers, yes No
directors,stockholders,members(LLC)or managing members(LLC)and any other persons with a 10%or greater financial interest
In the applicant currently have an oulstandIng tax distraint issued to them by the Colorado Oepartmenl of Revenue? ❑ tg
If yes,provide an explanation and include copies of any payment agreements.
•
r i
DR e104(0602)Papa 4
19. If applicant is a corporation,partnership,association or a limited liability company,it Is required to list by position all oeoers and directors,
general partners,managing members,all stockholders,partners(including limited partners)and members who have a 10%or greater
financial Mlerest in the applicant.All persons listed here or by attachment must submit and attach a DR 8404-I(Individual History Record)
and provide engerpmlt cards to their local licensing authority.
NAME HOME ADDRESS,CITY&STATE DATE OF
BIRTH POSITION %OWNED
� _
IFOv je2;�"6ca 75!y/ U. /S.2 gale/JJam,ltd. /
6u,Woil- 50
20. Has the Applicant provided,or does the applicant Intend to provide Their staff with server training. Yes No
Additional Documents to be submitted by type of entity
❑CORPORATION ❑ Cert.of l Corp. ❑ Can.of Good Standing(it more than 2 yrs.old) ❑ Cert.of Auth.(id a foreign corp.)
u1❑p1l Ay PARTNERSHIP ❑Partnership Agreement(General or Limited) ❑Husband and Wits partnership(no written agreement)
.Cy UNITED UABIUTY COMPANY Articles of Organization ❑ Cert.of Authority(if foreign company) ❑ Operating Agrrn.
❑ASSOCIATION OR OTHER Attach copy of agreements creating association or relalorehTh between the parties
Registered Agent(if applicable) Address for Service
OATH OF APPLICANT
I declare under penalty of perjury in the second degree Mat this application and all attachments are eve,correct and complete
to the best of my knowledge.I also acknowledge that it is my responsibility and the responsibility of my agents and employees
to comply with the provisions of the Colorado Liquor or Beer Code which affect my line. Date
TridsgMiveke2A721. Tama
D /-o33
REPORT AND APPROVAL OF LOCAL LICENSING AUTHORITY(CITY/COUNTY)
Date application filed with local authority Date of local authority hearing(for new license applicants;cannot be less
than 30 days from date of application 12.47-311(1))C.R.S.
.3- y-RW3
Each person required to lie 0R 8404-I: Yes No
a.Has been eigerpdnwd ❑ ❑
b.BaGpound Imaeteaton and NCIC end CCC cheat for ouatandng warrants conducted
c.The local authpdty has already conducted,at intends lo conduct.a Pemba impaction to insure that the applicant It 0 0
in compliance with,and aware of,liquor code provisions affecting their class of iconse.
If not does the authomatey want the mate to conduct such an inspection. (date& 'bnl 0 ❑
The foregoing application has been examined;and the premises,business lobe conducted,and character of the applicant are satisfactory.
Wedo report thatsuch license.if granted,will meet the reasonable requirements of the neighborhood and the desires of the adult inhabitants,
and will comply with the provisions of Title 12,Article 46 or 47,C.R.S. THEREFORE.THIS APPLICATION IS APPROVED.
Local Licensing Authority for Telephone Number ❑ TOWN,CITY
H Count . Colorado (970) 356-4000 X 4200 COUNTY
Signaturei h ''\ Title Cha , Board of Date
u Cods Loners 3/31/03
Signal (0a �� A AA Title • Date
,y //` • • 11 UP. - Clerk to the Board 3/31/03
If premises are located within a t• '% .i 1 -y.c a• -hould be signed by the mayor and clerk,if In a county,then by the chairman
of the board of county commissions •�- •r- - m '� 'ylf,by ordinance or otherwise,the local licensing authority is some other official,
then such approval should be given 0�•
I I
•
sow 1
3q
1
fri'*CVO' , O7 I ,. /3 rargr a ..;
F
' rdaD
}
1
S
rel
1
i
I y
M• -
(/��/yp I
I
fil al
ea a 1 ,t
�-- r r. C S
. (8 .�•. . I
a
XJ
I
a
x
,r.ii t .
• � l OJ
C. Z 0 A 1
V
I it
Crib. i
•
•
� i
litib I:
ati
•
0 /
I .
I
z
I
•
re
a
1 `I
•
•
1
A.
'fin—; et -g-LF-K/?
AFFIDAVIT OF TRANSFER
AND STATEMENT OF COMPLIANCE
Pursuant to the requirements of 12-47-303(3)(b), Colorado Revised Statutes,
Licensee hereby states that all accounts for alcohol beverages sold to the
Applicant are:
K Paid in full.There are no outstanding accounts with any Colorado
Wholesalers.
Licensee hereby certifies that the following is a complete list of accounts
for alcohol beverages that are unpaid:
Licensee and Applicant agree that all accounts will be paid for from the
proceeds at closing by the: _Licensee _Applicant
Applicant will assume full responsibility for payment of the outstanding
accounts as listed above.
Licensee hereby authorizes the transfer of its Colorado Retail Liquor License to
the Applicant, its agent, or a company, corporation, partnership or other business
entity to be formed by the Applicant.
Dated this / day of A (€ t , 200 S.
en (Seller) Date A lice (Buyer) Date
OR 8404-I (06/02)
COLORADO DEPARTMENT OF REVENUE
LIQUOR ENFORCEMENT DIVISION
1881 PIERCE STREET RM 108A
DENVER CO 80261
INDIVIDUAL HISTORY RECORD
To be completed by each individual applicant, all general partners of a partnership,all limited partners owning 10% (or more)
of a partnership; all officers and directors of a corporation, all stockholders of a corporation owning 10% (or more)of the stock
of such corporation; all limited liability company MANAGING members, Officers or other limited liability company members
with a 10% (or more)ownership interest in such company and all managers of a Hotel and Restaurant or a Tavern License.
NOTICE:This individual history record provides basic information which is necessary for the licensing authority investigation.
