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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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891014.tiff
RESOLUTION RE: APPROVAL OF RENEWAL REQUEST FOR 3.2% BEER LICENSE ISSUED TO HIGHLANDLAKE, INC. - EXPIRES NOVEMBER 9, 1990 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 89-20 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, 1990, 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. /7/1 891014 Page 2 RE: 3.2% BEER LICENSE - HIGHLANDLAKE, INC. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 28th day of August, A.D., 1989. ATTEST: Weld County Clerk and Recorder and Clerk to the Board eputy County Cle APPROVED AS TO FORM: County Attorney BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO EXCUSED 891014 rtl 4 rcia t .1® off CI® A Off Lagaffin Liquor Enforcement Division 1375 Sherman Street Denver, Colorado 80261 HIGHLANDLAKE INC 17029 WELD CNTY RD 5 PLATTEVILLE CO 80651 Alcoholic Beverage License Account Number County City Must, Tyre LAW,/ Date LICENSE EXAMS AT MDNIONT 14-27324 03 206 5952 3 111087 NOV 09, 1990 Type Nuns end Description ci Leense F.. J 3.2 PERCENT BEER RETAIL LICENSE $ 50.00 COUNTY 85 PERCENT OAP FEE $ 42.50 TOTALFEE(S) $ 92.50 This license is issued subject to the laws of the State of Colorado and especially under the provisions of Tide 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. In testimony whereof, I have hereunto set my hand. Division Director DR 8402 (348) 9870 v` ej I Executive Director 891014 LI; 0« r r) ] ! ) k a + . • !#. re 1, : ettairro p �\ ✓ @ «u ) IT N. N. Ln in Ln • H . ti O W O ✓ I Z W Ln V S H E- O F 00 • c0 s W O I= a4 xa u''a a z6 4 W W E a n 4 z -c x ti a O in z H • . O z Ln re - 0 1.2 oB 3 I z' i z1v ✓ o ¢wm�axw `a LLa31iO V,^ p °° ?2„ t2, \c\ 0w S w q v r❑ ❑ Z S £C•_ _ ' u� c • m eta • a_- O • oc «o a LOS = y "a9 3 029 H O LL m« 41 (�1 JT fare E wQr.".^.e N - 1 O L 4 o g E E cm'o l E it o r 3 38.8 w' �Ol`E $t aN �\ WCCr� � . Nara � • 21 U 6 - E 831.014 DATE: 8/28/89 SHERIFF'S OFFICE REPORT FOR BEER OR LIQUOR LICENSE RENEWAL REQUESTS APPLICANT: L. JENSEN, DBA HIGHLANDLAKE, INC. 515 KIMBARK STREET LONGMONT, CO 80501-5573 6 op TYPE OF LICENSE: 3.2% BEER LICENSE p� SHERIFF'S REPORT: SHERIFF'S OFFICE HAS BEEN NOTIFIED. HEALTH DEPARTMENT REPORT: 891014 DR 8190 (3188) Coorado &gra nwnt of Revenue Lt011.JOR QR Liquor Enforcement Division 3.2 BEER . LICENSE Lxante Number: .. 14-27324 License Type: J 1375 Sharman Strom[ Denver, Colorado Weal RENEWAL APPLICATION 866-3741 Liability Information: 03 206 5952 3 111087 HI GHL ANDL AKE I Nt L JENSEN '5 515 KIMBARK -ST` .• �: Business Location: RChi PLATTEV'� E CO LUNWIONT CO 80501-55^73 Current License s: NOV 09:1989 Orin/CCU KT7Y ©OEY YOUR PROMPT ATTENTION IS REQUIRED. FAILURE TO COMPLETE THIS FORM ACCURATELY AND PROMPTLY MAY RESULT IN YOUR LICENSE NOT BEING RENEWED. • FILL OUT THIS This renewal ■ There are form DR 8176- I dec&e under FORM COMPLETELY, CHECK APPROPRIATE 6OX BELOW. reflects no changes from last application. • SKIN THE FORM changes from last application. (Report changes on • ENCLOSE TOTAL AMOUNT DUE 'Report of Changes - Liquor and 3.2 Beer. •1 SUBMIT FOPM TO LOCAL (CITY/COUNTY)LICENSING AUTHORITY FOR APPROVAL .11lL „'.c„.,.t;JILL.. ...'s. °°..:• w .e FEES penalty of pawky in the second degree that this spoliation andel attachments are rue. Ord complete to the best dew kaSgd. . Authorized Signature: 4...