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HomeMy WebLinkAbout910704.tiff 4 ,-� h RESOLUTION RE: APPROVAL OF RENEWAL REQUEST FOR 3.22 BEER LICENSE ISSUED TO ALVIN V. AND JUANITA L. GARCIA, DBA GARCIA STORE - EXPIRES SEPTEMBER 9, 1992 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, Alvin V. and Juanita L. Garcia, d/b/a Garcia Store, 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 3.22 of alcohol by weight, for consumption 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 3.22 fermented malt beverages for consumption off the premises, outside the corporate limits of any town or city in the County of Weld at the location described as follows: 1517 North 25th Avenue, Greeley, Colorado 80631-9508 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 91-10 to said applicant to sell 3.22 fermented malt beverages for consumption 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 providing that said place where the licensee is authorized to sell 3.22 fermented malt beverages for consumption on and off 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. 910704 LC 03.3 .: iD Qa ^ Page 2 RE: BEER LICENSE - GARCIA STORE The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 22nd day of July, A.D. , 1991. AL ' BOARD OF COUNTY COMMISSIONERS ATTEST: WELD CO OLORADO Weld County Clerk to- 'the Board //.. (�� q ` Gord . a rairman �7 By: �-h.�/. / ! .K.C.('AA ! / Deputy erk to the Board George Kenddy, Pro�-TTeem g�5 APPROVED AS O FORM: -a." , �yS- .61 Constance L. Harbert' Cti ,, County Attorney C. W. j�irby � /� W. H. Webster 910704 �DR 8400(8/89) _ . Colo.Dept.of Revenue Liquor or 3.2 Beer License Liquor Enforcement Division 1375 Sherman Street 'License Number: - License Type: Denver,Colorado 80261 Renewal Application . 14-02836 - J 868.3741 ` LiabiliN Information:. j 03 2C6 5412 5 0.91079 G A R C{A A L V I N Y Business Location: 6AkCIA J'UANITA L 1517 N 25TH AVE 6ARCIA STORE GREELEY CO 1 517 N 2 5Th AVE Current License Expires: . GREELEY CO 80631.-:9508 _ . .,. _ SEP C9..1991_. [77/©DUH Y 0OpV YOUR PROMPT AT1ENVONIS REQUIRED.FAILURE TOCLMIPLETE THIS PORN ACCURATELY . SIGN THE FORM AND PROMPTLY/AY RESULT IN YOUR:JOBE&NOT BEING RENEWED, • ENCLOSE TOTAL ANOONf Oue • FILWUT THIS FORM COMPLETELY AND CHECI,C APPiH)PRUTE SOX NELOW. • SUBMIT FORM TO LOCAL(WWCOUNTY) ter This renewal reflects no changes from last application. LICENSING AUTHORITY PRA APPROVAL ❑ There ire changes from last application.(Report changes On form OR 8176 'Report of. • CHECK MTH LOCAL AUTHORITY FOR AMOUNT Changes Liquor and 32 Seer Licenses'and attach that form tothie renewal application.) OF LOCAL Paas. •ammrw'kT'x$4a�:} "„w,rr t.":$3: ^r.`p.� .i'7"{:§^at{-a u,NN?Ur, *ua, .r. 'w..,,e ,N.rr;n ,.ky.,� M1dfr ,`"dt1°i, A'3h','S,94*n;e$t.*a;N14C,t':X+F =�NyS"t °Yv„ ? r r..7,4,-.'i.2rs i.."A t a".4:„;...... i n,,,t,: ,a , , .+..v£.xw.: :a�""va' r, :,,y., ,: Y , �. .;.: °=°�" 'Ss =.tv. ,-.lie m.'�S !declare underPenelq etperju1ryin the second degree Ote this"gepI atroGirl ri and attachments are tore,correct,etctt,and ccompletetothe-beatol my knowledge. e. yusiness Phone: .L rY/-emt C1 A -c ot-ro C;l�l -.... & • /v • "/ 1 #�B5 :=] k 7 5 -title of Signer(D corporation): Sales Tax No. ATTACHED DR 8407 MUST BE COMPLETED(ALL 3 Cons) SUBMIT THE STATE COPY AND LOCAL(CITY/COUNTY)WINORITY COPY TO YOUR LOCAL(CITY/COUNTY)LICENSING AUTHORITY NO LATER THAN 45 DOS 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 direcdy to the ColoredO Department of Revenue no later than 30 days prior to license ex ration. m r a,a a+ ^:A > =.Y? jai v •llp3w`3 F ) t> ^ }1 ^? ffi•J;W xp 4 e , The foregoing application has bEptt eiartlenxt and the premises,business conducted and character of the applicant are eatisfac- tory,and we do report that such license, P granted,will oomph(with the provisions of Title 12,Articles 46 and 47,C.R.S. THEREFORE THIS ARPL'CATION IS APPROVED. Local Licensing Authority for. WELD COUNTY, COLORADD D TOWN/CITY E COUNTY a S I i Signature: /_ { Taw CHAIRMAN, WELD COUNTY "`- ¢5 BOARD OF COMMISSIONERS Attest: BY: Date - /// DEPUTY CLERK TO BOARD 7/22/91 7 Do NOT DETACH•:40 NOT DETACH•OD NOT DETACH•oo NOT DETACH•Do NOT DETACH•..0p NOT DETACH•DO NOT DETACH•Do NDT boxcar• DO NOT DETACH GREELEY CO NAME: USE LICENSE NUMBER LIABILITY INFORMATION RENEWED LICENSE FOR ALL:REFERENCE COUNTY cm INDUST. TYPE LIAB.DATE EXPIRES AFTER GARCIA ALVIN V 14-02836 03 2C6 5412 5 091079" A,v a 09-92 TYPE OF LICENSE ISSUED CASH FUND. STATE FEE CITY 805 OAP C085%OAP E841 (9) 414 NO 454 (9) 374 191 494 (9) '; 3. 