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HomeMy WebLinkAbout20000689 RESOLUTION RE: APPROVE PERMIT APPLICATION AND REPORT OF CHANGES TO CHANGE,ALTER, OR MODIFY PREMISES FOR DEE ANN WOLFE, DBA FORT 21 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 been presented with an application from Dee Ann Wolfe, dba Fort 21,for permission to change, alter or modify its premises, in connection with her Tavern Liquor License, for the sale of malt, vinous, and spirituous liquors for consumption by the drink on the premises only, and WHEREAS, said request concerns the addition of a 31-foot by 40-foot patio and a 74-foot, 6-inch, by 53-foot open area for volleyball and horseshoe pits, to the premises located at 985 East 18th Street, Greeley, Colorado 80631, and WHEREAS, after review, the Board deems it advisable to approve said request. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the application from Dee Ann Wolfe, dba Fort 21,for permission to change alter, or modify the premises as hereinabove stated, be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chairman 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 27th day of March, A.D., 2000. BOARD OF COUNTY COMMISSIONERS VI/ LD COUNTY, COLO ADO ATTEST: Barbara J. kmeyer, Chair Weld County Clerk to t = [7,38 ` ' .7 ; 6'L I C QI� J 14/ [� • M. J. G3 ile, Pro-Tem BY: t/�/� - • Iii, 15S- `V.- Deputy Clerk to the B. — ♦�.r� orgeE. Baxter APPROVp AS TO FORkit: y/ _ / / Dale K. Hall r-Thr, out zne C ty Attorney / Glenn Vaa� 2000-0689 LC0034 DR 8442 (07/97) Page 1 COLORADO DEPARTMENT OF REVENUE G LIQUOR ENFORCEMENT DIVISION 1375 SHERMAN STREET PERMIT APPLICATION DENVER CO 80261 (303)205-2300 & REPORT OF CHANGES CURRENT LICENSE NUMBER /a- i(30/ &-6 e00 ALL ANSWERS MUST BE PRINTED IN BLACK INK OR TYPEWRITTEN LOCAL LICENSE FEE $ APPLICANT SHOULD OBTAIN A COLORADO LIQUOR&BEER CODE BOOK TO ORDER CALL(303)321-4164 DO NOT WRITE IN THIS SPACE 1. Applicant is a PRESENT CLASS OF LICENSE ❑ Corporation IN Individual ❑ Partnership ❑ Limited Liability Company PRESENT LICENSE NUMBER -' 2. Name of Applicant 3.Trade Name !Je.c. Ann Leo \ Cc- Tart a BUSINESS TELEPHONE qq u -3sa-53/ e 4. Address SW-5- cis-► OS S-rree-t City County ZIP Cc-ree\ey t_ve \d 'SO (c3 t S-I ctth . • .r. •ri.t s cti•n I•w .n• •r•c • t• th instructi•ns •n • . •e2. SECTION A—DELIVERY PERMIT SECTION C 1)❑2210-100(999)Retail Warehouse Storage Permit(ea) $75.00 • License Account No. 2)❑2320-100(999)Wholesale Branch House Permit(ea) 50.00 3)❑2320-100(999)Change Corp or Trade Name Permit(ea) 25.00 ❑ 3.2%On/Off Premises Only NO FEE 4)❑❑222�230-100(999)Change Location Permit(ea) 100.00 ❑ Liquor Store or Drugstore NO FEE 5)2'2280.100(999)Change,Alter or Modify Premises $100.00 x Total Fee /O C1 0 0 SECTION B—MANAGER REG/CHANGE 6)❑1980-100(999)Addition of Optional Premises of Existing H/R $75.00 x Total Fee • License Account No. 7)❑2340.100(999)Bed and Breakfast Permit 25.00 SECTION 0—DUPLICATE LICENSE 1970-750(999) ❑ Manager's Registration (Hotel&Restr.) $75.00 • LIQUOR LICENSE No. 5 Change of Manager(Other Licenses) NO FEE 2330-100(999)DUPLICATE LICENSE $ 25.00 DO NOT WRITE IN THIS SPACE- FOR DEPARTMENT OF REVENUE USE ONLY DATE LICENSE ISSUED LICENSE ACCOUNT NUMBER PERIOD 100(999) I TOTAL A 2000 0689 GC0G34 DR 8442(07/97) Page 2 INSTRUCTION SHEET For all sections, complete questions 1-4 located on page 1 ❑ Section A For current 3.2% On/Off premises only a Retail Liquor Store or Drugstore licensees apply- ing to deliver alcohol, check the appropriate box in section A and proceed to page 4 for Oath of Applicant signature. ❑ Section B To Register or Change Managers, check the appropriate box in section B and complete question 9 on page 4. Proceed to the Oath of Applicant for signature (Please note: Hotel and Restaurant licensees are required to register their managers). ❑ Section C Check the appropriate box in section C and proceed below. 