„..,S -+.. Date: � e//r/ lo‘ 'f Business Phohe: 33s- ii26 3 Title•of Signer (if corporation). ,j- p Safes Tax No. —111 '�f a / CI /CO AI, /COUNTY) LICENSING SUBMIT THE STAYS COPY AND LOCAL (ITY COPY TO YOUR LOCAL AUTHORITY NO LATER THAN S DAYS BEFORE YOUR LICENSE EXAMS. EXCEPT/ON: W nolesaler, manufacturer, importer, and public transportation`iystem icense renewals do not need Local Licensing • sGloat be returned directly to the Colorado Department of Revenue no Worthen 30 days prior to license expiration. The foregoing : •creation has been exam ir5' and the premises, business rot' ed and character Of ° appScant and we do hereby report that such license, N anted, will comply with the provisions of Title 12, Articles and,47, THEREFORE THIS APPLICATION IS APPI�tVED. Authority is satisfactory, C.R.S. Local tic. Auth. I.D. No Local Licensing Authority for: A Signature: - 7, Taft: Chairman, (vv/ / Board of County Co shiners Date: nal,ff Date:i i° ill y A r �t il+ -,n.u� J Do not dot tj' - ''s 1317 dmaych V7o not de r Do not Do not detach do not deta&t R'r�tdM;s,"t'."..,, e ILA TENIt%4 CO Name/Trade Name: Use License Number for. All Reference LIABILITY INFORMATION RENEWED LICENSE EXPIRES AFTER a, County City Indust Type Liab. Date HIGHLANDLAKE INC 14-27324 03 206 5952 3 111087 11-09-90 TYPE OF LICENSE ISSUED - 66-1. (9) .. S t A I t. FEt+ dry 85% gAs co 85% OAP 94 a 45.9 (9) $ 25.00 37.1 (9) 1 (9) $ 42.50 3.2 PERCENT BEER RETAIL L CENSE (3) 1. $ 25.00 Make check payable to : COLORADO DEPARTMENT OF REVENUE TOTAL AMOUNT DUE * 1 92.50 EXTENDED HOURS - tin Arts licenses. If desired, NO t 4dtel and Restaurant, Beer end Wine, Cr, Tavern, and ,.. p sII atnd enclose Total Amount Due PLUS $170.00. YttTESELOW THIS LPIE Extended hours? ,. OYES X NO °.,.. Da Sae (area) Attachment to .iquor/3.2 License Renes al Application The page must be completed and aQaehad to your signed renewal appgoatbn farm. Fawn to Include this Pap ado the apPkaftan nay result In Yens Ikea not Mb s renewed. Trade Name of Establishment 4/67 k 1_4nJLiy pre �-ircr State License Number qF-l'7 1. Do you have legal posession of penises for welt this this applcetion for license la made? YESf a No Are the premises owned or rented? /P�--rt.,, _cc I rented, effective and earalbn date of lease: ■ �,, to) Has the appNr i any of the partners, (Oft" atocktolders ordkactors of adid ap cant (1 a corporate.e! YES of* ? If answer Is' as,' even in dotal and attach. aloft assletanceCMnnciaingporttothe applcflormnager,0finalees,ever been convbledaiacrime? YES I answer is yes,' omen in dotal and attach. ■ ■ NO (g No® 3. Has the applcad, or ay of the pAdrws, or officers, directors or stockholders of said applicant (I a corporation)ar manger, ever: (a) been dented an alcoholic beverage license? YES ❑ NO (b) had n ekxdolc beverage leans suspended or revoked? YES❑ NOM ..._.1c) had Interest in any entity that hod an dcdolc beveregellansir tweeder revoked?. YES ❑ NOR I answer Is yes' to ay of the Lays dragons, explain in dotal and attach _4..DMOrdid applicant, ora age or ecorggtageqb direct z 1fES,cI,.NQ.f,24 Install to 1' I answer Is yea, explain in detail ad attach. 