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Address Info: 1150 O Street, P.O. Box 758, Greeley, CO 80632 | Phone:
(970) 400-4225
| Fax: (970) 336-7233 | Email:
egesick@weld.gov
| Official: Esther Gesick -
Clerk to the Board
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880421.tiff
RESOLUTION RE: APPROVAL OF RENEWAL REQUEST FOR TAVERN LIQUOR LICENSE, WITH EXTENDED HOURS, ISSUED TO DONALD EDICK, D/B/A RAFFERTY'S, INC. - EXPIRES AUGUST 14, 1989 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, Donald Edick, d/b/a Rafferty's, Inc., has presented to the Board of County Commissioners of Weld County, Colorado, an application for the renewal of a Tavern Liquor License, with extended hours, for the sale of malt, vinous and spirituous liquors for consumption by the drink on the premises only, and WHEREAS, pursuant to Weld County Ordinance No. 6, Section II, C., said applicant has paid the sum of $128.75 to the County of Weld for the renewal of the existing license, and WHEREAS, said applicant has exhibited a State Liquor License for the sale of malt, vinous and spirituous liquors for consumption by the drink on the premises only, outside the corporate limits of any town or city in the County of Weld at the location described as follows: 5590 W. 10th Street, Greeley, Colorado 80634 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 88-7 to said applicant to sell malt, vinous and spirituous liquors for consumption by the drink on the premises only, only at retail at said location and does hereby authorize and direct the issuance of said license by the Chairman of the Board of County Commissioners, attested to by the County Clerk and Recorder, of Weld County, Colorado, which license shall be in effect until August 14, 1989, 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. 880421 Page 2 RE: TAVERN LIQUOR LICENSE - DONALD EDICK The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 18th day of May, A.D., 1988. ATTEST:/ Weld County Clerk and Recorder and Clerk to the Board SY' a) Deputy County l5 erk APPROVED AS TO FORM: 67 Cdutity Attorney BOARD OF COUNTY COMMISSIONERS WELLcOUNTY, COLORADO Gene R. Brander, Chairman C.W. Ki Yr Pr•-Tem J-�•1 e1i on Go : •n iv ac Frank Yamaguchi 880421 rte......, Liquor Enforcement Division 1375 Sherman Street Denver, Colorado 80261 RAFFERTYS INC 5590 W 10TH ST GREELEY CO 80634-4406 Alcoholic Beverage License Ammnt Nunbar imenornmw ow Indudua Tvo, LIWIM Da LICENSE EXPIRES AT MIDNIGHT 14-19323 03 206 5813 3 081580 AUG 14. 1989 Wm Nrww and Dsaydm d u rm F« T TAVERN LIQUOR LICENSE - MALT• VINOUS. AND SPIRITUOUS i 25.00 (-MINTY RS PFRCFNT naP FFF c 276-25 _....-.lnen 4.1(11 IRS TOTALFERM i 301.25 This license is issued subject to the laws of the State of Colorado and especially under the provisions of Title 12, Articles 46 or 47, CRS 1973, as amended. This license is non- transferable 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, rtquor Enforcemen[ bivison, 1375 Sherman Street, Denver, CO 80261. In testimony whereof, I have hereunto set my hand. ' 880421 Tzvnes 00 Cra AUGUST 14 THIS LICENSE EXPIRES -r N) Ck v •SENDER: Complete Items 1 and 2 when additional services are desired, and complete items 3 and 4. Put your address in the "RETURN TO" Space on the reverse side. Failure to do this will prevent this card from being returned to you. The return nceioEfae will provide you the name of the Person geiivered to and the date of dally rv. For additional fees the following services are available. Consult postmaster for fees and check box (as) for additional services) requested. 1. 0 Show to whom delivered, date, and addressee's address. 