HomeMy WebLinkAbout880422.tiffRESOLUTION
RE: APPROVAL OF RENEWAL REQUEST FOR 3.2% BEER LICENSE ISSUED TO
CHARLES AND ROBERTA HINDERLITER, D/B/A I-76 MOTEL AND CAFE -
EXPIRES JUNE 23, 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, Charles and Roberta Hinderliter, d/b/a I-76 Motel
and Cafe, have 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 off the premises only, and
WHEREAS, pursuant to Weld County Ordinance No. 6, Section
II., C., said applicants have paid the sum of $57.50 to the County
of Weld for the renewal of the existing license, and
WHEREAS, said applicants have exhibited a State License for
the sale of 3.2% fermented malt beverages for consumption off the
premises only, outside the corporate limits of any town or city in
the County of Weld at the location described as follows:
35929 I-76 Access Road, Roggen, Colorado 80652
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 applicants, does
hereby grant License Number 88-13 to said applicants to sell 3.2%
fermented malt beverages for consumption off 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 June 23, 1989, providing that said place where the
licensees are 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.
-COO/S A
CC: Va,Pi" so -T5 880422
Page 2
RE: 3.2% BEER LICENSE - HINDERLITER
The above and foregoing Resolution was, on motion duly made
and seconded, adopted by the following vote on the 11th day of
May, A.D., 1988.
ATTEST:
Weld County Clerk and Recorder
and Clerk to the Board
Deputy County`Clerk
APPROVED AS TO FORM:
9)
L C" ounty At( orne
Y
BOARD OF COUNTY COMMISSIONERS
WEL� BOUNTY, COLORADO
Frank amaguchi
880422
Liquor Enforcement Division
1375 Sherman Street
Denver, Colorado 80261
HINDERLITER ROBERTA
HINDERLITER C RAY
I SEVENTY SIX MOTELS
CAFE
35929 I 76 ACCESS RD
ROGGEN CO 80652
;auceac EXPRESAT YDNOff C
3.2 PERCENT BEER RETAIL LICENS
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 concernigg this license
should be addressed to the Department of Revenue, Liquor Enforcement Divison, 1375
Sherman Street, Denver, CO 80261.
In testimony whereof, I have hereunto set my hand.
Division Director
DR 8402 (11/87)
MAY 2 3 1988
Executive Director
880422
zzvoss
•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 charge)t
4. Article Number
439 - 609
Type of Service:
❑ Registered ❑ Insured
Certified O COD
❑ Express Mall
Always obtain signature of addressee
or agent and DATE DELIVERED.
8. Addressee's Address (ONLY if
requested and fee paid)
3. Article Addressed to:
Charles & Roberta Hinderliter
dba 1-76 Motel & Cafe
35929 I-76 Access Road
Box 28
Roggen, CO 80652
ure— d
6. Si nature — Agont
X
7. Date of Deliveni
laity
DOMESTIC RETURN RECEIPT
* U.S.O. 3. 1987.178-268
pE
E
5861 aunr `0086 WJod Sd
•TIEN pai;i1zaD 6q '886I `Z aunt uo s,ia:tjiapuTH aq3 oq pajtsm uocJniosa;o Xdoo pus asuao-7
DATE: May 9, 1988
SHERIFF'S OFFICE REPORT
FOR BEER OR LIQUOR LICENSE RENEWAL REQUESTS
APPLICANT: Charles Ray & Roberta Hinderliter
dba I-76 Motel & Cafe
35929 I-76 Access Road
Roggen, CO 80652
TYPE OF LICENSE: 3.2% Beer License for consumption OFF the premises only
SHERIFF'S REPORT: Sgt. Jim Hayward has been notified. Lt. Fliethman should
be present.