All questions must be answered in their entirety or your application may be delayed or not processed. EVERY answer you give
will be checked for its truthfulness.A deliberate falsehood or omission will Jeopardize the application as such falsehood
within Itself constitutes evidence regarding the character of the applicant.
1.Name of Business
Dewe /s BRF/ge1id
2.Your Full Name(last,firs(middle) 3.List any other names you have used.
-5AAj6e.G C.ce/
4.Mailing address(if different horm'residence) Home Telephone
970 - 7s5--.G7514
S.List all residence addresses below.Include current and previous addresses for the past five years.
STREET AND NUMBER CITY,STATE, ZIP FROM TO
Current
37'eV/ .ems /373 S741,deAa.7 ( o z.5r/
Previous
S.Date of Birth Social Security Number(SSN) Place
�of Birth 7.U.S.Citizen?
_ 4c/'.rJG 1Zf Yes ❑No
If Naturalized,state where When Name of District Court
Naturalization Certificate Number Date of Certification If an Alien,Give Alien's Registration Card Number Permanent Residence Card Number
8./Height Weight Hair Color Eye/ Color Sex Race 9.Do you have a current Driver's
10.List the name(s)of relatives working in or holding a financial interest in the Colorado alcohol beverage industry.
��NAME OF RELATIVE RELATIONSHIP TO YOU POSITION HELD NAME OF EMPLOYER
/I illylef cSaniO&r (ali e. en-Owner (50%) .lis Rio.. .&.;ii
11.Have you ever appfied for,held.or had an interest in a State of Colorado Liquor or Beer license,or loaned money,furniture or fixtures,equipment or
inventory,to any liquor or beer licensee?If yes,answer in detail. ®Yes No
a 6R ��eeys k', erv� ejis Tier (ae. //
I I
i I.
12.Have you ever been convicted of a crime,or received a suspended sentence,deferred sentence,or forfeited bail for any offense in criminal or military
court or do you have any charges pending?(It yes,explain in detail.) r1 Yes , 'No
13.Have you ever received a violation notice,suspension or revocation,for a liquor law violation,or have you applied for or been denied a liquor or beer
license anywhere in the U.S.?If yes,explain in detail. ❑Yes kNo
14.List all current and former employers or businesses engaged in within the last five years(Attach separate sheet if necessary)
NAME OF EMPLOYER _ ADDRESS(STREET,NUMBER,CITY,STATE,ZIP) POSITION HELD _FROM TO
Dewey-s .FAki6a// 41/G// /oi9t4/e lot OLvxiet
Sc/r .37 '/ .eD /4-3 /96.8 aoas
15.Financial Information.
Total purchase price$ 4OHO _ (if buying an existing business)OR list the total amount of your investment in the new business,
including notes,loans,cash,services or equipment,and operating capital $
Provide details of Investment. You must account for the sources of ALL cash(how acquired).Attach a separate sheet if needed.
Type:Cash,Services or Equipment Where Obtained(Savings,Checking,Account,etc.) Amount
f�usrncc 1propu? (IammunIf., .M J 45.OGG
Loan Information(attach copies of ell notes or loans)
Name of Lender Address I Term I Security I Amount
16.Give name of bank where business account will be maintained;name the account will be maintained under;and the name or names of persons
authorized to draw thereon.
GO U014), j / re-a/
l ewcys Si e i rp7,6 11 LLB ` 0—eeeys-'0,4-ice S/9074,,,...,
Oath of Applicant
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.
Au rued Signature cTitle Date
I
MAy gnat-(41 �1iali 5-/-a 3
r 7
DR 8404-I (06/02)
COLORADO DEPARTMENT OF REVENUE
LIQUOR ENFORCEMENT DIVISION
1881 PIERCE STREET RM 108A
DENVER CO 80281
INDIVIDUAL HISTORY RECORD
To be completed by each individual applicant,all general partners of a partnership, all limited partners owning 10% (or more)
of a partnership;all officers and directors of a corporation, all stockholders of a corporation owning 10% (or more)of the stock
of such corporation;all limited liability company MANAGING members, Officers or other limited liability company members
with a 10% (or more)ownership interest in such company and all managers of a Hotel and Restaurant or a Tavern License.
NOTICE:This individual history record provides basic information which is necessary for the licensing authority investigation.
All questions must be answered in their entirety or your application may be delayed or not processed, EVERY answer you give
will be checked for its truthfulness.A deliberate falsehood or omission will Jeopardize the application as such falsehood
within itself constitutes evidence regarding the character of the applicant.
1.Nam of Business I
LLd
2.Your Full me(I t,first,m die) 3.List any other names you have used.
< AMhFt 11RJeVtEf /rifle-arE
4.Mailing address(if different from residence) V Home Telephone
970- 73r5-0174'4f
5.List all residence addresses below. Include current and previous addresses for the past five years.
STREET AND NUMBER CITY,STATE, ZIP FROM TO
Current q
37t/ O
`// . 15 '- Salon€KRnt , faro. g'o,ci /9(v,F 7oo3._
Previous
Date of s.
state where `/ When a Name of District Court
Naturalization Certificate Number Date of Certification If an Alien,Give Alien's Registration Card Number Permanent Residence Card Number
8.Height Weight Hair Color Eye Color Sex Race 9.Do you have a current Driver's License?If so,give number 8 state
5)7rr 180 ego glue W 0Yes DNo .
10.List the name(s)of relatives working in or holding a financial interest in the Colorado alcohol beverage industry.
NAME OFRELATIVE RELATIONSHIP TO YOU POSITION HELD NAME OF EEMPLOYERjpmJ cJ6/r1Ji[r•-• InuSG,o d On-owner (50°k) ) n.11 s ?an-w ar:i
ll
11.Have you ever applied for,held,or had an interest in a State of Colorado Liquor or er License,or loaned money,furniture or fixtures,equipment or
inventory,to any liquor or beer licensee?If yes,answer in detail. Yes sNo
T I
12.Have you ever been convicted of a crime,or received a suspended sentence,deferred entente,or forfeited bail for any offense in criminal or military
court or do you have any charges pending?(If yes,explain In detail.) EI Yes J No
13.Have you ever received a violation notice,suspension or revocation, or liquor law violation,or have you applied for or beer denied a liquor or beer
license anywhere in the U.S.?If yes,explain In detail. E Yes No
14.List all current and former employers or businesses engaged in within the last five years(Attach separate sheet if necessary)
t i\ NAME OF EMPLOYER ADDRESS(STREET,NUMBER,CITY,STATE,ZIP) POSITION HELD FROM TO
1..)etc)?cri (s /,4/ NH"WE flue Maxo e0- .awn 2003.
