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Home My WebLink About20031740.tiff FINDINGS AND RESOLUTION RE: FINDINGS AND RESOLUTION CONCERNING APPLICATION OF RAMON ZAVALA,DBA EL VAQUERO, FOR A HOTEL AND RESTAURANT LIQUOR LICENSE, AND AUTHORIZATION FOR CHAIR TO SIGN - EXPIRES AUGUST 3, 2004 The application of Ramon Zavala,dba El Vaquero, 4322 Highway 66, Longmont, Colorado 80504, for a Hotel and Restaurant Liquor License, came on for hearing on the 7th day of July, 2003, at 9:00 a.m., and the Board of County Commissioners of Weld County, Colorado, having heard the testimony and evidence adduced at said hearing, having considered the testimony, evidence and remonstrances filed with said Board, and having carefully weighed the same, now makes the following findings: 1. The evidence discloses that the applicant has sustained the burden of proof as to the desires of the inhabitants. 2. The applicant is of good character and reputation. 3. The applicant has proven 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 has considered the application of Ramon Zavala, dba El Vaquero, 4322 Highway 66 Longmont, Colorado 80504, for a Hotel and Restaurant Liquor License, for the sale of malt, vinous, and spirituous liquors,for consumption by the drink on the premises only, and WHEREAS, said applicant has paid to the County of Weld the sum of $500.00 for the hearing fee, in addition to the other required fees, and WHEREAS, due to the Findings of the Board of County Commissioners in this matter as stated herein,the Board deems it advisable to approve said application for a Hotel and Restaurant License for Ramon Zavala, dba El Vaquero. 2003-1740 ce ' SC) /VA,/ LC0032 HOTEL AND RESTAURANT LIQUOR LICENSE - EL VAQUERO PAGE 2 NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that having examined said application, the qualifications of the applicant, and the testimony of those present at the hearing, does hereby grant License Number 2003-12 to said applicant to sell malt, vinous, and spirituous liquors for consumption by the drink on the premises only; and the Board does hereby authorize and direct the issuance of said license by the Chair of the Board of County Commissioners, attested to by the Clerk to the Board of Weld County, Colorado, which license shall be in effect until August 3, 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. The above and foregoing Resolution was,on motion duly made and seconded, adopted by the following vote on the 7th day of July, A.D., 2003. BOARD OF COUNTY COMMISSIONERS W C�T�OL�OaADO ATTEST: ILIA/MAIL O(I DMong, hair Weld County Clerk to the Board Robert D. Masden ro-Tem Clerk to the Board M. J. Geile f tett William . Jerke ntyAttorney 44/44 Glenn Vaa Date of signature: /'Z 03 2003-1740 LC0032 THIS LICENSE MUST BE POSTED IN PUBLIC VIEW DR 8402 IO2/03) STATE OF COLORADO DEPARTMENT OF REVENUE Liquor Enforcement Division 1881 Pierce Street.Room 108 Lakewood,Colorado 80214 ZAVALA RAMON EL VAQUERO 4322 HWY 66 LONGMONT CO 80504 ALCOHOL BEVERAGE LICENSE Liability Information Account Number County City Indust. Type Liability Date LICENSE EXPIRES AT MIDNIGHT 41-09388-0000 03 206 722110 I 080403 AUG 03, 2004 Type Name and Description of License Fee 1970 HOTEL AND RESTAURANT $ 75.00 LIQUOR LICENSE - MALT, VINOUS, AND SPIRITUOUS 2190 COUNTY 85 PERCENT OAP FEE $ 425.00 TOTAL FEES) $ 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. AUG 0 5 2003 ef t G sv � .Ct,.eQC Division Director Executive Director • THIS LICENSE EXPIRES August 3 , 2004 zl LICENSE FEE ATo. STATE OF - l ,R COLORADO COUNTY OF WELD BY AUTHORITY OF THE BOARD OF COUNTY COMMISSIONERS RETAIL LIQUOR LICENSE FOR . ____-Hotei_and_Restaurant SPECIFY: Retail Liquor Store,Liquor Licensed Drug Store,Hotel and Restaurant,Club,Tavern etc. TO SELL AT RETAIL Malt, Vinous, and Spirituous LIQUOR ,,yy�� SPECIFY KINDS OF LIQUORS pit; to to tertdp, That Ramon Zavala, dba El Vaquero of the State of Colorado,having applied for a License to sell Malt, Vinous and Spirituous Liquors,and having paid to the County Treasurer the sum of Five Hundred Seventy—Five and 00/100 ($525,.90 Dollars therefor,the above applicant is hereby licensed to sell Malt, Vinous and Spirituous Liquors containing more than 3.2%Alcohol by weight by the drink for consumjtion-op -the ptemists_only„ (Insert"by the drink for consumption on the premises"or"in sealed containers NOT for consumption at place where sold.") as a Hotel and Restaurant at 4322 Hig_hwy 66, Longmont, CO 80504 in the County of Weld,fora period beginning on the 4th day of__August ,20 03__,and ending on the_3rd._ day of dray ,20 04__,unless this License is revoked sooner as provided by law. 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 Cou t ommissioners has hereunto subscribed its name by its officers dulya orizedthis__7 _day of_JSt1X-- .20Q1_ `i t of County Commissioners ES ATTT: � `tt l tl� a Deputy clerk to the B ,� , ( '�l tlY . Chairman,Board C: , of County n , - � rt (/ ,,a t7 .‘ . • DR 8404(06/00) Page 1 21 t 60.1 COLORADO DEPARTMENT OF REVENUE LIQUOR ENFORCEMENT DIVISION COLORADO LIQUOR DENVER CO 80251 OR 3.2%FERMENTED MALT BEVERAGE RETAIL LICENSE APPLICATION ® NEW LICENSE ❑ TRANSFER OF OWNERSHIP ❑ LICENSE RENEWAL • ALL ANSWERS MUST BE PRINTED IN BLACK INK OR TYPEWRITTEN • APPLICANT MUST CHECK THE APPROPRIATE BOX(ES) • LOCAL LICENSE FEE $ • APPLICANT SHOULD OBTAIN A COPY OF THE COLORADO LIQUOR AND BEER CODE(CaIl 303-321.4164) DO NOT WRITE IN THIS SPACE 1. Applicant is applying as a ❑ Corporation ® Limited Liability Company ❑ Partnership(includes Limited Liability and Husband and Wife Partnerships) ❑ Association or Other 2. Name of Applicani(s) If partnership,list partners'names(at least two):if corporation,name of corporation Fein Number 'R.notu Z4Lintft a —O7 33L/S-) 2a.Trade Name of Establishment(DBA) State Sales Tax No. I/4 0 U P a.c a mess Telephone ` 5�/ 0938& iq)S3S o3a/ 3. ress of Premises(specify exact location of premises) at?-z. A/wr 6G City County State ZIP Code i _, , do rho ---4. Mailing Address (Number d Street) City or Town Stale ZIP Code s.vm £ 5. If the premises currently have a liquor or beer license,you MUST answer the following questions. Present Trade Name of Establishment(DBA) I Present State License No. Present Class of License I Present E gr I11 ation Date LIAR SECTION A Nonrefundable APPLICATION FEES MAD SECTION D LIQUOR LICENSE FEES 2300 X Application Fee for New License °)O0 O8919S 1840 O Retail Liquor Store License(city) $202.50 2300 ❑ Application Fee-New License Concurrent Review_..950.00 O Retail Liquor Store License count 2310 O Application Fee for Transfer of Ownership 1940 q (county).. 