2. 0 Restricted Delivery 1(Extra charge)l t (Extra charge)t 4. Article Number 43Q - 1 08 Type of Service: epistered ❑ Insured Certified ❑ COD O Express Mail Always obtain signature of addressee or agent and DATE DELIVERED. 8. Addressee's Address (ONLY if requested and fee paid) 3. Article Addressed to: Donald Edick dba Rafferty's P.O. Box 1902 5590 W. 10th Street Greeley, CO 80632 5.1Sig atu e ddresaee,_ Xc`��%/J 6. Signature — Agent X 7. Date of Delivery t� QQ `�d�V J rQ a J1 1L1 LL_ o' 7; Er CC g In LU LLJ U V W CC V z u1OLL LL L1 r- CL. L U ra_w 4J Ql N et O1 •D 4l O GO GO CO N ✓ • a-7rnuO •ri $•+ •-1 O U V w A µi 0 • /l i--I GO= ,3 —I �a • o a) GOO al a, IM r14 1-f-1 DOMESTIC RETURN RECEIPT Co Ch E o LL I Postmark or Date cp V) a Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt showing to whom and Date Delivered Return Receipt showing to whom. Date and Address of Delivery TOTAL Postage and Fees S861 aunr `008E u+aad Sd '8861 'z aunt uo TTPW paTJT11aD 4 xozp8 pTeuo[ 03 PaTTEm asuaaT1 DATE: May 18, 1988 SHERIFF'S OFFICE REPORT FOR BEER OR LIQUOR LICENSE RENEWAL REQUESTS APPLICANT:Donald Edick dba Rafferty's, Inc. 5590 W. 10th Street Greeley, CO 80634 TYPE OF LICENSE: Tavern Liquor License, with extended hours SHERIFF'S REPORT: Sheriff's Offieeehas been -notified. 880421 DR 8400 (4/87) Colorado Department of Revenue Liquor Enforcement Division 1375 Sherman Street Denver, Colorado 80261 866-3741 LIQUOR OR 3.2 BEER -LICENSE RENEWAL APPLICATION RAFFERTYS [':C PO 80X 1902 CRFELEY CO 8u632-1'02 License Number: 14-19343 LicenseType: T Liability Information: 03 2u6 5813 3 J315du Business Location: 55'Tu w 10TH ST GREEL;Y CO Current License Expires: AUG 14,1988 ©0fl/©OMHTY ©CRY YOUR PROMPT ATTENTION IS REQUIRED. FAILURE TO COMPLETE THIS FORM ACCURATELY AND PROMPTLY MAY RESULT IN Y LICENSIf NOT'REING RENEWED. • F L OUT THIS FORM COMPLETELY, MEOW( APPROPRIAtE BOX BEi61N his renewal reflects no changes from last application. • SIGN THE FORM ENCLOSE TOTAL _ There are 176 -'Re from lt application.-iq (Report Beer on • SUBMI' FORM TO LOCAL (CITY/COUNTY) LICENSING AUTHORITY FOR APPROVAL E DUE form DR B7 76 -'Report of Changes - Liquor and 3.2 Bear • • and attach slat form to this renewal :... i • CHECtWITN LOCAL AUTHORITY FOR AM01M1 OF LOCAL FEES I declare under penally of perjury in the second degree US IS sp:o •tam and attachments are true, correct, and complete to the best of my knowledge. Authorized S'g ne re: i 4 eci. cjzz Business Phone: Title of Signer (if corporation): es Tax No. SUBMIT THE STATE COPY AND LOCAL (CITY/COUNTY) AUTHORITY COPY TO YOUR LOCAL (CITY/COUNTY) LICENSING AUTHORITY NO LATER THAN 45 DAYS BEFORE YOUR LICENSE EXPIRES. EXCEPTION: Wholesaler, manufacturer, importer, and public transportation system license renewals do not need Local Licensing Authority approval and must be returned directly to the Colorado Department of Revenue no later than 30 days prior to license expiration. The foregoing application has been examined and the premises, business conducted and character of the applicant is satisfactory, and we do hereby report that such license, if granted, will comply with the provisions of Title 12, Articles 46 and 47, C.R.S. THEREFORE THIS APPLICATION IS APPROVED. Local Lie. Auth. I.D. No.:.. n / Local Licensing Authority for: Weld County. Colorado Al TOWN/CITY al COUNTY Signal to I G/�jK•• Tide' Chairman Board of County Commissioners Date: 5/18/88 ` 1/d7lc-xKc.e.- l.�:gsfra_k-a., Deputy Date: 5/18/88 Do not detIh Do not detach Do not detach Do hot detach Do not detach Do not detach Do not detach .,.._..