1) For a Retail Warehouse Storage Permit, go to page 3 complete question 5 (be sure to check the appropriate box). Submit the necessary information and proceed to page 4 for Oath of Applicant signature. 2) For a Wholesale Branch House Permit, go to page 3 and complete question 5 (be sure to check the appropriate box). Submit the necessary information and proceed to page 4 for Oath of Applicant signature. 3) To Change Trade Name or Corporation Name, go to page 3 and complete question 6 (be sure to check the appropriate box). Submit the necessary information and proceed to page 4 for Oath of Applicant signature. 4) To modify Premise, go to page 3 and complete question 7. Submit the necessary information and proceed to page 4 for Oath of Applicant signature. 5) For Optional Premises, go to page 3 and complete question 7. Submit the necessary information and proceed to page 4 for Oath of Applicant signature. 6) To Change Location, go to page 3 and complete question 8. Submit the necessary information and proceed to page 4 for Oath of Applicant signature. 7) For a Bed and Breakfast Permit, go to page 4. Submit the necessary information and proceed to page 4 for Oath of Applicant signature. ❑ Section D For a Duplicate license, be sure to include the liquor license number in section D on page 1 and proceed to page 4 for Oath of Applicant signature. DR 8442(07/97) Page 3 t.. 5. Retail Warehouse Storage Permit or a Wholesalers Branch House Permit S ❑ Retail Warehouse Permit CC tu p. ❑ Wholesalers Branch House Permit(Does not require local licensing authority approval) Ltu 1)Federal Basic Permit# icC fr If granted,will the proposed warehouse or branch house be in compliance with local building and zoning laws?o Yes No ❑ IDName and title of Person in Charge of Premises U, ❑ Attach a diagram of premises showing area of alcohol beverage storage 4 a 6. Change of Trade Name or Corporation name slo G* ❑ Trade/DBA Name Change only W � Q ❑ Corporate Name Change(Attach a Certificate of Amendment from Colorado Secretary of State) I Old Name New Name vs 7. Modification of Premises or Addition of an Optional Premises to an existing Hotel/Restaurant Liquor License (a) Describe change proposed O 1 \4 6 O C \Th Oe.- i n C (.(,(-- —6-1 e e, cerC` evc\ 1r,) to N (b) Will the proposed change result in the licensed premises now being located within 500 feet of any public C W or private school that meets compulsory education requirements of Colorado law, or the principal campus COC 6 of any college, university or seminary? Yes No 1 (If yes, explain in detail and describe any exemptions that should apply) ❑ [g (c) When will the proposed change I start /1 /CPQ (mo/day/year) End (mo/day/year) A0 (d) Is the proposed change in compliance with local building and zoning laws? Yes No h- (e) If this modification is for an additional Hotel and Restaurant Optional Premises,has the local authority 0 authorized by resolution or ordinance the issuance of optional premises? Yes No 4 ❑ ❑ (f) Are such changed premises owned or leased? ® Owned ❑ Leased (Attach a signed copy of deed or lease in the name of the licensee only) (g) Attach a diagram of the premises showing the area where alcohol beverages will be stored,served, possessed or consumed. Include food preparation facilities for Hotel and Restaurants. 