287.50 850.00 1950 O Liquor Licensed Drugstore (city) 202.50 SECTION a 3.2%BEER LICENSE FEES 1950 O Liquor Licensed Drugstore (county) 287.50 2121 O Retail 3.2%Beer On Premises-(city) $71.25 1660 ❑Beer&Wine License (city) 326.25 2121 ❑ Retail 3.2%Beer On Premises-(county) 92.150 1960 O Beer&Wine License (county) 411.25 2122 0 Retail 3.2%Beer Off Premises-(city) 71.25 1970 X H&R License ❑city cg county *VIM Soo 2122 O Retail 3.2%Beer Off Premises-(county) 92.50 1880 O H&R License w/opt Prem ❑city ❑county 475.00 2123 O Retail 3.2%Beer On/Off Premises-(city) 71.25 1990 O Club License city County 283.75 2123 ❑ Retail 32%Beer On/Off Premises-(county) 92.50 2010 O Tavern License 'Deitycounty 475.00 SECTION C RELATED FEES AND PERMITS 2020 O Arts License❑city ❑county 283.75 2030 O Racetrack License O city ❑ itnty 475.00 1995-100(999)❑Addition ofcity Facility Permits to existing 2040 O Optional Premises License ❑city ❑county 475.00 Resort Complex license 1975 O Retail Gaming Tavern Lie City coon ........725.00 $50.00 z Total Fee ❑ ❑county 725.00 2210-100(999)❑Retail Warehouse Storage Permit $75.00 1985 0 Brew-Pub t LicenseLi 1980-100(999)0 Addition of Optional Premises to existing hotel/restaurant 1985 D Resort Complex License $75.00 x Total Fee No Fee❑12%Beer On/OffPremises Only Delivery Permit Permit O H/R-Tavem Manager's Registration . $75.00 No Fee O Retail Liquor Store Delivery Permit DO NOT WRITE IN THIS SPACE•FOR DEPARTMENT OF REVENUE USE ONLY LIABILITY INFORMATION county City Industry Type License Account Number LlWlip-Dab tense Wiled Thrugh (ExprtEq Clete) FROM 0 State City County_ rs Reg -750(999) _ 2180.100(999) 2190-100 999) -7wne-750(999) . C• F_.P _L�. ca.Fund .u..,-.TOTAL �% 2300-100 2310.100 TOTAL (999) (999) y a o&)Of . DR8404(06/00) Paget 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 Z.A. Applicant/Licensee identified. iEr B. State sales tax license number listed or applied for at time of application. ["C. License type or other transaction identified. []' D. Retum originals to local authority. [X E. Additional information may be required by the local licensing authority. II. DIAGRAM OF THE PREMISES er A. No larger than 8 1/2"X II'. ❑ B. Dimensions included(doesn't have to be to scale).Exterior areas should show control(fences,walls,etc.). ❑ C. Separate diagram for each floor(if multiple levels). ❑ D. Kitchen-identified if Hotel and Restaurant. 111. 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 d./A. Individual History Record(s)(Form DR 8404-I). Ly 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. `K CORPORATE APPLICANT INFORMATION(If 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 of officers,directors and stockholders of parent corporation(designate 1 person as'principal officer'). - PARTNERSHIP APPLICANT INFORMATION(If Applicable) ❑ A. Partnership Agreement(general or limited).Not needed if husband and wife. 1/ic LIMITED LIABILITY COMPANY APPLICANT INFORMATION(If 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). $IC MANAGER REGISTRATION FOR HOTEL AND RESTAURANT,TAVERN LICENSES WHEN INCLUDED WITH THIS APPLICATION ❑ A. $75.00 fee. ❑ B. Individual History Record(DR 8404-I). DR 9404(06100) Pagel 6. Is the applicant(including any of the partners,if a partnership;members or manager if a limited liability company;Cr officers.stack- Yes No holders or directors it a corporation)or manager under the age of twenty-one years? ❑ g 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 it a corporation)or manager ever(In Colorado or any other slate); (a) been denied an alcoholic beverage license? ❑ (b) had an alcoholic beverage license suspended or revoked? ❑ [X (c) had Interest In another entity that had an alcoholic beverage license suspended or revoked? ❑ If you answered yes to 7a.b or c.explain in detail on a separate sheet. ea. Has a liquor license application(same license class).that was located within 500 feet of the proposed premises,been denied within the preceding two years?If"yes,"explain in detail. ❑ 8b. Has a 3.2 beer license for the premises to be licensed been denied within the preceding one year?If"yes."explain in detail. ❑ f 9. Are the premises to be licensed within 500 feet of any public or private school that meets compulsory education requirements of ❑ Colorado law,or the principal campus of any college,university or seminary? 10. Has a liquor or beer license ever been Issued to the applicant(including any of the partners,if a partnership;members or manager if a limited liability company;or officers,stockholders or directors it a corporation)?If yes,identify the name of the business and list any ❑ [I' current financial interest in said business including any loans to or from 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 date that this license will be issued by virtue of ownership,lease or other arrangement? ® ❑ 0 Ownership IN Lease 0 Other(Explain in Detail) a.If leased.list name of landlord and tenant,and date of expiration.EXACTLY as they appear on the lease: Landlord Tema Expires Expires Air-pawF r.;pa�r.y ca. 74t. //"Bea✓ c.K o I-3/-v Attach a Air- and mall tnhee 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 1/2"X 11".(Doesn't have to be to scale) 12. Who,besides the owners listed in this application(including persons.firms,partnerships,corporations.limited liability 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 sheet if necessary. NAME DATE OF BIRTH FEIN OR SSN INTEREST Attach copies of all notes and security instruments,and any whiten agreement or details of any oral agreement,by which any person(including partnerships,corporations,limited liability companies.etc.)will share in the pro/if or gross proceeds of this establishment.and any agreement relating to the business which is contingent or conditional in any way by volume, profit,sales,giving of advice or consultation. 13. Optional Premises or Hotel and Restaurant Licenses with Optional Premises Yes No A local ordinance or resolution authorizing optional premises has been adopted. ❑ Number of separate Oplional Premises areas requested. 14. Liquor Licensed Drug Store applicants,answer the following: (a) Does the applicant for a Liquor Licensed Drug Store have a license issued by the Colorado Board of Yes No Pharmacy?COPY MUST BE ATTACHED. 0 15. 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 ❑ not for pecuniary gain? (b) Is the applicant organization a regularly chartered branch,lodge or chapter of a national organization which is 0 operated solely for the object of a patriotic or fraternal organization or society,but not 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 club?(Three years required) 16. Brew-Pub License Applicant answer the following: (a) Has the applicant received or applied for a Federal Brewers Notice? ❑ CE (Copy of notice or application must be attached) 17a. Name of Manager (If this is an application for a Hotel. Date of Birth Restaurant or Tavern License,the manager must also submit an Individual History Record(DR 8404-I). 