---t,-ee,.. r =-'-5,"saiD'ir--S5F GREELEY CO Name/Trade Name: Use License Number for AU Reference LIABILITY INFORMATION RENEWED LICENSE EXPIRES AFTER County City Indust Type Liab. Date RAFFE:TYS INC L4-19323 03 200 5d13 3 O315t30 08-14-89 TYPE OF LICENSE ISSUED S1AIhhhh CITY85%OAS CO85%OAP 41-9 (9) S 25.0J 45.9 (9) 37.1 (9) 49-1 (9) 6 176.15 TAVERN LIWUOR LICENSE - MALT VINOUS, ANC SPIRITUOUS (3) 40 Make check payable to : COLORADO DEPARTMENT OF REVENUE TOTAL AMOUNT DUE * 3 301.15 EXTENDED HOURS - Applies only to Hotel and Restaurant, Beer and Wine, Club, Tavern, and Arts licenses. If desired, check yes' and enclose Total Amount Due PLUS $170.00. DO NOT WRITE BELOW THIS LANE Extended hours? YES IV -NO I t}4tt E (s ?I Attabhmmnt :Wk. 2 Lhaertse Ri,40.0.Applloadon 7. If the applicant is a corporation, answer the following: Corporation is the laws the State of: / - 1. Uo you have legal posession of the premises for which thisapplication for license is made? Are the premises: OWNED If rented, effective and expiration date of lease: / (a) organized under of incorporated; , , 2 1°M Date (b) Pdndpaiplace of business is. K r^ �'�°" BYES IJ RENTED •■ 4 rr`t n w It-, >r Ciitrei (c) Date of filing last annual corporate report to the Colo. Secretary of State* 2. (a) Has the applicant, or any of the partners, or offs- cars, stockholders or directors of said applicant (if a corporation) ever been convicted of a crime? If an- swer is 'yes; explain in detail and attach. (b) Have persons lending assistance or financial support to the applicant, or manager, or employees, ever been convicted of a crime? If answer is 'yes, explain in detail and attach. YES ❑ NO[ d) Name of each officer listed below: President: I -,-- f' Do YJw', A bGC l L lL Date of Birth G-. Home Address: t(D / (.4— 6kter tX,-. 1471" YES iii NO 1� Vice-Pres.:Da ( , } Address: t a /, J 1 N 2 � e C -F 6 p c r (� Treasurer rt, .� ! ' Lt) I tip -4-...-". } : +.; r f l r 'R Has the applicant, or any of the partners, or officers, directors or stockholders of said applicant (if a cor- poration) or manager, ever: (a) been denied an alcoholic beverage license? (b) had an alcoholic beverage license suspended or revoked? (c) had interest in any entity that had an alcoholic beverage license suspended or revoked? Home Address: IN 37:03k •^jar,d Stf . 1) or YES f NO2( , Secretary: LU I • / 16,,v� ��u . -<r 6 is Date ❑ NO[W YES [] NO[�,a Home Meals: / g 3 0 9O „fj DPuathof e a Binh j� If answer is 'yes" to any of the above questions, exolain in detail and attach. Home Adteu: p �j/'' p '' lT) /111 APIs' (e) List all stackholders,55 or over, (if a public corporation) including actual owner or (use separate sheet if necessary) 4. Does or did applicant, of any oft ners, or officers, directors or sbckhokf d I a corporation), have a teCit*In )tact moans any other Colorado liquor license (incwde loans-ippr from f any licensee, or interest in a loan to an/lc nsee)? If ,.a answer is 'yes," explain in detail and attach. ,—,/ YE OM's / #• ,pledge Naar d /- A ' ` u t f Address J1 +� t.f j 7G �a� 4 �f «rr Stock -)0 Name: 1 t -, / % (/Jit .cam. t ..,, r Birth 5 Identify the persons, firms or corporations who now or will have a financial interest, evidenced either by a loan to, or equity ownership in, the business for which this license is requested. State the names and addresses and the amount and source of such financial interest (i.e., bank, relatives, friends, previous owners, etc.): expressed in dollars or other hems of value, such as inventory, furniture or equipment. Use separate sheet if necessary. Address: 1 %of Stuck SG- (f) Name of allDvecbrsnfn tees of Corporaton