8. Change of Location (a) Address of current premises City County ZIP I (b) Address of proposed New Premises(Attach a copy of the deed or lease that establishes possession of 4 the premises by the licensee) Q Address t City County ZIP (c) New mailing address if applicable Address City County ZIP (d) Attach a diagram of the premises showing the area where alcohol beverages will be stored, served, possessed or consumed. Include food preparation facilities for Hotel and Restaurants. DR 8442(D7/97) Page 4 9. Change of Manager or register manager of a Hotel/Restr. liquor license W (a) Change of Manager(attach Individual History DR 8404-I H/R only) aFormer manager's name New manager's name O (b) Compensation of Mgr. Date of Emp. Exp. Date Has manager ever managed a Liquor licensed establishment? ❑ Yes ❑ No Q Does manager have a financial interest in any other liquor licensed establishment? ❑ Yes ❑ No If yes, give name and location of establishment 10. Bed and Breakfast Permit • Attach a copy of a deed or lease in the exact name of the applicant only, reflecting possession of the permitted area for at least the minimum duration of this permit(1 year from date of issuance). • Attach a diagram of the premises which accurately reflects the area where alcoholic beverages will be stored, served, possessed or consumed. 1. Applicant is a: 2 ❑ Corporation (attach DR 8177) ❑ Partnership Q ❑ Individual (attach DR 8404-1) ❑ LTD Liability Company (attach DR 8177) 2. Name of Applicant PP� ---- .Q 3. Trade Name of Establishment(DBA) 4. Address of Premises (specify exact location) 5. State Sales Tax Number Business Phone (CC CO p Pursuant to 12-47-410, C.R.S.,Applicant hereby states that it qualifies for a Bed and Breakfast Permit to serve complimenta v Z alcoholic beverages,and does certify to the State Licensing Authority: _ That it has no more than 20 sleeping rooms, and tu CO _ That it provides at least 1 meal per day at no charge other than for overnight lodging, and That it does not sell alcoholic beverages by the drink or in sealed containers,and That it shall not serve alcoholic beverages for more than 4 hours in any one day, as follows: MONDAY HOURS TUESDAY HOURS WEDNESDAY HOURS THURSDAY HOURS FRIDAY HOURS SATURDAY HOURS I SUNDAY HOURS From: m. From: m. From: m. From: m. From: m. From: m.l From: m. I To: m. To: m. To: m. To: m. To: m. To: m. To: m. OATH OF APPLICANT I declare under penalty of perjury in the second degree that 1 have read the foregoing application and all attachments thereto, and that all information therein is true, correct, and complete to the best of my knowledge. Signature Title Date al-k_ ��� Ica�_ me>r--\s.Ar' 3 4/ a o CC REPORT AND APPROVAL OF LOCAL LICENSING AUTHORITY(CITY I COUNTY) The foregoing application has been examined and the premises,business conducted and character of the applicant is satisfactory,and we do report that such permit,if granted,will comp) y; •�licable provisions of Title 12,Articles 46 and 47,C.R.S.,as amended. TH - +?► PLICATION IS APPROVED. Local Licensing Authority(City or County) e `�J Date filed with Local Authority • Weld County, Colo . vb�yv 03/24/2000 Signat��er . L • �o 417,i; ir, Weld County Board Date ' ��(1,4,:i JLi)r/t-�a+;!