17b.Does this manager act as the manager of,or have a financial Interest in,any other liquor Vas No licensed establishment in the State of Colorado? If yes,provide name,type of license and account number. ❑ IN 18. Tax Distraint Information. Dees the applicant or any other person listed on this application and including its partners,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 outstanding tax distraint issued to them by the Colorado Department of Revenue? 14 If yes,provide an explanation and include copies of any payment agreements. OR 8404(08/00) Page 4 19. If applicant is a corporation,partnership.association or a limited liability company,it is required to list by position all oficers and directors, general partners,managing members,all stockholders,partners(Including limited partners)and members who have a 10%or greater financial interest in the applicant.All persons listed here or by attachment must submit and attach a OR 8404-I(Individual History Record) and provide fingerprint cards to their local licensing authority. NAME HOME ADDRESS,CITY B STATE DATE OF POSITION %OWNED BIRTH 20. Has the Applicant provided,or does the applicant intend to provide their staff with server training. No Additional Documents to be submitted by type of entity ❑ CORPORATION ❑ Cert.of lncorp. ❑ Cert.of Good Standing(If more Man 2 yrs.old) ❑ Cert.of Auth,(if a foreign corp.) ❑PARTNERSHIP ❑Partnership Agreement(General or Limited) ❑Husband and Wife partnership(no written agreement) , ❑LIMITED LIABILITY COMPANY ❑Articles of Organization ❑ Cert.of Authority(d foreign company) ❑ Operating Agmlt. ❑ASSOCIATION OR OTHER Affect copy of agreements creating association or relationship between the parties Registered Agent(if applicable) Address for Servke OATH OF APPUCANT I declare under penally of perjury in the second degree that this application and alt attachments am true,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 license. Authorize nature Title Date Gee y 2 S— Z REPORT AND APPROVAL OF LOCAL LICENSING AUTHORITY(CITY/COl1NTY) • Data application met with local authority Pats of local authority hearing(for new license applicants;cannot be less than 30 days IrA �.o�zn date of application 12.47-311(I))G.R.S. Each person required Iota DR 84044: Yea No a.Has been fingerprint ® ❑ b.Background inreallgauon and NCIC and CCIC deck for adelending warrants conducted �q c.the local authority has already conducted.a intends to conduct,a prwnie inspection to insure that the applicant Is !3l ❑ in compliance with,and aware of,liner code provisions affecting their deee or license.If not,does the autarky want the sate to conduct such an inspection. Idasda+pw+wsi El ❑ The foregoing application has been examined;and the premises,business to be conducted,and character of the applicant are satisfactory. We do report that such license,ifgranted,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 O TOWN,CITY Weld County Color (970) 356-4000 X4200 p COUNTY Signs r %3 tie„. E. Long, Chair, Weld Date 00 eud`- . Commissioners of Caissiantics 07/07/91 Signs r (atte ) INI Ir a , 1 Date Deputy 07/07/2003 7r as t premises are located within a wn•�r e �;•�? �p o Quid be signed by the mayor and clerk,if in a county,then by the chairman of the board of county commissioners-•1i'y, -r f,by ordinance or otherwise,the local licensing authority is some other official, then such approval should be given by s•^•y` . 1 yf yvS I . ,o... is, s o i 41: S, 1 \\*Et ic.: ■ i �■� ■ il f Z�-p-_■ _ . ■t ■wee i' %c. l I • P N rI 4 ri i ■e 1 Y i -dui ;it, ‘ I inill � e5:- M I ."•rrt; 7u.:? • 1 ■1I� �G . iI - _,. ; !F ' • 1 Ii �� i,` N a I. i D a AgPro Environmental Services, LLC 1�AnWN 4e40414/ 'l•'i r I 3 4311 Highway 68, Suite 4 �d4y,•r v MEXICAN RESTAURANT ..11 I;' ' " Longmont, Colorado 8O5O4 .an Pines, a § .. MI - 'l —a z Office: 970-535-9338 Tam 970-535-9854 4194.47.6 a 1.-25.LoOmal,co eaw. DR 8404-1(02/94) COLORADO DEPARTMENT OF REVENUE LIQUOR ENFORCEMENT DIVISION 1375 SHERMAN STREET 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,or other limited liability company members with a 10%(or more) ownership interest In such company and all managers of a Hotel and Restaurant license. 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 of the applicant. 1.Name of Business Date 2.Your Full Name(last,IireL middle) 3.Also Known As(maiden name/nickname,etc.) �<1 v4t.4 on) /en 4DoAinb O 4.Mailing Address(if different from residence) J1 Home Telephone 13,2 E. (o ' /9-T/£- Jo"&nova L goco/ (302 774 -3374O 5.Residence Address(street and number,city,state,ZIP) /3-2 t' G", /oN6,-„ &) c-as-v/ RORSTo&tQ , 7jc ® Yes El No If Naturalized,state where When Name of U.S.District Court Naturalization Certificate Number Date of Certificate e an Alien,Give Men's Registration Card Number Penrenem Residence Card Hunter B.Height Weight Hair Color Eye Color Sex Race 9.Do You Have a current Driver's License?If yes.gore number,8 stale S'Jos' /9S SL,4 c. aRow,I/ /r1 lisr'O41IG ® Yes ❑ No 10.Name of Present Employer 11.Type of Business or Employment SS. r tn2PtnY£7) LA9Y✓asc,4P 12.Address of Business Where Employed(street number,city,state,ZIP) Business Telephone /3.2 £— n /9vs_ ZonJGrnvn/% ea tACbL 001) 77,- 3 t7te 13.Present Position Own)£y2 14.Marital Status 15.Name of Spouse(include maiden name If applicable) 16.Spouse's Date of Binh Spouse's Place of Birth -- - go", Tit &-tiPa2.tJr ,+ 17.Spouse's residence ad ress,if different than yours(street and number.city,state,ZIP) 18.Spouse's Present Employer Occupation St VAC° trz.o ... nssr. m,9w.f t z 19.Address of Spouse's Present Employer d93.2..2 XwY G 6 ,jmr✓cw2ofT et, $"t2≤ 20 List the name(s)of all relatives working in or(laving a financial interest in the liquor industry. NAME OF RELATIVE 1 RELATIONSHIP TO YOU POSITION HELD NAME OF EMPLOYER LOCATION OF EMPLOYER 21.Do you now,or have you ever held a State of Colorado Liquor or Beer License,or loaned money,furniture,fixtures,equipment or inventory,to any Colorado Liquor or Beer Licensee?If yes,answer in detail ❑ Yes X No CONTINUED ON REVERSE SIDE DR 9404-I(2/94) Page 2 22.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?(Do not include traffic violations,unless they resulted in suspension or revocation of your driver's license.or you were convicted of driving under the influence of drugs or alcoholic beverages.)If yes, explain in detail. ❑ Yes X No 23.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 X No 24.Military Service(branch) From To Serial Number I Type of Discharge ( ).S - M e. /974 /98'/ Wovo20-4LF 25. List all addresses where you have lived for the past five years.(Attach separate sheet if necessary) STREET AND NUMBER CITY,STATE,ZIP FROM TO /3.2 7.. 