Cc I-i` 17yy/ led. /s3 /96g 200 1
15.Financial Information.
n.
Total purchase price$ 4fi /Y)0 (if buying an existing business)OR list the total amount of your investment in the new business.
including notes,loans,cash,services or equipment,and operating capital $
Provide details of Investment. You must account for the sources of ALL cash(how acquired).Attach a separate sheet if needed.
Type:Cash,Services or Equipment Where Obtained(Savings,Checking,Account,etc.) Amount
3f6i/Lnf pruprrli eStrxvwrut9 g,-d- 15 ace
Loan Information(attach copies of all notes or loans)
Name of Lender Address Term Security Amount
16.Give name of bank where business account will be maintained;name the account will be maintained under;and the name or names of persons
authorized to draw thereon.
of,ill munl'f(I Rat
Dewgy 's 81141% '4(trrr1 ad- -- :rite-1W ! 1104evaIt &mb?t
d Oath of Applicant
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.
Autho' ed Signature Title Date
r5 ,fla,PC- AC—/ei f.�ti 3- 1-0 S-
r 1
March 6, 2003
In regards to Margie and Jerry Samber and Dewey's
Bar & Grill in Stoneham, Colorado.
We have known Margie and Jerry for 40 years. They
are responsible, respected citizens of our community
and they would be conscientious holders of a liquor
license.
Sincerely,
/WL Q l w iilf.Ce (>. 22ecif-t_c.-ap
Ronald C. NorthrupA. Northrup ice
r i
March 7, 2003
Weld County Commissioners
915 10th Street
Greeley, CO
Dear Commissioners:
We are writing in support of the renewal of a liquor license for
Jerry and Margie Somber, owners and operators of Dewey's Bar &
Grill in Stoneham, CO.
Jerry and Margie are long time residents of the Stoneham
community and run a very fine restaurant. We have heard of no
negative incident, regarding alcohol or anything else, since
Dewey's was established in 2001.
The Sambers are responsible and solid citizens whose business
is a definite asset to our community. They are deserving of
renewal of their liquor license.
Sincerely,
1�'��eetc2lic�� J
Jay
di Eileen McCracken
1 1
March 5, 2003
I am writing in regards to Jerry and Margie Samber,owners of Dewey's Bar and
Grill. I have known Jerry and Margie for 20+years and have found them to be a couple
with tremendous dedication to their family and community, as well as any other endeavor
they may be involved in.
From community and school functions to being leaders at the community 4-H
fair, they both have shown there ability to work with various situations in a very
professional and responsible manner.
There latest project,Dewey's, has been a great asset to the community and as with
everything they do it has been handled with the same professionalism and integrity they
have maintained in the past.
It has been my pleasure to be associated with Jerry and Margie over the years.
Sincerely,
Guy McEn er
Mail to: Secretary of State IFor office use only
Corporations Section
1560 Broadway, Suite 200
Denver,CO 80202
(303) 8942251
Fax(303) 894-2242 Pam.cusro, COPY
DONErrA DA N
COLORADO SECRET Y OF STATE
MUST BE TYPED "'JO�I 1�u5 M
FILING FEE: $50.0011.;00
MUST SUBMIT TWO COPIES SECRETARY O :TnTE
r 07 /Ii,nn 1r.ry --
--lli'LUtic 2-.`S.
Please include ARTICLES OF ORGANIZATION
a typed self-
addressed
envelope
I/We the undersigned natural person(s) of the age of eighteen years or more,acting as organizer(s)
of a limited liability company under the Colorado Limited Liability Company Act,adopt the following
Articles of Organization for such limited liability company:
FIRST: The name of limited liability company is DEWEY'S BAR& GRILL,LLC..
SECOND: Principal place of business: 41611 Marble Avenue, Stoneham,CO 80754.
THIRD: The street address of the initial registered office of the limited liability company is: . --
41611 Marble Avenue,Stoneham,CO 80754
The mailing address (if different from above) of the initial registered office of the
limited liability company is: n/a
The name of its proposed registered agent in Colorado at that address is Jerry
Samber.
FOURTH: The management is vested in members.
FIFTH: The names and business addresses of the initial manager or managers or if the
management is vested in the members,rather than managers,the names and addresses
of the member or members are:
I J
• •d/
NAME ADDRESS (include zip code)
Jerry Samber 41611 Marble Avenue,Stoneham,CO 80754
SIXTH: The name and address of each organizer is:
NAME ADDRESS (include zip code)
Jerry Samba 41611 Marble Avenue,Stoneham, CO 80754
Signed 1� .�annL ' ..a.'
i
> I
uo�ganc o
Agri11111111111 MOON 11111A111111111011111N111111111� mania
t 5 1 R SAO D LAB Weld Comity RR ICS)
WARRANTY DEED
THIS DEED,made this tilt It day of Awl Cif 2000,betweenJOHN JOHNSON of the County
of Morgan,State ofColondo,Grantor and JERRY B}1MBERandMARGARECSAMBER.aajolnttenants, Vv ,
whose legal address is 37441 WCR 153,Stoneham,attic County of Weld,State of Colorado,Grantees
Tan Thousand
I'I WNESSETH,That the Grantor,for and in consideration of the sum ofThlikDollan and other good
and valuable consideradab the receipt and sufficiency of which is hereby acknowledged,has granted, kr
bargained,sold and conveyed,and by these presents does grant,bargain,sell convey,and confirm,unto the(yV
G rantees,their heirs end assigns forever,all the real property,together with hnprovemenb,if any,situate,lying
and being hi the County of Weld,State of Colorado,described as follows:
Lou Ten(10),Eleven(11).and Twetve(12),Block Three(3),Town of New Stoneham.W eld
• County,Colorado
TOGETHER with all and singular the fimeditaments and appurtenances thereto belonging,or in
anywise appertaining,and the revision and reversions,remainder and remainders,rents,issues and profits
thereof,and all the estate,right,title,interest,Claim and demand whatsoever of the Grantor,either in law or
equity,of,in and to the above bargained premises,with the heredibments and appurtenances.
