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Home My WebLink About880861.tiffRESOLUTION RE: APPROVAL OF RENEWAL REQUEST FOR 3.2% BEER LICENSE ISSUED TO HIGHLANDLAKE, INC. - EXPIRES NOVEMBER 9, 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, Highlandlake, Inc., has presented to the Board of County Commissioners of Weld County, Colorado, an application for the renewal of a County Retail License for the sale of fermented malt beverages, containing not more than 3.2% of alcohol by weight, for consumption on and off the premises, and WHEREAS, pursuant to Weld County Ordinance No. 6, Section II., C., said applicant has paid the sum of $57.50 to the County of Weld for the renewal of the existing license, and WHEREAS, said applicant has exhibited a State License for the sale of 3.2% fermented malt beverages for consumption on and off the premises, outside the corporate limits of any town or city in the County of Weld at the location described as follows: 17029 Weld County Road 5, Platteville, Colorado 80651 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 88-17 to said applicant to sell 3.2% fermented malt beverages for consumption on and off the premises, only at retail at said location and does hereby authorize and direct the issuance of said license by the Chairman of the Board of County Commissioners, attested to by the County Clerk and Recorder, of Weld County, Colorado, which license shall be in effect until November 9, 1989, providing that said place where the licensee is authorized to sell 3.2% fermented malt beverages 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. 880861 Page 2 RE: BEER LICENSE - HIGHLANDLAKE, INC. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 15th day of August, A.D., 1988. ATTEST: Weld County Clerk and Recorder and Clerk to the Board Deputy Count Clerk APPROVED AS TO FORM: L County Attorney BOARD OF COUNTY COMMISSIONERS WELDDC NTY, COLORADO Aft# ene R. Brantner, Chairman Frank "ama.uchi 880861 en Un Un o U W Ln O Z w o rd co W W O X34 U aw-eC PO F xax� U o Lea : H� y 0 x U Un M a CI✓ ° ▪ C O s a m d 2 • a a n a >. w �` Em - C z t d o M S96L aunr'00SE WIOJ Sd 2 L. L.O U ❑ ❑ • ct ,o w W 0 1 EW « O ° w c O O 8 c I° Z. 3 2' Q O M n U .-i F o U W Ln z w o I -I co H 47 WCO O crl U a W '-) co F . •� z x a x z 0Lnz H .- O x U n a 0 V DOMESTIC RETURN RECEIPT 880861 8' Account Musts usom Canty Oh Indus. Ty. LIWiiN OW LICENSE EXPIRES AT MDNGNT 14-27324 03 206 5952 3 111087 NOV 091 1989 Type Name end Dswipts of Limn. Fee J 3.2 PERCENT BEER RETAIL LICENSE $ 25.00 COUNTY 85 PERCENT OAP FEE $ 42,50 TOTALFEE(S) $ 67.50 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, Liquor Enforcement Divison, 1375 Sherman Street, Denver, CO 80261. 1Ssos } CD Q . ! - co • \ j \ PO az a Ft O % $ )] co ) . C.> 00 a J / k 4,41 it a) 03 2 \ § ] e § •@ - O�\ \\\ mm) -4-3 o DATE: August 15, 1988 SHERIFF'S OFFICE REPORT FOR BEER OR LIQUOR LICENSE RENEWAL REQUESTS APPLICANT: Lawrence & Mary Jensen dba Highlandlake, Inc. 17029 Weld County Road 5 Platteville, CO TYPE OF LICENSE: 3.2% Beer License for consumption ON and OFF the premises SHERIFF'S REPORT: Lt. Fliethman has been notified. 880S61 DR 8400 (4/87) Colorado Department of Revenue Liquor Enforcement Division 1375 Sherman Street Denver, Colorado 80281 866-3741 LIQUOR OR 3.2 BEER LICENSE RENEWAL APPLICATION H'IGHLANOLAKE INC L JENSEN 515 KIBAR.K Si LPNGMO'tr CO 8' 501-5513 License. Number: 14-2132h License Type: J Liability Information: 03 200 5952 3 1110o7 Business Location: 17J.2c WELD CNTY HO 7 PLATTEVILLL CO Current License Expires: NOV 09s 1960 ©Bfl/©O0 UNIT COPT pY YOUR PROMPT ATTENTION IS REQUIRED. FAILURE TO COMPLETE THIS FORM ACCURATELY AND PROMPTLY MAY RESULT IN YOUR LICENSE NOT BEING RENEWED. • FILL OUT THIS FORM COMPLETELY, AND CHECK APPROPRIATE BOX BELOW. ($This renewal reflects no changes from last application. • BONNE FORM ❑ There are changes from last application. (Report changes on • ENLOuUNT DUE (CITY/COUNTY) LICENSING AUTHORITY FOR APPROVAL form DR 8176 -'Report of Changes - Liquor and 3.2 BeerSUBMIT l i. sea• en. ,,,,- th =e . m �. � � s renewal a. d'... •.. 1 • `,. " WRN LOCAL AUTHORITY FOR AMOUNT OF LOCAL FEES I declare under penalty of perjury in the second degree that this asp:iatan and at are true, cared, and complete to the best of my knowledge. Authorized Signature: '22l 6L-x-'i L ,i,f/b�ce: v Business Phone: Title of Signer (if corporation): I / i - 'x. -C 2.--uilzr. Sales Tax No. I LI--2-73 Q 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 erectly 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 APPLICA TION IS APPROVED. Local Lie. Auth. I.D. No.: Local Licensing Authority for: WELD COUNTY, COLORADO ❑ TOWN/CITY gi COUNTY Signatur Tide: CHAIRMAN BOARD OF COUNTY ISSIONERS Date: 8/15/88 Attu . • D7w37ca¢Je.DEPUTY Date: 8/15/88 Do not detach Do not detach Do not detach Do dot detach Do not &tach Do not detach Do not detach Berthas tamer --.1Tarr-tee 'fTtf‘rY"RiS 5`..