6 .. /1_v_L- / ean/wnon-7; ed. re�D/ I1 ,' Ares FA/7- 26. List all 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 $na.Cc/7-x£.5 /3.2 £ ‘' e An.Zatenfact OW/va'Zgat)/ ?/2fS&v- 6vso1 me coo;irnnut NEt/x 7-1 C I i. tt ys , &gat wn-y Lon/F4 LI"IL LEAD /99/ .pie? 27.What is your relationship to the applicant?(sole owner,partner,corporate officer,director,stockholder,member or manager) ,,41.1.4-WC/71- 28.If stockholder,number of shares owned beneficially or of record Percent of optstanding stock owned 29.If partner,sate w Cher [] General ❑ Limited Percent of Partner"'Owned If Limited Liability Company(percent owned) 30.Total amount you will Invest in this business,including notes,loans.cash,services or equipment,and operating capital.(Reg.46.106.1 and Reg.47.107.1) Amount$ r 31. 1 Identify the sources of all funds you will invest in this business as listed in 30 above. List all bank names, account numbers and the amount derived from such source.Also identify all persons authorized to sign on, or who are part owners of said account.(Attach copies of all your notes or loans used in or for this business.) Amounts Sources-Account Numbers Names on accounts or person who can sign on this account $ ,5-7 a /3y 7s- 2r .-/e f=/ ba tier c/ $ $ 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. Authorized Signature Title Date ATTN: LIQ PAGE # 1 ATTENTION: WELD CTY SHERIFFS OFC COLORADO BUREAU OF INVESTIGATION - CRIME INFORMATION CENTER 690 KIPLING STREET, 43000, DENVER, COLORADO 80215 303/239-4208 THIS IDENTIFICATION RECORD, FOR LAWFUL USE ONLY, SUMMARIZES INFORMATION SENT TO THE CBI BY FINGERPRINT CONTRIBUTORS IN COLORADO. WHERE THE DISPOSITION IS NOT SHOWN OR FURTHER EXPLANATION OF A CHARGE OR DISPOSITION IS DESIRED, CONTACT THE AGENCY THAT FURNISHED THE FINGERPRINTS. ONLY THE COURT OR DISTRICT ATTORNEY IN WHOSE OFFICE A FINAL DISPOSITION OCCURRED CAN PROVIDE A CERTIFIED COPY OF THAT DISPOSITION. STATE LAW GOVERNS ACCESS TO SEALED RECORDS. UNLESS FINGERPRINTS ACCOMPANIED YOUR INQUIRY, WE CANNOT GUARANTEE THIS RECORD RELATES TO THE PERSON IN WHOM YOU HAVE AN INTEREST. BECAUSE ADDITIONS AND DELETIONS MAY BE MADE AT ANY TIME, A NEW COPY SHOULD BE REQUESTED WHEN NEEDED FOR SUBSEQUENT USE. NAME(S) USED: ZAVALA, RAYMOND MALDONADO ZAVALA, REMIGIO ZAVALA, RAMON MALDONADO PHYSICAL: W M 508 160 BLK/BRO SKIN: DATE(S) OF BIRTH: PLACE(S) OF BIRTH: TX CONTRIBUTOR / NAME / CHARGE / ARREST* DATE DISPOSITION PD LONGMONT ZAVALA, FAILURE TO APPEAR-SEE MIS ARREST * 82-2114 RAYMOND MALDONADO TRAFFIC DATE - 10/10/82 OFFENSE DATE: 10/10/82 ITEM #001/004 BOULDER COUNTY SHER ZAVALA, TRAFFIC OFFENSE IFF - BOULDER RAYMOND MALDONADO OFFENSE DATE: 12/19/82 ARREST # 8213692 DATE - 12/19/82 MNU:OA-200000801 ITEM #002/004 BOULDER COUNTY SHER ZAVALA, DRIVING UNDER INFLUENCE LIQUOR IFF - BOULDER RAYMOND MALDONADO OFFENSE DATE: 12/19/82 ARREST * 8213692 DATE - 12/19/82 MNU:OA-Z00000801 ITEM #003/004 BOULDER COUNTY SHER ZAVALA, FRAUD - IMPERSON IFF - BOULDER RAYMOND MALDONADO OFFENSE DATE: 12/19/82 ARREST * 8213692 DATE - 12/19/82 MNU:OA-200000801 ITEM #004/004 --- END OF PAGE # 1 --- ATTN: LIQ PAGE # 2 ATTENTION: WELD CTY SHERIFFS OFC CONTRIBUTOR / NAME / CHARGE / ARREST# DATE DISPOSITION --- END OF PAGE * 2 --- ---- END OF RECORD MEETING DISSEMINATION CRITERIA ---- 08/29/02 0943MT *** CRIMINAL JUSTICE AGENCIES MAY NOT HAVE PROVIDED ALL ARRESTS, '** "' CHARGES OR DISPOSITIONS TO THE CBI. THIS RECORD SHOWS ALL *** "* ARRESTS, CHARGES & DISPOSITIONS THAT WERE PROVIDED, UNLESS *** *** ACCESS TO THEM HAS BEEN LIMITED BY COURT ORDER. *** Linda Magill 1504 Judson Drive Longmont, Colorado 80501 Home Phone 303-651-3434 July 29, 2002 To whom it may concern, I'm pleased to tell you about Ray Zavala,whom I have known for over 20 years, both personally and professionally. I have watched Ray build a home and family, play softball with a family team for 17 years, while working in the community and advancing his career to the point of a small business owner and employer. Having worked and done business with Ray for a number of years, at a local company, I con honestly say that Ray is a man of his word. Sincerely, LI da Magill r ) August 1,2002 To Whom It May Concern, This letter in on behalf of Ramon Zavala who I have had the opportunity to know and interact with for the last five years. In this time,I have observed an individual who has many talents. He is an honest,hardworking and committed person. He is an individual who has been successful in his landscaping business. He has these successes because of his abilities,his organizational skills,a high level of integrity and his strong interpersonal skills. I encourage you to honor Ramon Zavala's request for a liquor license for his restaurant, El Vaquero. He is truly a respected individual in our community. Please feel free to call if you have any questions 303-961-3884. Thank you for your time and attention to this matter. Respectfully, Betty . e Baca To whom it may concern, Ray and I have known each other for the past seven years and as a personal friend I find Ray both trustworthy and honest. Ray's main strong point is whatever he says he is going to do he follows through with to completion, which makes him very reliable. I had the pleasure of sharing a working relationship with Ray over the past seven years. During our time together at work Ray proved to be a hard working employee always willing to go that "extra mile"to fulfill his work obligations. He was honest with his fellow employees and was more than willing to help whenever he was needed. In regards to Ray's character mentioned above I hope you will give him consideration in applying for his license. Sincerely, Richard Coca Aug 08 02 04:20p p.2 REAL ESTATE LEASE This Lease Agreement(this"Lease")is dated January 01,2002,by and between Longs Peak Equipment Company,Inc and Marcos Chavez("Tenant").The patties agree as follows: PREMISES:Landlord,in consideration of the lease payments provided in this Lease,leases to T'enant 4000+/-Sq.Ft.restaurant space in the Longs Peak Equipment Building. (the"Premises")located at 4322 Hwy 66,Longmont,Co 80504 TERM:The lease term will begin on January 02,2002 and will terminate on January 31,2005. LEASE PAYMENTS:Tenant shall pay to Landlord monthly installment of$2,700.00,payable in advance on the first day of each month,for a total lease payment of$64,800.00.Lease payments shall be made to the landlord at 4322 Hwy 66,Longmont,Co 80504,which address may be changed from time to time by the Landlord.Lease payments are waived until first day of business to the public or March 1,2002,whichever occurs first. SECURITY DEPOSIT:At the time of the signing of this Lease,Tenant shall pay to Landlord, lo trust,a security deposit of$2,700.00 to be held and disbursed for Tenant damages to the Premises(if any)as provided by law. POSSESSION: Tenant shall be