TOHAVEANDTOHOLDthe said premisesaia vebergainedand descnbedwith the appurtenances,
into the Grantees,their heirs and assigns forever. And the Grantor for himself,his heirs and personal
representatives,don covenant,Brat,bargain,and agree to and with the Grantees,thei r heirs and assigns,that
at then=ottheenaealiiganddeliveryofthesepresents,was well seized of the premisesaboveconveyed,has
good,sure,perfect,absolute and indefeasible estate of inheritance,in law,In fee simple,and has good right,
full power and authorityto grant,bargain,sell andcoeveythe same in manner and form as aforesaid,and that
the same are free and der from all former and other grant;bargains,sales, liens,taxes,assessments,
anwmbraneea,and restrictions of whateverkind or ordure whatsoever,except taxes for the year 2000,due and
payable 1n2001,and thereafter,existingroads,public highways,established easementsand rigasofway;oil,
gas and mineral reservations,conveyances and leases of record;restrictions and liabilities by reason of
inclusion in any special assessment district;and zoning,subdivision and use restrictions of patent,if any.
The Grantor shall and will WARRANT AND FOREVER DEFEND the above-bargained premises
in the quiet and peaceable possession of the Grantees,their heirs and assign;against all and every person or
persons Iawflrlly claiming the whole or any pun thereof.
IN WITNESS WHEREOF, the Grantor has executed this deed on the date set forth above.
^
STATE OF COLORADO ) •
COUNTY OF ltleLd )
Tkeforegoing instrument was acknowhedged before nothis dayofAlima:f 2000,by John
Johnson. '"'
Witness my had and official seal.
My commission expires: 719iR3ri con ,�°.�-
N " Fubh.tC V:, NABO11 jr
(� A .._.
d Meta ... �'
Kra and White Crerha Newts Cues .. -,. 311013.CAI)✓' lin+�1nr/'.
•
•
s'1 •
6n1�::.. .. t C
'nllNmF;hn Do Tetlsr.'mod /FMJ�L.M.9� 2000 • :,n,.. .,
rJ
JBRRT SANER* and NARGaRE'f SANDEE .
AA yank.fickle*. Nov althea Iv
37441 Fick 153, Stoneham.
'Corm?or Weld and Stale of CWIauM.aol Ore
Iglfll.lf"1ROS1'kli of ay Olney or Chy and Comely hi whkh IM A rrrerly&.rilol Iwh..I.aAnMl.ia as.Slug xr°thank%
Miaow
1Meaaaam.Oa mina aomirwy sae or auks.hocinane,tabled la in The Angular.doled of even date
Fn the hard rrhrciial akin or $6000.00 N I
Albs.ryplde in She auk;of JOHN JOHNSON
de lwrMkhary lad;..hare mkMn la 18761 Mogan County Road JJ, Fort Horgan, CO 80701
• fileaiatrNrhn4ai1nadi hOialomulaaom[x!: .eke IFn rkk ewrtld.
as follows: $3000.00 on or before January 10, 2001, wenµdatthearemaini alannccek of
I300f 9�M pe!),1egora56,at the rate of 6Z-per amnia front January 10, 2001, on or
•Yee n mt15wuuF an lhddkTm,kr are Fdkmhrf,leenlbll ra•lariy.awwlt In ft
.4 Weld Roe.4 Cla inns.In wit •
C'"'ntr
Lot, Ten (10), Eleven (11), and Twelve (12), Block Three (3),
Town of New Stonehew, Weld County, Colorado
•
oho loos ono onamelhrra: 41611 Marble Avenue, Stoneham, CO 80754
entmwn'aewNak is io i Dumber. •
110 Nan!ANnawelnD0.mar brio*Ithreaapitoomm..hEun,.,eh..ea Y,y.•Wilda'Y Ow WwW.aw
4mo.... .wawa n111.4w,wi1L.n i, YRTMikle, aYiha*M Krr ilsona anneals,Mr.all NM.'Nola.
w..en Y, Mra .wnnitWwriMd
On So ex a„a le Narwr My µl woke*0 arr.a,Wy ma*it,M,.rrri rnrweherYMk'waele..l.nwaawlnp,aa m*W Wahl.*
l4If.eer.:%wall mak n Yawn Fr. lrarn_Iwartrraw,.an,ans dFawn.False
�wM the main Ns+YrNe. ,tel.,�ir.wl aril*.fniA,IIW.Mw�h•ea *,MIMI, M.Ibt Imelda, maw maiI w:W,annrna�r4FaWllsa4re�IraiaTYM1lewl,raYf Ylla,rtwrwJ
'Ieire...wr.a.n awwa.lime i 2hary.i Sty Once*.I.haint.i 'mow w,eN *, a AMYah.
'mom Y he w.ei.W M W yap,h tee Aro.l..wea.e .p
74.Dram ah...wanYa y.akT MYWty.YrN.a.•grime..NI s**gut** rub.n.awksic 4h tee.Oa!alive ry arw.ly Iwr4w.µ an Ow .**�.*p•pin and ra.w Marl W laa.r,y wl
raw.*II brew*Mho 4iWYAn•Eat Weal..ail h rave W a.naaxt.k Del inn wrw.Y!+'4 • reYrnem l pgYe , WM
rraI Mrs • reuonahle aria.