Name g N aa / ,( (tic/GC t c/('f 0 [ Name /,�X d (AA I f / t c a<.p7 I ea Bi Name y - , `_ r 5/ a-•'{'� Name Interest. /°� �TW 4 Name ii Date of Birth Address a. H applicant S pane ershp list at general pannere..Usa separate sheet if necessary Describe type and amount of interest: Name t Date of Birth Name Date of Birth 6. List on a separate sheet the names and addresses of all liquor businesses in which any of the persons in question No. 5 are'materially interested. Name Date of Binh THIS PAGE MUST BE COMPLETED AND ATTACHED TO YOUR SIGNED RENEWAL APPLICATION FORM. T FAILURE TO INCLUDE THIS PAGE WITH SAID APPLICATION MAY RESULT IN YOUR LICENSE NOT BEING RENEWED. 880421 ) Raffprttrla •SENDER: Complete items 1 and 2 when additional services are desired, and complete Items 3 and 4. Put your address in the "RETURN TO" Space on the reverse side. Failure to do this will prevent this card from being returned to you. The return receipt fee will provide you the name of the person delivered to and the date of delivery. For additional fees the following services are available. Consult postmaster for fees and check box(es) for additional service(s) requested. 1. 0 Show to whom delivered, date, and addressee's address. 2. 0 Restricted Delivery t (Extra charge) t t (Extra charrejt 4. Article Number P 686 919 306 Type of Service: ❑ Registered 0 Insured n Certified ❑ COD 0 Express Mail Always obtain signature of addressee or age MSS). 8. ., .,1f�-� 111' r... (ONLY if Ou \t'�n' : . di 19 0 4$) ' ,ao j?fy 1p1�a 3. Article Addressed to: State Dept. of Revenue ATTN: LIQUOR DIVISION State Capitol Annex 1375 Sherman Street Denver, CO 80203 5. Sign ture Address X I I I_ d Q� co d x I7. Date ofDelivery PS Form 2211 AO,. tool V _a 0t m w [Lg.' c m z ¢ w ,) > OS O' Uwe 0:tu,' 0 O“v)) cc I- -0 0o wz wCC DOMESTIC RETURN RECEIPT * u.s.u.Ro. 1967.178-268 sAte Dept. of Revenue ATTN: LIQUOR DIVISION strfrateuoCapitol Annex 1375 Sherman Street P Q. State and Lode Denvr, ZIP e, U 80203 in Postmark or Date 5/18/88 Rafferty's ti I Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt showing to whom and Date Delivered Return Receipt showing to whom. Date. and Address of Delivery TOTAL Postage and Fees S861 aunt '008E Wiod Sd DEPARTMENT OF HEALTH 1516 HOSPITAL ROAD GREELEY, COLORADO 80631 WIDc COLORADO May 24, 1988 Clerk To The Board Weld County Commissoners 915 10th Street Greeley, Colorado 80631 RE: Liquor License Renewal ADMINISTRATION (303) 353-0586 HEALTH PROTECTION (303) 353-0635 COMMUNITY HEALTH (303) 353-0639 Dear Licensing Authority: The following Food Service Establishment, Rafferty's Inc. located at 5590 W. 10th Street, Greeley, Colorado, does have a valid 1988 Colorado State Food Service License and is in compliance with majority of the Rules and Regulations Governing the State of Colorado Food Service Establishments (July 1978). If any questions should arise in this matter, please contact this department at 353-0635, ext. 2237. Sincerely, VVL4 Rfit, Wes Potter, Director Health Protection Services 880421 RECEIVED OF. . -REASURER'S OFFICE, WELD COUM Greeley, Colorado. . N° 1649 .42...,19g�... ab'. "S $.J FOR CREDIT County General Fund 101 0000 t j/34_fl ��( 9 -ice .1.Pip.ne i �o� 0 7S Health Department 119 0000 17L Human Resources 121 0000 Social Services 112 0000 Housing Authority Road & Bridge Fund 111 0000 Airport 177 0000 County Clerk Cash Escrow 810 0803 Fee Fund 900 0912 School District Gen Fund School District C R F School District Bond Fund `' `� g4►1.21 FRANCIS M. LOUSTALET I TOTAL AMOUNT ,' 2 (, �t /,5] County Treasurer Jerk
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