880422
.SENDER: Complete Items I end 2 whenaddidonel enviers ars desired, end complete Items 3
Put Your oddts In Os "RETURN TO" Speer an, ate "Yeree lids Follu this
card train being returned toy ��
mu
creel to, �0 fw d�
Pot silFAlllisR lla iM fo t=
and 4.
et
postmaster for ester additlsaelservlsls) rwuaKd
1. 0 Show to whom dsllvsrsd,cd__a__t_�e, end sddewee✓dies s Sea 2. 0 Reetrla id Delivery
t (txtn wrera.Jt tone eh flh)t.
3. Article Addnntd to: —
Liquor -Enforcement Division
Colorado Dept. of Revenue
1375 Sherman Street
Denver, CO 80261
6. Signature — Addresses
X
6. Signature - Agent
X
7. Date of Delivery REVENUE MAIL ROO
STATE
PS Form 3811, Mat. 1987
C
MAY1 81988
ere
TYPE
0 heated
Sled 0 coo
Eeposs�ll
Dsways
Cb�1t1 signature of liddlseMe
tor epntatid DATEIlE1IVffkn.
S. A erequested nd fee
(�INLp'.V
DOMESTIC RETURN RECEIPT
P 686 919 300
RECEIPT FOR CERTIFIED MAIL
NO INSURANCE COVERAGE PROVIDED
NOT FOR INTERNATIONAL MAIL
Liquor Enforcement Division
Colorado Dept. of Revenue
1375 Sherman Street
Denver, CO 80261
Postage
$
Certified Fee
Special Delivery Fee
II
a
a
3
8
LL
w
6
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
S
Postmark or Date
DR 8400 (4/87)
Colorado Department of Revenue
Liquor Enforcement Division
1375 Sherman Street
Denver, Colorado 80261
866-3741
HIr(DLKLI
HINUERLI
SEVENT
LAKE
Pu iii X
R0.;GEN
LIQUOR OR
3.2 BEER LICENSE
RENEWAL APPLICATION
Tc$ RJdEri1A
Tr.rt C itAY
Y SIX MCTELi:
2b
Cu 30652-002a
License Number:
14-27452
License Type:
J
Liability Information:
C3 117 7011 5 u6L4d7
Business Location:
35929 1 76 tii,C:_SS mid
RUuutN LO
Current License Expires:
JUi\ 23e19tio
ODTYQOOMMY COPY'
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.
(XThis renewal reflects no changes from last application. • SIGN THE FORM
❑ There are changes from last application. (Report changes on • ENCLOSE TOTAL AMOUNT DUE
form DR 8176 -'Report of Changes - Liquor and 3.2 Beer • SUBMIT FORM TO LOCAL (CITY/COUNTY) LICENSING AUTHORITY FOR APPROVAL
Licenses" end attach that form to this renewal appication 1 -• CHECKWITH LOCAL AUTHORITY FOR AMOUNT OF LOCAL FEES
I declare under penalty of perjury in the second degree that this application and ail attadifents are1rue, coned, and complsfs to the best of my knowledge.
Authorized Sig re: // (( 1
/" E kY'/ Z \ \/ '`r �1-31-FY. ' / /: ;
Business Phone:
n/- fs67
Title of Signr ration): j
Sales Tax No.
2- )'7' 2745 2 csoL"
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 Ucensing Authority
approval and must be returned Erectly to the Colorado Department of Revenue no later than 30 days prior to license expiration.
The foregoing appll@attioh ' s teen 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 Uc. Auth. I.D. No.: -
Local Licensing Authority for:
WELD COUNTY, COLORADO 61
❑ TOWN/CITY
MI COUNTY
Sig
X G
Title: CHAIRMAN
BOARD OF COUNTY COMMISSIONERS
Date:
5/IJ/88
Illig
ellei1yX-C.[J £2k.. l.lc) DEPUTY
Date:
5/IW88
Do not datacWj , Do not detach Do not detach not detach
Do not'datech Do not detach
Do not detach
m._ _!:- .3•*19--76-' A Lc r sr l(tr '' , - .