wranameeinedlly,Or hemen Y,,.aM hmrw al, S tingescebt n*raeeawpgnn.we pa*.Prmew almai'nand winuw e
baaa.Irwrwae,'*1 c•••••••••••••••••••a h+Nwr 1. Rib,bat
bnwwhr:Wa.r.x.ee.4Dhi,Aw W./.r M.YMrY WIrwTxawe
•oh." ad ad Ana,�H whk•is rick nn„rai..Mel Yah•rytp.6.arnw.*went.t..he"e In Yr errN.W,lk.n
wMoul �smnr.r.nrr b,MllwpW iv so.rrahyhw,l bha!Adl
'el'n��anbMarti.a r)er leas a W, .thrrr.l Dry lrara),home W axed Ion M N allY.tyeF.aa ,.rnlrxwr., iir.eannnhaarhY.,
ion. rnDabeW�enMh,�Ik.iW 1.Nrn M laaiwb lw W lard.'�adal yr�.ee..Ye/rhurinn***inmost It lib�niy•
n
h.lr LI M1mr awaw b*ova b bin £Lwnwnkwi.e{ mom h•amcs,t Yar.YMpW l..hr Winn,4,nM,k w nun s.wswe l Wr'014,4111 mMFr it...Amino Y•Rnlat ir�M~..YW�Y'avM,l.wa
hgeLaWte YraYb .,...wti.�I^b yelw Ywwaa,Yr l:laya,e...rw.IrM.Yx•aw b 1 kwiw..w.ra Y.wAnh,r MrerMrw Alta
w M'r'iMA..wrrl.Wl.ewe•
r"AnRu F.Kwlrb,,en t2 �wh one,...Y IAldsoy.en M alas airy Math.F.aMpa nIr.Il.WwwrZalUw. 'rat,
rn..ny..loraae.waal.lap Doan r1
warm.,'Memoir. for alk, in.halwwvpima.11 ie,dw,1 , rid 'w Malnne,Na. ratrh.MOMM.kn.AY.Iw.larDr,
Ia.i.'hM Y 4.1a Mew re.'Plhe Yen.MnrW al4.:nahn..w.rw,Wroila Wrk roll* .i.nyel a.1..sal'es bo s, ,Mw a,1/y�f'Q4meiRaigerat ar
a>11
STMT OF COUMADO Barger,"
Cloned
TM Rowing liniment um:ksmktlied Mom nw Ih6 1 %"i /1
hr Jerry Saber and Margaret amber.
day of `(143431. tan 200(
Alymmnwiwow rein 7(9/0 ... Mho",my hand mot alkld end.
'WOab,
la Dram Fawn'til, r t ahem .Ilk
Aa&oou
w riwa.rawew.':' w/'o,.wnh. . l.cw
No.MC.aer.4N. naawaanfl ' -16..rh' nsbrla,e
INNIS ^ ..'nOwYmb,ttwnC0 9a1—Ia11 MOm—•
FA
•
•
SPR-24-2001 09:42 p.01
r
( H-ad{‘ o Ja rr ter . s
TMR NUN ILLS IYNMTRIIT ULLL CUS1 IIYpl HO TN!NiTIp}IpnU canto LEGG CW 1150.UM S1tNmp
�7 j tUSINMIS LEASE •
.�»
Doh lust mod AoA I 23 2OO1 .isbetween 3-.C Ray SRO)4)Q ,
�
6 i rIA12C.-Res SAMh et_ .wI-Illal«a
d zncfef&y S&nbete _......._..._-._.as Tama.
In amidntioa dtAe psymem&the pmt and the pctfonnence ofthe covenants and agreements by the imam set forth baeio.
the Landlord does hereby lease to the Tenant the following described premises situate in Or If)
1
Cedty,le the DMA&Colorado(the addren&which is al1/61.// /77/r1.2R/e ..An,E
Lo-lg 10 - /r - IA Rjock 3
bol Said premises,with au the appurtenances.are leased to the Trent from the data of SA N 6t A RJ 12C,ib/•
•
„nil die aped Tolima / 20)Ot am for a metal for the fan tam ofS •l.9 Pee a/`_Q {
F *+4f_'
payable m.why hatalhants of
•
•
. In advance,ea the_day ofeach calendar month dosing the teem adds lease,payable In
nuns •'eRQalt Ill3lioci
THE TENANT,IN CONSIDERATION OF THE LEASING OF THE PREMISES AGREES AS FOLLOWS: ''
I.The Tenn shall pay the rem a the premises ab«odawibed.
2.The Team,than,at to expiration of this last surrender the magus last bond a condition as when the linnet tinned tee praria
adirvy award rte amassed.The Ram Ad Imp all sidewalks on ad orood the pinta fret and dear d ice and son.;keep me at
atedw aranim Rte Ron all drone,dirt,debris and obstructions:and keep to premier«in a clean and sanitary condition as repaired by the
deems=or Me ehy ad many in which the property Is silent
3.The Raab hat not saga any pert ape premises,err anipt the laic re any intend therein without the writes teens?of the
''°4. CATe?th.,ey'f!
a.The Jan use the premiere oohs*
law of the UNred States or the State deoloado.«&Ib ordinama of site d ry ond r tow In which aall ma use the sk aisoms plopsp adnhiallBaa
permit m mar any diroedaly cndtat noise or manna ha a d ca anima noting
dMeni omba-bs
ms dntk.tit theca and paean ad}wnprmdo.
s.The loam Than neither mm hold,erred by a y hdd,the ondlod.its alpha contractors and m thepset liable r«teg Marx amyd
tdaarernepdwe braking cc abs Mtn
any macsr.ewdhionm the
shy norms upon,aYWe tbiteb uWikeiieantl 44th* '
sand byla
lmcndged or breaking e acts or opdds gemWLa d or. of tt• pemany duke each able r basting agnates;whiror
mama a Wedged in d.c or ern w emipitr of the laded.N«wbearedam any duty the Landlord ray hate :mid ter a Naprienies.
atm the
theIbsar orrany employees.
cet ents lmkeehe o levers or eeth Dentists are dammed bythe IlaglIgem an
ckless of such
isitormal«Uqu
d dr'Thnot spry emed,li agents.invitees,limners«mmmtwathe Teases Ad ran her can&such repair«npg,1 The
Ram shall hold kaioeareoptty .agents am theirropemce anon and ma.ofI bermes and astwc.t1 from dlbpi'.nfstep
or dame teeny person or pmparty wbik on the demised aatt,s ornaydmtwn of sake anthem Basin inns my otd of!Month
eade ei whirls is measiaed by an ICI a mseb.d Teas,In mermen.anon.invitees.sancta a corn attOta The Iapald'.m
raav&ble En my dome or therpe k a the Erma a pentad mopany.