entitled to possession on the first day of the term of this Lease, and shall yield possession to Landlord on the last day of the term of this Lease,unless otherwise agreed by both parties in writing.At the expiration of the term,Tenant shall remove its goods and effects and peaceably yield up the Premises to Landlord in as good a condition as when delivered co Tenant,ordinary wear and tear excepted. USE OF PREMISES:Tenant may use the Premises only for operating a restaurant business.The Premises may be used for any other purpose only with the prior written consent of Landlord, which shall not be unreasonably withheld. (FURNISHINGS:The lease of the Premises includes the furnishings listed on the attached 'exhibit.Tenant shall return all such items at the end of the lease term in a condition as good as the 'condition at the beginning of the lease term,except for such deterioration that might result from 'normal use of the furnishings. (PROPERTY INSURANCE: Landlord and Tenant shall each maintain appropriate insurance for 'their respective interests in the Premises and property located on the Premises.Landlord shall be 'named as an additional insured in such polices.Tenant shall deliver appropriate evidence to Landlord as proof that adequate insurance is in force issued by companies reasonably satisfactory to Landlord.Landlord shall receive advance written notice from the insurer prior to any termination of such insurance polices.Tenant shall also maintain any other insurance which Landlord may reasonably require for the protection of Landlord's interest in the Premises. Property Damage insurance of$500,000 minimum.Tenant is responsible for maintaining casualty insurance on its own property. LIABILITY INSURANCE:Tenant shall maintain liability insurance on the Premises in a total aggregate sum of at least$1,000,000.Tenant shall deliver appropriate evidence to Landlord as Rug 08 02 04:2Op p.3 MECHANICS LIENS:Neither the Tenant nor anyone claiming through the Tenant shall have the right to file mechanics liens or any other kind of lien on the Premises and filing of this Lease constitutes notice that such liens are invalid.Further,Tenant agrees to(I)give actual advance notice to any contractors,subcontractors or suppliers of goods,labor,or services that such liens will not be valid,and(2)take whatever additional step that are necessary in older to keep the premises free of all liens resulting form construction done by or for the Tenant. ARBITRATION:Any controversy or claim relating to this contract,including the construction of application of this contract,will be settled by binging arbitration under the rules of the American Arbitration Association,and any judgment granted by the arbitrator(s)may be enforced in any court of proper jurisdiction. SUBORDINATION OF LEASE:This lease is subordinate to any mortgage that now exists,or may be given later by Landlord,with respect to the Premises. ASSIGNABILITY/SUBLETTING:Tenant may not assign or sublease any interest in the Premises,nor effect a change in the majority ownership of the Tenant(from the ownership exerting at the inception of this lease),nor assign,mortgage or pledge this Lease,without the prior written consent of Landlord,which shall not be unreasonably withheld. NOTICE:Notices under this Lease shall be deemed valid unless given or served in writing and forwarded by mail,postage prepaid,addressed as follows: LANDLORD: Longs Peak Equipment Company,Inc. 4322 Hwy 66 Longmont,Co 80504 TENANT: Marcos Chavez 4322 Hwy 66 Longmont,Co 80504 Sudt addresses may be change from time to time by either party by providing notice as set forth above.Notices mailed in accordance with the above provisions shall be deemed received on the third day after posting. GOVERNING LAW:This Lease shall be construed in accordance with the laws of the State of Colorado. ENl1RE AGREEMENT/AMENDMENT:This Lease Agreement contains the entire agreement of the parties and there are no other promises,conditions,understandings or other agreements,whether oral or written,relating to the subject matter of this Lease.This Lease may be modified or amended in writing,if the writing is signed by the party obligated under the amendment. SEVERABILITY:If any portion of this Lease shall be held to be invalid or unenforceable for anynreason,the remaining provisions shall continue to be valid and enforceable.If a court fmds Hug 0802 04:21p p_4 • that any provision of the Lease is invalid or unenforceable,but that by limiting such provision,it construed,an enforced as so limited. WAIVER:The failure of either party to enforce any provisions of this Lease shall not be construed as a waiver or limitation of that party's right to subsequently enforce and compel strict compliance with every provision of this Lease. BINDING EFFECT:The provisions of this Lease shall be binding upon and inure to the benefit of both parties and their respective legal representatives,successors,and assigns. LANDLORD: Longs Peak Equipment Company,Inc. By: iii > (90 Date: 3' 16 O Kevin Olson, Sec • TENANT: 9 72 -Offal Date: 3/ 1 5,f1 oaf — ADDENDUM TO LEASE This addendum to the lease dated January 01,2002, between Longs Peak Equipment Company, Inc. and Marcos Chavez, is effective July 1,2002. All terms of the original lease remain in effect except those changes listed below: 1) The responsible party is changed from Marcos Chavez to Ramon Zavala. Business name shall remain El Vaquero. 2) Payment due date shall be changed to the 15" of each month. 3) Security deposit shall remain with Longs Peak Equipment Company, Inc. and be refundable to Ramon Zavala at the termination of the lease. This addendum is agreed to by all parties this 23rd day of July, 2002. vin Olson, Secretry, Longs Peak Equipment Company, Inc. •t.xir-r7 Ramon a, Owner, El Vaquero,Tenant Marcos Chavez, Former Tenant 11111111111111111111111111111111111111!11111 II11 1111 201 2884201 09/1712001 04:31P JA Suld Tsul®moto 1 of 1 R 6.00 D 0.00 Weld County CO QUITCLAIM DEED DAVID P. LAMB, (Grantor) whose address is 1101 N. County Road 19, Berthoud, County of Weld and State of Colorado, for the consideration of Ten Dollars and other good and . valuable consideration, hereby sell(s) and quit claim(s) to LONGS PEAK EQUIPMENT PROPERTIES LLC (Grantee) whose address is 1101 N. County Road 19, Berthoud, County of Weld and State Colorado, the following real property, in the County of Weld and State of Colorado,to wit: Lot"A"Recorded Exemption No. 1207-26-2-RE123 being a part of the NW' of Section 26, Township 3 North, Range 68 West of the 6th P.M., Weld County, Colorado, as per map recorded March 29, 1974 in Book 711 as Reception No. 1633004. also known as street and number. 