--_r/-_,,_._. .— ....-.__-.._.., _ ,.�......__._ PLATTEVILLE CO Use License Number LIABILITY INFORMATION RENEWED LICENSE Name/Trade Name: for All Reference County City Indust. Type Liab. Date EXPIRES AFTER HIr;HL.A'vt L:KE- INC 14-27324 03 206 595Z 3 111087 11-09-3'i TYPE OF LICENSE ISSUED blAlEttE l E ttE CITY 85% OA CO 85% OAP 41-9 (9) 45-9 (9) b 25.00 37-1 (9) 49-1 (9) i; 42.'SJ 3.i' P. -_-/CENT NEEIt kETAIL LIC.EVS1 (3) 11 Make check payable to : COLORADO DEPARTMENT OF REVENUE TOTAL AMOUNT DUE * S 67 • St EXTENDED HOURS - Applies only to Hotel and Restaurant, Beer and Wine, Club, Tavern, and 'I. krts licenses. If desired, cheek "yes- and enclose Total Amount Due PLUS $170.00. DO NOT WRITE BELOW THIS LINE Extended hours? DYES [, NO ( it 880861 DR94111 9!9 AltsdsmenttoU rf9"ifcensaflail tietA Itaattgn. ( 'f) glaoii ! pp 7. Ifcorporation, ; applicant is a co oration, answer the following . F,' Corporation is the lawsrpf the Sta$ 1. Uo you have legal posession of the premises for which q this applicatan for license is made? YES N0❑ Are the premises: OWNED LiRENTED ❑ If rented, effective and expiration date of lease: (a) organized under Date Incorporated: / l , Principal of business is. ^, r` re' c i n i1Rn'. (b) place , h`I' /1 ( . o tics• (a) Date of filing last annual corporate report toff Colo. Secretary of State: 7 /0 -dr/ 2. (a) Has the applicant, or any of the partners, or offi- cars, stockholders or directors of said applicant (if a corporation) ever been convicted of a crime? It an- saver 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. ❑ (d) Name of each officer listed below: YES No President: ,k n 177 'X-/; .. 9-C/-,"ZQ sh <- Date of Birth -;_ Home Address: r ? °aerie,' ri— 49-1-evte dale 6e W6,5-1 YES ❑ Nog Y ce-pres.: Az4 Daze a Birth Home Address: Treasurer: �� Date of Birth 3. 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 snded or revoked? u e YES ■ N01 YES C NO YES ■ N0�. Home Address: sinology Secretary: GvsoN�E' ,7n geoid./ Addressoz? irt-5 f jj� tt LS.r)W,/ < o k BSo/ `� M°nae` ., Date d Birth It answer is 'yes" to any of the above questions, exolain in detail and attach Nome Address: (e) List all stockholders,5% or over, (if a public corporation) including actual owner or pledgee. Use separate sheet if necessary) 4. Does or did applicant, or any of the partners, or YES ❑ No] a corporation), have a direct or indirect interest in any other Colorado liquor license (include loans to or from any licensee, or interest in a loan to any licensee)? If answer is yes,' explain in detail and attach. •g' Or/ G •,)-�7N1 _Y-6,—/. / / � Address1 9 �d/ r-":%/TP/Ci// re, . Nance. Date of Bran 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 thesames and addresses and the amount and satires of such financial interest (i.e., , , bank, relatives, friends, previous owners, etc.), expressed in dollars or other items of value, such as inventory, furniture or equipment. Use separate sheet if necessary. Address: ) %of Stock, (I) Name of all Directors/Trustees of Corporation t Name l `? nab as- cc �O✓2. Date of Binh Name Due a Binh Name Date of Binh Name Interest Name Date of Binh Address 8. II applicant's pennershp list at general winners. use separate sheet if necessary Descrbe type and amount of interest: Name Date of Birth Name Date of Binh 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 Due of Binh THIS PAGE MUST BE COMPLETED AND ATTACHED TO YOUR SIGNED RENEWAL APPLICATION FORM. FAILURE TO INCLUDE THIS PAGE WITH SAID APPLICATION MAY RESULT IN YOUR LICENSE NOT BEING RENEWED. 89©861 DEPARTMENT OF HEALTH 1516 HOSPITAL ROAD GREELEY, COLORADO 80631 ADMINISTRATION (303) 353-0586 HEALTH PROTECTION (303) 353-0635 COMMUNITY HEALTH (303) 353-0639 COLORADO August 19, 1988 Clerk to the Board Weld County Commissioners 915 10th Street Greeley, Colorado 80631 RE: Liquor License Renewal Dear Licensing Authority: if/ 'lLi j The following Food Service establishment for consumption on and off the premises, Highland Cake Campground located at 17029 WCR # 5 does have a valid 1988 Colorado State Food Service License. The Colorado Department of Health, Consumer Protection Division's letter of July 5, 1979 states: "... all establishments serving only 3.2% (for consumption on the premises) must also possess a Colorado State Food Service Establishment License." If any questions should arise in this matter, please contact this department at 353-0635. Sincerely, t Pte=, Wes Potter, Director Health Protection Services WP/cw RECEIVED 001/4.... IEASURER'S OFFICE, WELD COUM Greeley, Colorado. akdiab ., dL. N° 2285 $ 57i -5° FOR CREDIT County General Fund 101 0000 LCD "��, WI A1- ' 57 S o Health Department 119 0000 ttt/// 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 Fu 0 8431. FRANCIS M. LOUSTALET erk I TOTAL AMOUNT _// / 5O County Treasurer Hello