6.toThe be am than cent permit err niter mid amber,or the with w loon thwart to ispn be endangered by overdo sing,nay aid
premises m used fin my pane which would make the Insurance themes weds the insurance risk moot beanbag,on may
alterations7. N or danpt m,upon.to about said promos without hen mbtalnhy to written mean of the Landlord.
7.The Team owl obtain ad hap in full fn.at Tanta expense Ike and Iiababin=a pry
r bin= be newshir letdel r la
I laded.hmm shall mock*runlet dwelt harratwrate polices alma the seat S meson.
Tessaa L The Tessa n pomp tan Wad a OM<•-p'wRm"Me tw tee leased premises at say Moe Jar drty(6%Grt the
end deka leas
9.The Taunt tall dm the landlord to tea upon the invokes at any ramble hoer
•
R IS OMRFll9ts tJNDERSIOOD AND AGREED BETWEEN LA N04.00.0 AND TENANT AS FOLLOWS '
10.The Tempt shall be rareaeble Re prying des follkwiay O Electric TI Cm rifts C Sewn O Mice 0 RMne l'
Chained Services OOther _
The 0laderd ❑Teamm agrees to top all the heprw,®ew rpm the pads.iodating he not limited to,ttnem.rai.aM
has d aMdor walls toes,Snag.roots,ream tmmttinns dambia4 wiring and S"In good mamma=ad repard`pr .
I.flt the Laded en rwpenhle For repair grebe pradaer,des Tenn shat be obliged to reedy them Landlord dray faali4r. the
peadssf requiting repair sad the Led«d sap be presided a reasonable time a mmmplit old reek t
II.it assts.emelt or implied.to nay brats or*halt of any es or man of the aataacmn tmtotshall he deemed or lake t4 be a
wailer m y. B s ans other bath a Odeon. II wy d
I 12.If.der de rep peahen of his leas.to Tenn Nab ramie in mansion at Se premises and nantlrnm to pay rent widmsa whoa I
apamtm as to sorb amoeba.then melt tenancy than be regarded B•moon-u o.wb teaawe%al a monthly rowel.pgabk in dunce
Iemtdees to the lea month%rem paid trader this as and subject to all the term and amlitioes or this lease U gibe m II
. eph taunt
d anypastoftnthireservwlpaa d daisnotpaid,dimthelaoday m .withoutbcinsd a Aladto .I
do Stead without terminating this least retake outstation of the sLL premises sad rent the maw for such hat.and upon such conditions m the
fade nt d may nth*best taking nod.changes and otm repairs as maybe nalred.alvina credit for the l&end so seabed less nil Mows of
sad dialects and repairs,ad tailran herein
dell heble for the balance of the n media.reined mil the media.of the lain OrM le
an.oe. 1!
rte.Ida.Wes In. atssNY�MSC M�AS�C C.g.ys not 6Brodkin.Brodkin.Prll .1413 Water`b..Dann.CO S0202—VYan!,atl—wewSn«or4PbHNeptwn—i'HIM
I
I
i
PPR-24-2081 09:43 P.02
w
/ 0 d
14.The Lucian?aakmaleA n mop of.deposit in the emus e,3 tabs held by the Landlord for the SWIM
Woman Mal onto Sota coedtiasa and nonusers of St lase.The MOM may Maly tin depOYt to QM my k*vh earl W iris
&this Iran and Ibis aims to the Timm for the blase.1be item my non applY the dance haadee to in pyral MUM IFS epyewd
hinder et*A pertinence Maths abbe:Mum
it lads Trend arylbeie n.am hi ppmen of ay inmllaad el rod.or soy pardon pMreot Of in default Man.4 igpit. ' a s.
apeman IS farb inphis knee,and the deAuk asacto mains ud for a period of dm 11)411)4101 Nn Ladino U )4 the lad be,site.
Mond penitent to eprkbre line,that the Lmdbot men s the laadlerdl option.admits nay Mtlr AdhiNn remain✓
(a)dedare the tam M the less Mde;(b)tamleas the Team1 rent to pronmakn of the prang+end reenta and amuse tea
pennant to apeil ant peoaiume al the Caewdo Peibk Entry ad Dminesat.M:le)rooms penis and Nisi Mayes. withther
relkf to which the Landlord is adskd Id)punm bash of tonne amedln:aged le)Mon any fad it flask read'Mir q, wrty
la the elm trsaan k aeneMsd by a ems d default twin to tweediest of Mom the Teas dal b reerpnibk for the(� ins
for the mainb athe tea.Mien In the landlord's deny to minims seek Smart Punas to apprise tow(131.40-Ml wed
• 13.4M11e.5.C.RS.1 Mick is Stemmed by this excess'in the ewe reputed a abnswic Mml4el mdse the Imitative. jjpdsed
pay Innale lb•Uefetl peseta ens a writes malice to Quit wiMMt a rye,St are.Upon Mt ImwimtinS the f
sniilk my eat M MUM above- ed'redic& al l iilit I
sm
IA If the Fepeya the premed Mel be Mewed In stook or In inn by Ion the ctmce%or other(malty and it In lb soli M
the Iasdwd.they ones be rewired within Mew rennet frown aid holey and the landlord iepwm.the Moat of said es()T Ue
pawky us MI.pd in any papa and the tadlbsd infamy theltaai k dos em tins a repair as and dubs a smug p
Si.this lea,tall agnate in the dale arm 1*.,.la the nerd ides*tamimpia.Ws Ibis Mt immMyteysneaa pii pow
MUM pinnies and all sights thesis to the headily*.shall he raped a littme to mar the perish at mumble tie'tot nifse a
m my:and don not be Kahn few met amain abaaent said tree The Lionised shall han Us sign to inwdaetl sale
atk mosea el the pawn and shin ant be'Mk foe any k Mow w injury to the popsy or porn law Mare or ammo .lea
MS tbe maim
If dm Masi melts the peaisn wake newsy(Seem des Sae MI Me .is Non Am and aka sad the Taus veal Soya raked
a pay tea for ay MOM dead'.Map(90/dap gala whist the pews in vastly vaN for eeageay.