� Commissioners 03/27/2000 RE�► ► �' LENSING AUTHORITY Cievom The foregoing has been examined a~�;� �:' e`iling requirements of Title 12,Article 47,C.R.S., Sameendec0a� Signature +-r. • Title Date '1Jf/}p 4I S W V ltlill l- u, ,n \ v i 7 0 �., r ..r ,- iii � (l' N) (7/ O Yy ril 2-(-7(r / c � ,�) �(� s o T U) (7 3 ,o FT >1 — _. _ . eiC C. �[I� lI1) �111111> J r (V) J '\ \-- �o.l. ' " o o , 2 _,a, , (3 I Illh cs-a 0 i L_t1 i, 1 ulc S - \\ l _ \\\\\ \ � , �x.-0 \\ \\\' ' / L\ k �,N -, o` e \ \\\ r1 _ a ip O m - W J LL DI I� o ., — _1 ap __ __ , ,) . I _ , IlleP Imo' I ppp I�I r i''.`- .%.\-.\-\\ \\ ii \\\\\\\\ \\\ �r L I� f mil; q i*Vk''• \' ''\' ` A Avy VA AA1/4 AA`AA AA VA�A v�` Vv V.AVV p� \ AA\ ,y'.Ay;N.V:--\y, v`�AvvovA vv "`�AAA"� A. AAA AA` AIM 11111 111111 I�� 11111111 111131 IIII 2677947 03/05/1999 02:07P Weld County CO 1 of 1 R 6.00 D 0.00 JA Suki Tsukamoto q Ll Quit Claim Deed THIS DEED is a conveyance from the individual(s),corporation(s)or other entity(ies)named below as GRANTOR to the indvidual(s)or entity(ies)named below as GRANTEE of whatever interest the GRANTOR may have in the real property described below. The GRANTOR hereby sells and quit claims to the GRANTEE the real property described below with all its appurtenances. The specific terms of this deed are: Grantor: (Give name(s)and place(s)of residence,if the spouse of the owner-grantor is joining in this Deed to release homestead rights, identify grantors as husband and wife) Richard Lee Wilhelm DeeAnn Wilhelm 33738 Weld County Road 39 and 985&975 E. 18th Street Lucerne,CO 80646 Greeley,CO 80631 Grantee: (Give name(s)and address(es),statement of1ddress,including available road and street number,is required) Dee Ann Wolfe 985&975 E. 18th Street Greeley,CO 80631 Form of Co-Ownership: (If there are two or more grantees named,they will be considered to take as tenants-in-common unless the words"in joint tenancy)or words of the same meaning are added in the space below) None Property Description: (Include county and state) Lot A, according to Exemption No. 0961-9-4-RE333, recorded August 30, 1978, in Book 843 as Reception No. 1765081,being a portion of West 2 acres of Lot 3 of NE'/.of SE1/4 and of the E'/,of Lot 7 of NW''/.of SE'/,of Section 9,Township 5 North,Range 65 West of the 6th P.M.,County of Weld,State of Colorado. r Property Address: 985&975 East 18th Street,Greeley,CO 80631 Reservations-Restrictions: (If the GRANTOR intends to reserve any interest in the pruAb;ix to convey less than he owns,or if the GRANTOR is restricting thel,GRANT£E'S'Again.the Those of public record. property,make appropriate indication) r Executed by the Grantor on i. ti ( �_� ,1999. yyyF- Signature Clause for Corporation,Partnership or Association: ,. Signatyre�C/lause(� ividual(s) I Name of Corporation,Partnership or Association RICH pt �p, By DEE ANN WILHELM,Grantor By. Att,t . ( -=rr STATE OF COLORADO COUNTY OF WELD )ss th lix foregoing iratrame `was acknowledged me this j L( 2 �• B g pt, before �) day o a L99,by RICHARD LEE WILHELM. WITNESS my hand and official seal. ci .22 My commission exires: r ^ �.. 1"73,l/o' C,1 +L._' z. �, n•." dieMw.Eu4lia ( e tit. "- STATE OF COLORADO COUNTY OF WELD )as. The foregoing instrument was acknowledged before me this day of ,1999,by DEE ANN,WILHELM. WITNESS my hand and official seal. My commission expires: Notary Public Hello