4322 Highway 66,Longmont, Colorado 80504 with all its appurtenances. Sr Signed this I day of June,2001. tDitvi . Lamb STATE OF COLORADO ) •,, )ss. COUNTY OF al.4 t nt t 4, ) The foregoing was subscribed and sworn to before me this `4t day of June, 2001, by David P.Lamb. My commission expires: I /,1 :a '74•.2,P• c / y )J T Notary Public '4.434 co ki 01 AFTER RECORDING, PLEASE RETURN T02 Zachary G. Wilson, Liggett, Smith 6 Williams, P.C., 425 W. Mulberry, #112, Ft. Collins, CO 80521, (970) 482-9770 SKLD WW 10 . 0 . 0 . 5 WE 2884201-2001 .001 LIQUOR/BEER REVIEW FORM Date: May 20, 2003 TO: Deputy Bill Wagner FROM:David Tuttle SUBJECT: Liquor License Check In accordance with the procedure for Liquor and/or Beer license checks, please review all records on the following establishment for any associated reports during the last year and return your report to the Weld County Clerk to the Board's Office. Your report will be used by the Board of County Commissioners in considering the application of the liquor and/or beer license. PLEASE RESPOND NO LATER THAN: MAY 22,2003 ESTABLISHMENT: RAMON ZAVALA DBA EL VAQUERO 4322 HIGHWAY 66 LONGMONT, CO 80504 Current license expires: NEW APPLICATION x No concerns c3 vi Deputy's Initials The Sheriffs Office had a concem and the deputy has mutually worked with the licensee to correct the concern. (Complete Attached Worksheet) Unresolved concerns exist requiring a Probable Cause Hearing scheduled by the Board of County Commissioners. (Complete Attached Worksheet) Please notify at Extension of the date and time of the Board of Commissioner's renewal hearing. • MEMORANDUM To: Esther Gesick, Deputy Clerk to the Board May 21, 2003 WI From: Bethany Salzman,Zoning Compliance Officer, Dept. of Planning Services G3c� COLORADO �J Subject: LC0032 Review of the following liquor license renewal by the Department of Planning Services shows the following: Mr. Ramon Zavala J dba El Vaquero rr. i -: 4322 Highway 66 Longmont,Colorado 80504 I Zone District: C-3 This use is allowed through the zone district. Staff has determined that this site is currently perftted through Site Plan Review(SPR-258);however,any future expansion or change would require the appr'oval of an amended Site Plan Review permit through the Department of Planning Services. Also,any change in signage would need to be reviewed and a building permit applied for and approved. As a result of researching my computer and files,there are no current violations occurring on the property. SERVICE.TEAMWORK INTEGRITY.QUALITY MA(104; MEMORANDUM TO: Board of County Commissioners/Clerk to the Board 7 g;1 In: COLORADO DATE: May 20, 2003 it=1_; FROM: Chris Gathman, Planner II -AICP SUBJECT: Liquor License Referral for Ramonif Zavala (El Vaquero Restaurant) Legal Description: Lot A of RE-123; Part of the NW4 of Section 26, T3N, R68W of the 69' PM, Weld County Zoning: (C-3) Business Commercial Section 23-2-230.E of the Weld County Code states: "No land, building or structure shall be used, changed in use or type of occupancy, developed, erected, constructed or reconstructed, moved or structurally altered or operated in the C-3 Zone District that requires a Site Plan Review until a Site Plan Review has been approved by the Department of Planning Services." Site Plan Review 258 was approved for 4322 Highway 66 in 1996. This site plan review covered the existing John Deere dealership, a restaurant facility and a cellular facility. The restaurant facility approved under Site Plan Review 258 (Scott's of 66) was in the same location as the El Vaquero restaurant and also had a hotel/restaurant liquor license. El Vaquero has not expanded the area of the restaurant facility. Staff Determination: The establishment of El Vaquero restaurant on this site and an application for a liquor license by El Vaquero (Ramon@ Zavala) is not considered to be a substantial change to this site. A new Site Plan Review application is not required. SERVICE,TEAMWORK.INTEGRITY,QUALITY DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT 1555 N. 1Th Avenue Greeley, COC8O631 O WEBSITE: www.co.weld.co.us ' ADMINISTRATION: (970) 304-6410 FAX: (970) 304-6412 C PUBLIC HEALTH EDUCATION & NUR FAX: ((970) 304-6420 970) 304-6416 ENVIRONMENTAL HEALTH SERVICES: (970) 304-6415 COLORADO FAX: (970) 304-6411 May 30, 2003 Esther Gesick Deputy Clerk to the Board 915 10th Street Greeley, Colorado 80631 Dear Ms. Gesick: In response to your request,the Department has reviewed the file for El Vaquero food service establishment. There are no legal actions or concerns regarding this establishment. Enclosed is a copy of the latest inspection report on file for El Vaquero, located at 4322 Highway 66, Longmont, Colorado. Should you have any questions regarding this matter, please call me at(970) 304-6415 extension 2222. Sincerely, Loretta S. Siedelman Environmental Health Specialist H Environmental Health Services WELD COUNTY DEPARTMENT OF PUBLIC HEALTH &ENVIRONMENT e 1555 N. 17TH GREELEY,CO 80631E COLORADO (970) 304-6415 FAX(970) 304-6411 Page One of ESTABLISHMENT r-� ,/1A/ 1 et?) !Karr /J Na/4 ADDRESS 113 ? /21i-on.`! 6 i n� znait4 ZIP CODE ete, !`e,IJ PHONE FACILITY SANIT.COD( DATE SEATING GP INSPECT TIME PURPOSE of INSP. LICENS CURRENT ' 3,;._ h. wsi.r PR 637 L/C5- 11/11 /03 _?ointh 4.Walk Through/Pre-opening RETAIL FOOD ESTABLISHMENT INSPECTION REPORT Items circled below identify violations to be corrected as indicated by the regulatory authority. Failure to comply may result in further action by the regulatory authority. Red--Critical hems: These items related directly to foodborne illness Black—Other Items: Uncorrected,these can become serious problems. 01 -Food Source. a. Approved source d. HACCP plan a. Original container,properly labeled b. Wholesome, free of spoilage e. Consumer advisory b.Food protected from contamination c. Cross-contamination waithowitalsow tt is .#4.s� 02 Personnel Employee Health a. Food-contact surfaces Hygienic Practices b.Nonfood-contact surfaces a. Personnel w/inlecrions restricted d.Hygienic practices c. Dishwashing facilitiesb.Wounds properly covered e.Smoking,eating,drinking c. Hands washed as needed '`W, (71 � `tgg4+`'.44Vi 1ePitit li '�,4°.kt. a. Refrigeration units provided with accurate,conspicuous thermometer Demonstration of Knowledge f. 