17.In the evma ay Aaete isle eosaMry m tans a she i m no the varpysm a my rag red'MI kali.ad o
lamed ow a m Menem the pang oee rein ii m it died ant be eroded,in adAloa a other demos m anent.to raS4g noble
suamy.lea fan the other prom lraee9
l4 la the twee any pewees tegdad heeler is in made within too rep)drys ant the payment is d m a its sham in do mewl of
%Mate liniment will be paid by tbibar.
19.In the net Ma mdeaaalka a other hiking by anyanmro.Iallal a.eay.at same sbe he mid tole,Iaadlkd Wont.the
Mar maMai Me a any soak pymaa
In.lit rents k made week dm apes udvrndly and we:seat dot in the was U."anal Mama Sdvae the laded my
dates We hen ended.and all dies or dm Rots hawed.pal t-shine AA caw
71.The Tale and the tandmd knee arc
•
•
•
I '
This be de,babeodbhma to all editing ed tram aysby dash.sot its punka M amino Me be in writing
avow was y Maras mil.ISSN shnwie;WAS remeliw pant pay beets provision lea 4
air
Mkor aklpsik the seminar ate Mesh.' be eased thereby and be dusaid and. .mbk to Me amate
The tat Meanly be saddled by ae edaoe.d. sired t al be m patina.Mk bait pan The him d hinted the pak permed .n .h
me®l.end aligns.Men and Min.the'MOIST ski pink the WMd.
Atka:
...—,...r
GUARANTEE •• -
par who ani.d.l lnaamte Per perms or tl.not and Si emfeemase ate rameants MI yotmme by the Rose kW*Ma
bet
• ma
ASSIGNMENT D ANCE
For all Teddies ,snipe,
aeip all dgu.elk sad Is lama a within Wed
*Spa the bd,imams and Mote Mtn Mplr,with the apes endmellatiat Wdam Mt die suntan call main Labe foe
the fmpysat of the re rntntd and the perfemasha don the womb and smears made a the tin by the Mart The lasignefel9
per Mn, and Sly maws de areenraa a ease dm Mips Sam dovish.anikinieh adds eaepeem 9WKlyyrr e
and p
de Wpafmes apt deemar* bytb- me U h�j�M�,(�/(� _11
_ .._�
CONSENT OF ASSIGNMENT !
Chen to asaslrraait of the*MB hap a•
kbaebidla.aft Seapaeat aedldt.h watt that the ISM.Air the prompt paaasWUa reef as perfornance the
assets an the inn MOM Tweet a bowie asSas,and that ernes aselpmaa ofsaid hiss aMtdry MUM premeat p in
Moot dal be made*sheet Ass'e'ts.p.Wef
Iwaa pas sae..
LANDLORDSAg6IFMEM .
hi aadsaiaMOne sea in bed ma flab,a sap le J EMI Mtrf at
ney_i.mT-,t_ade�idalt�.l�l dgy,ts.. •
Loss
•
/VI T0T* P.02
l
T I
st` 186i
VITEanc—L)
orni
'"%\
GpUNT Y
SPR- 335
PL STAFF REPORT RETAINED IN TYLER:e
REMAINDER RETAINED IN PAPER
LIQUOR FILE .
4 ORIGINAL CASE FILE MAINTAINED BY
PLANNING.
Pt t ‘9
SITE PLAN REVIEW
wilkAdministrative Review
�``y�r'�
i
COLORADO
Case #: PR - 335 Parcel #: 0727 05 015 004
Appliicant: Jerry & Margaret Samber (Dewey's Tavern ) Planner: Robert Anderson
37441 V' C R # 153
Stoneham , Colorado 80754
Legal Lots 10, 11 & 12 , Block 3, in the Unincorporated Town of Stoneham, Colorado
Description: being Part of Section 5p 17N , R5GW , 5'l PM . Weld County, CO
Location : South of WCR 86 and East of WCR 1473 Parcel Size : . 35 +/r Acres
Proposed Use: Tavern Zone District : C-3
Site Plan Review Standards
Meets the (intent
Comments of the Weld
County Code
Site Plan Certification Jncluded in Application YES
Retention Conditional! Approval per Memo - D. Heughiating, YES
Faciliiies/Engineering Weld County Department of Public Works , 12/05100
Off- street Parking YES
Loading Areas YES
Access, Traffic ilmpaetl Ccrwl!iitionnl Approval per Memo - L . Houyhtaling � YES
6 Circulation Weld County Department of Public Works . , 2x05/CO
6 Fl Setback Requirements 25 feet Y E S
Offset Requirements 10 feet Y E S
Landscaping YES
Trash Col1Bctiont' Storage YES
Potable Water YES
__Sewage Disposal YES
1
I
i
Operation Standards
t
Noise Y E S
Air Quality YES
Water Quality YES
Radiation YES
Neat YES
Light YES
Property Maintenance YES
This site plan review is approved with the attached conditions.
f , Prior to recording the Site Plan Review plat, the applicant shall address the following to the
Department of Planning Services' satisfaction :
A. The plat shall be amended to delineate the following :
1 ) This site will be required to meet all requirements of the American Disability
Act (ADA). ADA parking spaces are twenty (20) feet by eight (8) feet with
five (5) foot aisles. A minimum of one space must be van accessible with
an eight (8) foot aisle. An accessible path shall be required from the
building to the public right-of-war. Further, a portion of the structure will also
be required to meet accessibility req uirements. ( Departments of Planning
Services , Public Works)
2) The applicant has delineated thirty (30) parking spaces (with overflow lot)
for the facility which meet the requirements of the Weld County Code. The
dimensions of the parking stalls shall adhere to Chapter 23 , Article IV,
Division 1 of the Weld County Code . (Department of Planning Services)
3) The vehicle parking and office area shall adhere to Off Street Parking and
Loading Requirements, per Chapter 23, Article IV, Division Pi of the Weld
County Code . (Department of Planning Services)
4) The applicant will be required to satisfy the requirements of the Department
of Public Works regarding drainage as outlined in their referral dated
12/05100. Evidence of such shall be provided to the Department of Planning
Services. (Departments of Public Works , Planning Services)
5) The applicant shall delineate the location of all curb stops in the part ng
areas per Chapter 23, Article IV, Division 1 of the Weld County Code.