5. Identify the persons, firms or corporate who now or win have a financial interest, evidenced either by a which es license is requested. Stab the names and addresses and the snout and wane of such financial owes, ate.), expressed to dais -s or other items of value, such as inventory, furniture or equipment Use equity ownership in, the business for e., I rd, relates, gloats, previous shed N natatory. Name 1Wdress Type and Mound 6. List on a separate sheet the names and addresses of S kaior businesses in With sy of the persons hiin'allstorn 5 am nrateddly;kdaestad Z. One rt�araar Sets of , . l fif9bhh '; S. lithe epctatts e c wer the bloNm " (a) Corporation laorganized ads the was of the Slab of: f n / u r qa C Data l c rpaatak' "' 4? S.r-&r3 (b) Principal Wag of business It Ll.'Q. /j j. y J /—k 9�- (c) Dab of ?log last minuet contrite myth to the Ccb Secretory of State: 5"--/— g (d) Name of each officer looted below:President ,a r/ f // re. k i /J /70P/ Address /k %' ( ' 4/ C ,e4 14 //P/ et limb of Birth YcePres. Home Address • Moroi Bit Treasurer Hone Address p th Date of BY Secretary Home Address Date of all abcluholdars,5% or over, (If a public corporation) including actual owner or pledgee. (Use separate sheet if necessary) Name Merry F re/IsPm Address /fl 9 /t.�'4 M4 .7Z11444 Percent of Stock Date of Birth l00 re Name 2> 4,1 Se Address Percale of Stock Date of Birth r o e 71 /"/ y fre911#741-74741t17491474 Nan Seas Pencetpf S , ck * Mof 6klh • 0) Name of all Directors/Trustees of Corporation v a"f'ti r Address / �/ �[ ,p 4 6/, .'i66k//e' 4 s / tae of Birth Ids N Guwrr/a%e /1/T?' .-r, Address / Y,t2-? sA 25i':, /or/9,**r//% &SD/ Date of tilts 8. If applicant is partnership list al general partners. Use separate sheet if necessary. Name Address Date of Bath Name Address Dine of Birth z O W cn z Hz ga O O Z oar Z H 0 M W r.] C.) q 1 t W a W •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 pf the person delivered to and the date of delivery. For additional fees the following services are available. Consult postmaster for fees and check boxles) for additional servicelsl requested. 1. ❑ Show to whom delivered, date, and addressee's address. 2. 0 Restricted Delivery (Extra charge) Rum merge) 4. Article Number -Vocy a9 Type of Service: eli.3ggIstered 0 Insured Certified 0 COD Express Mail ❑ Return Receipt for Merchandise Always obtain signature of addressee or agent end DATE DELIVERED. 8. Addressee's AMd9ress (ONLY if icL, jai' Yq.a 61 1/4, mac„ �n SEP 13 iSB$ 3. Article Addressed to: LIQUOR ENFORCEMENT DIVISION COLORADO DEPT. OF REVENUE 1375 SHERMAN STREET DENVER, CO 80261 S. Signature — Address X 8. Signature — Agent X 7. Date of Delivery N N m m O O o$ 831014 RECEIVED OF TREASURER'S OFFICE, WELD COON' Greeley, Colorado. C4.41.&ottae. , N2 4953 /9,1989... $ Sv FOR XCREDIT County General Fund 101 0000 Health Department 119 0000 Human Resources 121 0000 Social Services 112 0000 Housing Authority c2. 611/A ,4j.. 4u ,ette. 5% 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 Lit FRANCIS M. LOUSTALET County Treasurer 89 TOTAL AMOUNT 101 57 5Z
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