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Home My WebLink About890460.tiffRESOLUTION RE: APPROVAL OF RENEWAL REQUEST FOR TAVERN LIQUOR LICENSE ISSUED TO C. RAY AND ROBERTA HINDERLITER, D/B/A I-76 MOTEL & CAFE - EXPIRES JULY 31, 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, C. Ray and Roberta Hinderliter, d/b/a 1-76 Motel & Cafe, presented to the Board of County Commissioners of Weld County, Colorado, an application for the renewal of a Tavern Liquor License 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 TI, C., said applicant has paid the sum of $98.75 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: 35929 1-76 Access Road, Roggen, Colorado 80652-9609 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 89-12 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 July 31, 1990, 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. 890460 Page 2 RF: TAVERN LIQUOR LICENSE -. 1-76 MOTEL & CAFE The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 15th day of May, A.D., 1989. ATTEST: Weld County erk and Recorder and Clerk to the Board Deputy Count Clerk APPROVED AS TO FORM: County A t+rney BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ,&; A - z( C.W. Kirby, airman o� \Mom ine J h son, Pro-Tem rettett Gene R. Brantner �� George Kenne 2ijaa GorAO 890460 0t e I® Off C D lc) r a d0 off r iun Liquor Enforcement Division 1375 Sherman Street Denver, Colorado 80261 HINOERLITER ROBERTA HINDERLITER C RAY I SEVENTY SIX MOTEL& CAFE 35929 I 76 ACCESS RD ROGGEN CO 80652-9609 Alcoholic Beverage License Account Nuobes wmnee... City Indust. Type Liability Date LICENSE EXPIRES AT MIDNIGHT 14-27452-002 03 206 7011 5 080188 JUL 31, 1990 Typo Name and DesaiptNn of License Fee T TAVERN LIQUOR LICENSE - MALT, VINOUS, AND SPIRITUOUS $ 25.00 COUNTY 85 PERCENT OAP FEE $ 276.25 TOTAL FEES) $ 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, Liquor Enforcement Divison, 1375 Sherman Street, Denver, CO 80261. In testimony whereof, I have hereunto set my hand. Division Director DR 8402 (3-88) MAY 2 4 1989 Executive Director 890460 09VOFR DATE: 5/15/89 SHERIFF'S OFFICE REPORT FOR BEER OR LIQUOR LICENSE RENEWAL REQUESTS APPLICANT: ROBERTA AND C. RAY HINDERLITER, DBA I-76 MOTEL & CAFE P.O. BOX 28 ROGGEN, CO 80652-0027 TYPE OF LICENSE: TAVERN LIQUOR SHERIFF'S REPORT: SHERIFF'S OFFICE HAS BEEN NOTIFIED. - 5/11/89 HEALTH DEPARTMENT REPORT: 890460 DR 8400 (3/88) Colorado Department of Revenue Liquor Enforcement Division 1375 Sherman Street Denver, Colorado 80261 866-3741 LIQUOR OR 3.2 BEER LICENSE RENEWAL APPLICATION T, ^t l LIT.. AY ';TY :LX JTi.-Li. 0 License Number: I...-2745.'—... License Type: Liability Information: t :lift 7•'11 - ., J.;1HR Business Location 1 T, ACC , Current License Expires: JUL `I.1 4B'1 ooI000000 ©© YOUR PROMPT ATTENTION IS REQUIRED. FAILURE TO COMPLETE THIS FORM ACCURATELY AND PROMPTLY MAY RESULT IN YOUR LICENSE NOT BEING RENEWED. • f ILL OUT THIS FORM COMPLETELY, AND CHECK APPROPRIATE BOX BELOW. This 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' and attach that form to this renewal application 1 • CHECK WITH LOCAL AUTHORITY FOR AMOUNT OF LOCAL FEES OATN'OFAPPLTCANT I declare under penaljy of perjury in the second degree that this application and all attachments are true, correct, and complete to the best of my knowledge. Aut a e Date----__7211 iz Title of Signer (if corporati �, ` ' I es Tax `, e" 1Y.l_ '_c7L_, 6,4:4 7 - 7sT2- SUBMIT THE STATE PY AND LOCAL (CITY/COUNTY) AUTHORITY COPY TO YOUR LOCAL (CITY/COUNTY) CENSING 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. REPORT AND APPROVAL OF LOCAL LICENSING AUTHORITY 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 Dc. Auth. I.D. No.: Local Licensing Authority for: Weld County g TOWN/CITY COUNTY Signature: Title: Chairman, Board of County Comui5sioners Date: 5/15/:;9 /J �o P-k.k/1td ,L,1 i `----\��i�mKaa i ' r .0.2 4....t `G Date: o S; , _, i ., , Do not detach Do not detach Do not detach )Do not detach not detach Do riot detach Do not detach 8uswessLdFaeonr -35129 I- 7b ACCSS ;t `fl - ,_, , 'd C. , r O C Use License Number LIABILITY INFORMATION RENEWED LICENSE 0 Name/Trade Name: for All Reference County City Indust. Type Liab. Date EXPIRES AFTER 9 vII 14-;74'3 -(T12 )i 'Cb 7011 '-) 1I„‘,)L,d O U1 - 31-,I 9 W TYPE biA I E FEE CITY 85% OAP CO 85% OAP N OF LICENSE ISSUED 41.9 (9) 45-9 (9) 37-1 (9) 49.1 (9) m .1 -,,'in — Li _ J T,, L. i L _NS, — -- ALT VI .. ;. ^:5 Jr' L"=I.TUUUJa (S) 4k; b ?