'Training needed � b.Dishmachme provided with accurate thermometer&gauge cock 03 Paad Temperature cti'iii vl' ,. r?'::y - c. Chemical test kits provided,accessible Temperature Control Procedures 01;:xlit a. Rapidly cool foods to 41°F or less d.Required cooking temperatures a. Food-contact surfaces c. Dishwashing operations b. Rapidly reheat to 165°F or greater e. Cold hold ar 41°F or less b.Nonfood-contact surfaces d.Wiping cloths c. Hot hold at 140°F or greater r. Temperature Control Equipment _ a. Utensils provided,wed,stored f. Food thermometer(probe-type) b.Single service articles stored,dispensed,used g. Adequate equipment to maintain food temperatures c.No re-use of single-service articles 04 Sa4utization Rinse : ' ^. r n ti lr-, i Temperature Concentration Exposure a. Plumbing: installed,maintained e. Ventilation /�. Manual n b.Garbage and refuse f. Locker rooms V Mechanical • V c. Floors,walls,ceilings g.Premises maintained c. In-Place Sanirizer. Chlorine Quaternary Ammonium Otherd.Lighting h.Separation of living,laundry 05 Water,Sewage,Plumbing,Systems ,. .,; 9° 1 +, , d. , a. Safe water source c. Backflow,back siphonage a. Personnel: clean clothes,hair restraints,authorized b. Hot&cold water under pressure d.Sewage disposal b. Linen properly stored 06 Handwasbiiigund9odcFiltes '* "' ' a. Adequate number,location,design c. Soap and drying devices Hours of Operation: b.Accessible Notes: "07 Pest Control - i.. s ,'`t ," Nb - ! - a. Evidence of insects or rodents c.Animals prohibited O�� A C>7 1 5 Q r b. Pesticide application // (,��us' cj,q OS Poisonous or tide Items ' M/rtaLht\et Atecl5 779 be Q ! a. Properly stored c. Properly used -f � �- b. Properly labeled r7,f""e 14414 )-)-es-/-� �- .,' r etre ENVIRONMENTAL.HEALTH SPE IALISF: RECEIVED .A1)) .fsraY� J7Q �a(� ,. , lull k WELD COUNT a DEPARTMENT OF PUBLIC HEALTH &ENVIRONMENT 0 555 N. 17TH AVENUE 1 GREELEY,CO 80631 COLORADO (970)304-6415 FAX(970)304-6411 Page One of, 3 ESTABLISHMENT OWNER/MANAGER I VA „t.e?/0 r4en dl 1 -& 4 ADDRESS `f 3.73 7 4 3 I i C 1-tg7.l ZIP CODE r�d 050 u PHONE —" FACILITY NO. SANIT.CODE DATE SEATING CAP. INSPECT TIME PU POSE of INSP. LICENURRENT fj//�� / +/7 G}.,� l.r ) (l.Si TI toy/ 1/ 1≤ q p ///J 2.Pdls.vo _- 1 /yr� 13 LJ/O��1. 3.CumyMnvin.i.ip,an 4.Valk Thrwal✓Pn-°pwuaa RETAIL FOOD ESTAI3USHMENT INSPECTION REPORT Items circled below identify violations to be corrected as indicated by the regulatory authority. Failure to comply may molt in further action by the regulatory authority. Red--Critical Items: These items related directly to foodborne illness Black—Other Items: Uncorrected,these can become serious problems. Food Source PRr ZL I1; gkgtf#.f4k #f" ,r''s, a < a. Approved source d.HACCP plan a. Original container,properly labeled °Wholesome,free of spoilage e.Consumer advisory b.Food protected from contamination C. Cross-contamination ,/ �r �*F ,t t'A� r Y.ry+F; (3) [�}L74%jyt f),j �Y� �..ii:ti" z'�3s�. �t�,'t �. i Personnel • a. Food-contact surfaces Employee Health Hygienic Practices /SNonfood_concoct surfaces a. Personnel w;infections restricted ()Hygienic practices c. Dishwashing facilities b.Wounds properly covered e.Smoking,eating,drinking !: c. Hands washed as needed " re `. ;`>re�l ,.2a y - ° 4.; ,.':53Sfw1ilr St r:. a. Refrigeration units provided with accurate,conspicuous thermometer Demonstration of Knowledge b.Dishmachine provided with accurate thermometer&gauge cock t. Training needed )Food Temperature.Control c. Chemical test kits provided,accessible Temperature Control Procedures Rapidly cool foods to 41°F or less d.Required cooking temperatures a. Food-contact surfaces c.Dishwashing operations Rapidly reheat to 165°F or greater &Cold hold at 41°F or less b.Nonfood-contact surfaces d Wiping cloths c. Hot hold at 140°F or greater 1.4,3 i iCtiiiKi' ti *Ofiree rOt. :::? , • , a. Utensils provided,used,stored Temperature Control Equipment (9Food thermometer(probe-type) b.Single service articles stored,dispensed,used g.Adequate equipment to maintain food temperatures c. No re-use of single service articles 6 Sanitization Rinse _ 4 >PbyalWil to ?.,, `'; " .4% Temperature Concentration Exposure a. Plumbing: installed,maintained e.Ventilation a. Manual — b.Garbage and refuse E Locker rooms 6 Mechanical O c. Floors,walls,ceilings g.Premises maintained In-place d.Lighting h.Separation of living,laundry Sanituer: Chlorine Quarernary Ammonium Other a'sI.' '.:Qtl1aie R itiGliiiO*,1 ''{Sic E; Y Qom`x'.<''3≥' "d , •: 05 Water.Sewage,Plurribing Systems a- Personnel: clean clothes,hair restraints,authorized a. Sate water source c. Backflow,back siphonage b.Hot&cold water under pressure d.Sewage disposal b.Linen properly stored epHandwashing and Toilet Facilities • a. Adequate number, location,designoap and drying devices Hours of Operation: b. Accessible Notes: 07 Pest-Control . .. __ . a. Evidence of insects or rodents c.Animals prohibited b.Pesticide application OS Poisonous or Toxic Items a. Properly stored c. Properly used b.Properly Libeled A/r„^ .�rfl'�n s. lyeA414,41L__ ________. ENVIRONMENTAL HEALTH SP1EC.iALIST: RECEIVED BY: l'' -.111711'.1 -.4?,). PAGE OF 13 DAFE: q /9 / ESTABLISHMENT: El VA ur i v ADDRESS: 1/3) Pal /� ( L�,,r 4,9rtiy DEFICIENCIES 4� FOUND: I /L b ! 6v y e X le ku !�'_ s .7 771::l.t�e rlc 41-754 1 S sf?L'� ! de?" o(. - co, /c Nt e w4 aiY /w /i cs7-t S / / ''.,r ct5P U / Sr°p5a/7�-e 40_,ei e 0 3a — )c�i t K e„ st/n el c i%e n Sy1 f/ O/�1�ci r/d11L1,h(�YTd u�1a /elan +72 --tr'e . En≤Lr -r I L?G!T ci 11 `IO/ "1 t9t�rX S /�/P 7'O c /led ç -1 I g o f 7a yj `r ts;,%i s A i it O oc.CS r e r. eiine,N lere ccipo L e S LL.n e 'den sita/117r-C) filer l rerls 3 A - Green CA li /in .S1-eain 741 tie 4de' 4.7 e4 -1 `st • or t- (?/a°G yReke4 �( / (gels- Tv �/ /` O TN.e Jyo0e-Ic7/ be jTcr (G0LF' r�'L�'f 1 \'1 5 '1 ear 711%Lie /4ac. � ��o� d si'77 >hy� � isk a-� /10 o�mb�t' �14/0� � ic-f- 41 °F. All (�£J 41447 �is- �e2/a 4.0 / ( .. rY12t S 71 ba hpl of yl °r- or /out . 3S'. grad e -144ox rne m/e. r- Pie of rarer be? 7174 c "r - ss'c PL., be Wig rimorat.a?e-r rn([s/- Meet<&in, 'e-gyms . ct/�'S het»7e-e— r v - ao 7 TILE UNDERSIGNED HEREBY ACKNOWLEDGES THE FOLLOWING: Based on an inspection this day,the items circled identify the violation in operation or facilities which must be corrected by the next rou- tine inspection or such shorter period of time as may he specified in writing by the regulatory authority Failure to comply with any time limits for corrections specified in the notice may result in cessation of your food service operations. An opportunity for appeal of the inspection findings and time limitation will be provided if a written request for an administrative hearing is filed with the department with- in (5)days following die date of inspection. 1 i PAGE 3 OF DATE: °l/L//0337�'/ ESTABLISHMENT: 17-1/4 Irp tue.rJ ADDRESS: y'? 2 iiu- ( C,� Ler, DEFICIENCIES FOUND: 66 d ��^' h 77 // �t �hvn �rlrh � ZuS A / Ale_ , b_ /G�teihq o1 nt,91y. Y�/ 4r ` /VU OAPe.4- jtA'�t S At'7 - [44c1-. ile4 !h Icel�!'e-Ar7, [(.7 n - u2!T 2f 44j 4)41P-r vlLXrn. 