(Department of Planning Services)
2
I
i
6) The applicant shall adhere to the lighting requirements for- off-street parking/
loading areas per Chapter 23 , Article IV, Division 1 of the Weld County
Code , (Department of Planning Services)
7) In accordance with Chapter 23 , Article III , Division 4 of the Weld County
Code , the applicant shall screen all trash receptacles from adjacent rights-
of-way and adjacent properties, Further, the areas shall be designed in
such a manner that will prevent scattering of trash. (Department of Planning
Services)
B. The applicant shall submit a detailed Lardscape/Screening Plan that conformswith
the requirements of Chapter 23 , Article II , Division 3 of the Weld County Code.
The Landscape Plan shall be recorded on the Site Plan or may be recorded as a
separate Landscape Plane The Landscape Plan shall address the following
information :
1 ) An installation schedule which specifies when the landscaping will be
installed on site .
2) A Plant Material List specifying the Botanical and Common names of all
plant material to be installed; the size of the plant material at installation and
whether the plant material is to be containerized or B&B.
3 ) A landscape maintenance schedule which specifically states who will
perform maintenance and that maintenance is on-going and shall not end
upon final acceptance by the Department of Planning Services.
(Department of Planning Services)
C. The septic system shall be reviewed by a Colorado Registered Professional
Engineer. The review shall consist of observation of the system and a technical
review describing the systems ability to handle the proposed hydraulic load . The
review shall be submitted to the Environmental Health Services Division of the ' Veld
County Department of Public Health and Environment. In the event the system is
found to be Inadequately sized or constructed the system shall be brought into
compliance with current Regulations. (Department of Public Health and
Environment)
2. The following notes shall be placed on the Site Plan Review Plat:
1 ) In accordance with the Weld County Code, no land , building or structure
shall be changed in use or type of occupancy, developed , erected ,
constructed , reconstructed , moved or structurally altered or operated in the
Industrial Zone District until a Site Ran Review has been approved by the
Department of Planning Services. (Department of Planning Services)
2) The application does not propose any portion of the site to be leased to
another party. In the event that a portion of the building is proposed to be
3
•
4
leased to another party in the future, the applicant shall submit a copy of the
lease agreement and i nformatior, regarding the proposed use of the leased
portion to the Weld County Department of Planning Services for review.
Based upon the proposed use anWor- impacts of the leased portion , the
Department of Planning Services may require a new Site Plan Review
application. (Department of Planning Services)
3) The Proposed Use shall comply with the C-S Zone District requirements as
set forth in Section 23-3-230 of the Weld County Code. (Department of
Planning Services)
4) All signs located on the property shall require building permits and adhere
to Article IV (Supplemental District Regulations), Division 2 (Signs) of the
Weld County Code. (Department of Planning Services )
5) The site shall maintain compliance at all times with the requirements of the
Weld County Departments of Publicorks, Public Health and Environment?
Planning Services and Building Inspection.
6) Any future structures or uses on site must obtain the appropriate zoning and
building permits. (Departments of Planning Services , Building Inspection)
7) Installation of utilities shall comply with Article IX, Section 24-9-10 of the
Weld County Code. (Department of Planning Services)
8) The applicant shall adhere to all Site Plan Review requirements, as defined
in Chapter 23, Article ii, Division 3 of the Weld County Code. (Department
of Planning Services)
9 ) All liquid and solid wastes (as defined in the Solid Wastes Disposal Sites
and Facilities Act, 3D-20-100451 C. R.SI ) shall be stored and removed forfinal
disposal in a manner that protects surface and groundwater contamination.
(Department of Public Health and Environment)
10) No permanent disposal of wastes shall be permitted at this site. (Department
of Public Health and Environment)
11 ) Waste materials shall be handled , stored , and disposed in a manner that
controls fugitive dust, blowing debris, and other potential nuisance
conditlons. (Department of Public Health and Environment)
12) The facility shall adhere to the ,,Maximum permissible noise levels allowed
in this Commercial Zone District as delineated in 25-12- 103 C . R. S.
(Department of Public Health and Environment)
13 ) Adequate toilet facilities shall be provided for the public, (Department of
Public Health and Environment)
4
It
i
14) The water system shall maintain compliance with the requirements for a
public water system as defined iii the Primary Drinking Water Regulations
(5 CCR 1003- 1 ) (Department of Public Health and Environment)
15) The applicant shall maintain compliance with the Colorado Retail Food
Establishment Rules and Regulations. (Department of Public Health and
Environment)
3 Prior to the release of Building Permits:
A Upon approval by the Department of Planning Services, a Site Plan Review Plat
shall be prepared per Chapter 23, Article III Division 3, Section 23-2- 160,
Paragraphs V & W of the Weld County Code and submitted to the Department of
Planning Services to be recorded . (Department of Planning Services)
B. The applicant shall submit two complete sets of blueprints to the Weld County
Building Inspection Department (Departments of Building Inspection , Planning
Services)
4 . Prior to commencing business, the applicant shall:
A. Provide the Department of Public Health and Environment and the Department of
Planning Services evidence of compliance with the Colorado Retail Food
Establishment Rules and Regulations . (Department of Public Health and
Environment)
B. Provide the Department of Public Health and Environment and the DeparEment of
Planning Services evidence that the well has been permitted for domestic and
commercial uses ard meets the requirements fora public water system as defined
in the Primary Drinking Water Regulations ( 5 CCR 1003- 1 ) . (Departments of
Public Health and Environment, Planning Services)
Site Plan Review conditionally approved : �� j Date: February 01, 2001
Robert Anderson, Plan n err
5
Hello