`.UCi m 70 '7b•::'' g. m z fA m M Make check payable to : COLORADO DEPARTMENT OF REVENUE TOTAL AMOUNT DUE * r; 3'. 1 • L', M Z M 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? D YES NO r 890460 R 8401 (5/88) Attachment to _iquor/3.2 License Renet ii Application This page must be completed and attached to your signed renewal application form. Failure to Include this page with the application may result in your Ibense not balm renewed. Trade Name of Establishment State License Number v .. 1. Do you have legal posession of the premises for which this application for license is made? " YES Are the premises owned or rented? , e, . ; }:; a If rented, effective and expiration date of lease: ■ NO ❑ 2. (a) Has the applicant, or any of the partners, or officers, stockholders or directors of said applicant (if a corporation) ever been YES convicted of a crime? If answer is yes, explain in detail and attach. (b) Have persons lerdiingassistance orfinancial support tothe applicant, ormanager, oremployees, ever been convicted ofacrime? YES If answer is yes; explain in detail and attach. ■ NOD No El 3. Has the applicant, or any of the partners, or officers, directors or stockholders of said applicant (if a corporation) or manager, ever: (a) been denied an ak:oltlic beverage license? YES (b) had an alcoholic beverage icense suspended or revoked? YES (c) had interest in any entity that had an alcohoic beverage license suspended or revoked? YES If answer is yes' to any of the above questions, explain in detail and attach. ■ ■ IN NO NO NO • • • 4. Does or did applicant, or any of the partners, or officers, directors or stockholders of said applicant (if a corporation), have a direct YES,❑. NO ❑ or kdirect interest In any other Colorado liquor license liicbde bins to or from anyllcensee or interest in g loan ti any licensee, answer is yes; explain in detail and attach 3, 2. 2!? f -c (% 4. '" 4_ , ' e- i ;'> r.' 5" 4 ,',' _..: • ,it;'ii r4r(:1 , r- ) 5. Identify the persons, firms or corporations who now or wil 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., bait, relatives, friends, previous owners, etc.), expressed in dolars or other items of value, such as inventory, furniture or equipment Use separate sheet if necessary. Name in,{;/, '/i11 41(... .. Address t�Jr`;7" t`ft�.r�) p�+�-Lj�H, f""'-�� interest 7 / Type and Amount 6. Ust on a separate sheet the names and add:eases/of all liquor businesses in which any of the persons in question No. 5 are materially interested. 7. Operating Manager Address Date of Birth 8. If the applicant is a corporation, answer the blowing: (a) Corporation is organized under the laws of the State of: Date Incorporated: (b) Principal place of business is: (c) Date of filing last annual corporate report to the Cob. Secretary of State: (d) Name of each officer listed below: President Home Address Date of Birth Vice-Pres. Home Address Date of Birth Treasurer [tine Address Date of Birth Secretary Home Address Date of Birth (e) List all stockholders,5% or over, (If a public corporation) including actual owner or pledgee. (Use separate sheet if necessary) Name Address Percent of Stock Date of Birth Name Address Percent of Stock Date of Birth Name Address Percent of Stock Date of Birth ' (f) Name of all Directors'/Trustees of Corporation Name Address Date of Birth Name Address Date of Birth 8. If applicant is partnership list all general partners. Use separate sheet if necessary. Name Address Date of Birth , Name Address Date of Birth Hello