rtUGGEN CO
Name/Trade Name:
Use License Number
for All Reference
LIABILITY INFORMATION
RENEWED LICENSE
County City Indust. Type Uab. Date
EXPIRES AFTER
H1NUEtcLiTER RObbERdTA
14-47452
03 117 7011 5 0b24b7
L6-23-89
TYPE OF LICENSE ISSUED
SfAIEFEE
CITY85%OA
C085%OAP
414 (9) 45-9 (9)
31-1 (9)
49-1 (9)
J.2 Pcrtt.cryi ubcR
ittTAIL LILENSL (3) 11
a 25.CC
i 42.54
Make check payable to : COLORADO DEPARTMENT OF REVENUE TOTAL AMOUNT DUE * ( $ 67. 5
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 $170.00.
DO NOT WRITE BELOW THIS LINE
Extended hours?
❑ YES ' NO
C7eoti'�4rry
DR 840E (6t8Yk Attso tmnntio Liquorf3 2 Units. R*q w$ APIM:0 fog :
7, If the applicant is a corporation, answer the following: A-
(a) Corporation is organized under the laws of the State of: M
1. Do you have legal posession of the premises for which
this application for kcense is made? YESX NO❑
Are the premises: OWNED ® RENTED❑
If rented, effective and expiration date of lease:
Date Incorporated:
(b) Principal of business is'
place
(c) Date of filing last annual corporate report to the
Cob. Secretary of State.
2. (a) Has the applicant, or any of the partners, or offi-
cers, 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.
❑
(d) Name of each officer listed below:
YES NO
President:
Date of Birth
Home address:
YES ❑ NOE
v• -Pres.:
Date of Binh
Home Address:
Treasurer:
Date of Binh
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 suspended or revoked?
Home Address:
YES ■ NO
Secretary:
Date of Birth
YES ❑ NOM
\Tall Nofeme
Home Address:
Mme'
Date of Birth
If answer is 'yes' to any of the above questions,
explain in detail and attach
Home 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
officers, directors or stockholders of said applicant (if
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.
Name:
Daze of Birth
Address
Y of
Stock
Name:
Date of 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 items of value, such as inventory, furniture or equipment. Use
separate sheet if necessary.
Address:
%of
Stuck
(f) Name of at DirectopWln sfees of corporator
"a" a
Date of Binh
Name
Date of Binh
Name
Date of Binh
Name 44i ,h, RT HY 11AR-t1,J Fir Z.
lintels Akir
Name
Date of Perth
Address -,
N- e y4 A/at A i� YD rte -G- r wool) Pf 0 rei)
8. Nephritis partnership list all general partner. Use separate sheet d necessary
Dewar) type and amount of interest: P Ps o X 11 00 OD
/1/2 1
Name
N
ep Tp1 fd tTE72'L / T6 R
IlorttGAGE oN PttOPERTv,PREQ,OWNER
teis (ND R
n
Name / ,y ,d21-
�: f/ O/.-cge-J `� 2 Date of Bah
THIS PAMUST BE COMPLETED AND ATTACHED TO
YR SIGNED RENEWAL APPLICATION FORM.
FAILURE TO INCLUDE THIS PAGE WITH SAID APPLICATION MAY RESULT
IN YOUR LICENSE NOT BEING RENEWED.
880422
-REASURER'S OFFICE, WELD COUN
Greeley, Colorado .
RECEIVED OF. ./2.i..i2'Th.Wt .
KAi�.tPA�"Q . QL l
ICI° 1647
, 19.8.. .
SO
FOR
//'
CREDIT
General Fund 101 0000 ON°:4
0.4— i
.,(.P1.A/li .0,Health
S7
5"oCounty
Department 119 0000 0
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
n
8i 80422
FRANCIS M. LOUSTALET
I
TOTAL AMOUNT
,1
50
County Treasurer ark
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