41 Q /0rz, cei•,T` I ‘4 2nzcrel k f vi/n- `17vl,o < - won? Sirt c,� s--, -big-)le tc>;S G:l4 Ie '1?,f Le;_ THE UNDERSIGNED HEREBYACKNOWLEDGES THE FOLLOWING: Based on an inspection this day,the items circled identify the violation in operation or facilities which must be corrected by the next rou- tine inspection or such shorter period of rime as may be specified in writing by the regulatory authority. Failure to comply with any time limits for corrections specified in the notice may result in cessation of your food service operations. An opportunity for appeal of the inspection findings and time limitation will be provided if a written request for an administrative hearing is filed with the department with- in(5) days following the date of ins ection.-14-iiiied. : ua . .....t i . ...I I?:,,eived li; NOTICE DOCKET NO. 2003-56 Pursuant to the liquor laws of the State of Colorado, Ramon Zavala, dba El Vaquero, 4322 Highway 66, Longmont, Colorado 80504, has requested the licensing officials of Weld County, Colorado,to grant a Hotel and Restaurant license for consumption by the drink on the premises only. DATE OF APPLICATION: August 23, 2002 The Board of County Commissioners of Weld County, Colorado, has declared that the neighborhood to be served will be as follows: LEGAL DESCRIPTION:4322 Highway 66,Longmont,Colorado 80504,being further described as Lot A of Recorded Exemption #123, located in the NW1/4 of Section 26, Township 3 North, Range 68 West of the 6th P.M., Weld County, Colorado The public hearing on said license will be held in the Chambers of the Board of County Commissioners of Weld County Colorado,Weld County Centennial Center,915 10th Street, First Floor Assembly Room, Greeley, Colorado, on July 7, 2003, at 9:00 a.m. If a court reporter is desired,please advise the Clerk to the Board,in writing,at least five days prior of the hearing. The cost of engaging a court reporter shall be borne by the requesting party. In accordance with the Americans with Disabilities Act,if you require special accommodations in order to participate in this hearing, please contact the Clerk to the Board's Office at (970) 336-7215, Extension 4226, prior to the day of the hearing. Petitions and remonstrances may be filed in the office of the Clerk to the Board of County Commissioners, located in the Weld County Centennial Center, 915 10th Street, Third Floor, Greeley, Colorado. E-Mail messages sent to an individual Commissioner may not be included in the case file. To ensure inclusion of your E-Mail correspondence into the case file, please send a copy to charding©co.weld.co.us. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO DATED: June 20, 2003 PUBLISHED: June 26, 2003, in the South Weld Sun NOTICI DOCKET NO.2003W • Pursuant to the kr+a lae+ of to State a Colorado. Ramon Lytle dth El STATE OF COLORADO) vaqura,4322 Hiders"°°, Longmont CalaaM1150ti04 )s.s. has masted Welcoming COUNTY OF WELD officials al Wald cowl,' Colorado.to grant a Hotel and Rotors%Eone foi drink Ruth Pelton-Roby, as manager of Pelton o e. ol. Publishing Company LW, being duly DATE OF APPLICATION sworn, states that it is publisher of the Appeal 23. South Weld Sun, a weekly newspaper TM Board of Cam published in Keenesburg in said County Commissioners y,Co„atl. het and State; that said newspaper has a declared that Ina "ter °' lo sewed general circulation in said County and has win ter been continuously and uninterruptedly %AGM DE pN, published therein, during a period of at 4322 Highway 86. t ° least fifty-two consecutive weeks prior to being Mille d' ' „arc d as the first publication of the annexed notice; Lot A •°l Recorded Exemption 123.located in that said newspaper is a newspaper o'o ww aa Sad 26. 3 North.Smile within the meaning of the act of the of the get General Assembly of the State of Weld Cmay.Caaado Colorado, entitled "An Act to regulate the TM public healing onsect printing of legal notices and ; �roa advertisements" and amendments coin,Canewfiorw$of othly Colorado. thereto; that the notice of which the Weld eld Courtly Centered,' annexed is a printed copy taken from said FCCe.IFIO A Sliest tR0 newspaper, was published in said GreN°y.Colorado on MY T.2003.at 9A0 a.m. newspaper, and in the regular and entire e a came NF«w a issue of every number thereof, once a dairsd,please Myth the ^veek for I successive weeks; that Clrk to the Bard in ran fleen said notice was so published in said post I Manny om al The newspaper proper and not in any rap al engaging°load reporter 400 be thaw by supplement thereof, and that the first Ire nraaeatd wly.. r publication of said notice as aforesaid, EA,m`; sNelh :: the rxm» was on the al, day of Ack olten special eccon a'; rr °i A h.& 2003, and the last poll:pae in Nil Mang Meese cartel the Clerk to the on the day of ,2003. 3336.72155,,c�wan42224 IX.M a Ur thy of the n!ruq. pennons ,and PEL ON PUBLISHING COMPANY LLC in Macke ci may to //�� IS Woo Mae Clerk to n � Co Bond , Courtly By � I, Ca Boarnr,.Muted F the Weld County Ruth Pelton-Roby Contended center, 915 lOM Sege, Third Fan, Greeley.Waldo. EaAM Its: Manager messages sent a en individual coMnatlmer may nol be Included Nee case "° To ensureSubscribed and sworn to before me this • orian e d p 1ae ad E4 WI Mu the day of Sad i .C, , 2003. caw 6le,°line send • a e p y t •o chaMi geoodveldeems. BOARD of COUNTY r�'�✓�0 DD p CO UNTY. UNTY. otary Pu COLORADO My Comm ion expires . } l07 DATED.June 20.2003 r , PUBLISHED: it. 26, 2003. in We loch Weld • Bun • • • • BOARD OF COUNTY C COMMISSIONERS PHONE (970)336-7204, EXT.4200 FAX: (970)352-0242 COLORADO P.O. BOX 758 GREELEY, COLORADO 80632 June 26, 2003 Ramon Zavala dba El Vaquero 4322 Highway 66 Longmont, Colorado 80504 RE: Report of Investigation for Colorado Liquor License Application - El Vaquero Dear Mr. Zavala: On June 20, 2003, I traveled to the proposed licensed premises known as El Vaquero, located at 4322 Highway 66, Longmont, Colorado 80504. While there I made an on-site inspection regarding the Hotel and Restaurant Liquor License application filed. It will be heard by the Board of County Commissioners as the liquor licensing authority for Weld County on July 7, 2003, at 9:00 a.m. My inspection revealed the following: 1. The proposed licensed premises is not directly connected to a different licensed premises. Section 12-47-301(3)(a), C.R.S. 2. The diagram of the proposed licensed premises is correct. Section 12-47-309(3), C.R.S. 3. There are three other liquor licensed premises in the neighborhood. 4. The sign noticing the place, date, and time of the hearing for the liquor license application was posted by the applicant in such a manner that the notice was conspicuous and plainly visible to the public, when I was there at approximately 2:00 p.m. on June 20, 2003. REPORT-OF INVESTIGATION - EL VAQUERO PAGE 2 5. There are no public or parochial schools, or principal campus of any college, university, or seminary within 500 feet of the proposed licensed premises. Section 12-47-313(1)(d)(I), C.R.S. Very truly yours, BOARD OF COUNTY COMMISSIONERS WELD COUNTY, C LORADO Glenn Vaad, Commissioner cc: Bruce Barker, County Attomey Hello