1 PERCENT DEER' j RETAIL, LICENSE.. C3) 11 ::.3 25.00.. , . _ $ 25. 00 1 ._42. 50 i I L Matte check payable to: TOTAL AMOUNT DUES- $ 92.5 0 COLORADO DEPARTMENT ' op R EveNu9 EXTENDED HOURS—Applies only to Hotel and Restaurant,Beer and Wine,Club,Tevem, Extended Nees? .and Arts licenses.If desired,check"yes"and enclose Total Amount Due PLUS 5170.00. ❑ Yes s� Si No lySi No �de 04 . . . .. . .. .. . . .......: . . . _ . .. °R"°"'/9°' Attachment to • A -Nquor/3.2 License Renew' Application This page must becompleted and attached to your signed renewal application form. Failure to include this page with the application may result in your license not being renewed. Trade-Name of Establishment State Li ense Number C.^R., c - ;.3 C� 1. Do you have legal posession of the premises for which this application for license is made? YE9'rl NO❑ Are the premises owned or rented? 0 t.i li) e.ta If rented,effective and expiration date of lease: : 2. (a) Has the applicant, or any of the partners, or officers, stockholders or directors of said applicant(if a corporation)ever been YES❑ NO 1?1. convicted of a crime?If answer 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? YES❑ NOet"." If answer is yes;explain in detail and attach. 3. Has the applicant,or any of the partners,or officers, directors or stockholders of said applicant(if a corporatioplor manager,ever: (a) been denied an alcoholic beverage license? YES❑ NO (b) had an alcoholic beverage license suspended or revoked? YES❑ NO LI" (c) had interest in any entity that had an alcoholic beverage license suspended or revoked? YES❑ NO If answer is yes'to any of the above questions,explain in detail and attach. 4. Does or did applicant,or any of the partners,or officers,directors or stockholders of said appleantld a corporation),have a direct YES❑ NO or intirettInterl₹tfrr"•any other CUtvtadu lilnarlk.ci,5o Q„c.lJ1,.I.+..,,s tp..i f,Nil cnlys, .--ter h7:9 b.91'9„0")/ If answer is yes?explain in detail and attach. - ---- - 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 actount and source of such financial interest0.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. Name Address Interest Type and Amount 6. List on a separate sheet the names and addresses of al Ivor businesses in which any of the persons in question No. 5 are materially interested. 7. Operating Manager " Address Date of Birth 8.If applicant is a partnership(except husband and wife), list all general partners.Use separate sheet if necessary. Name .'' Address Date of Birth Name Address Date of Birth 9. If the applicant is a corporation,answer the following: (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 Colo.Secretary of State: (d) Name of each officer listed below: President _ ,,.....,„„ -_-.M Date of Birth Vice-Pres. Home Address Date of Birth Treasurer Home 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 I 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'/frustees of Corporation Name Address Date of Birth Name Address Date of Birth 10704 er � CI', f'. . in bp-P 33 31 '35 v� N I °`. ¢ F� I g o, e, v a I e a p.a .� b .. 0% 2 p I pp , ". a° a>i a> d 1 � +` CCa E o ti a �� YtlX +h. +� a> v F• R. c. O O k A Lb, '�� q d a UU V]o�u r, c3 o C � Y o o co °' °' p "i. oD• g M a tt a, ob o W +r m o m r I •r.1 as= co a ti fa) N I I ;a , IA E~A0 0 0 _ � 00 ' et f j o U' I, +' 2 ., m p'V 77 O 4411 W g( � d a s ,oa v 2 v y c >, F ›, 1 ` U A Y.a N o r. , } �1 6 3+' U , , , w e N W a q ,_3 x a, ° � U 0, � � ,, , 3s .� 0 ..., - 0 � � � y z W a� �+� .� OeM •Q W � � _ '+'0' *0'- N U wp F+.1 a w,{47 pp r� , pwqq W ? � F w 0 g z a> ..,,� O � � W m t{ $� W ° tom ¢ y w •o.� c w z I Co Iv x a> w,� pi E m s, y y 'Qo � °P�0 �cl 4'4 w a o V° .- t W N ' o C� a �H x �' (v) F o• • m " o ° E. d a o �' z .Q y z p °U W N U W } > � 'A � o 0 o ci O 'o 1 11 A d �� Td' g ' c b Ea Z ' "' °°°g -g -�,H >. I O ,. i-4 0-o s, a>w '' ,o E.-, Ji i r� '5 a>[R�i o m o +'r' o o= �° O v s ( I 6 0 0 ses!" >, 4 �t.) w sa>. w m .� `� F VI b p .� S�• >' ° yo .� c H w +.i rn .. -d oaa> 0 W ,4 0 0. G � I ...d(delA... ... ......� ..AfA1A.. .dr�NlNmil... „ ,,,, isli St • thC@ of Color . a(�O : 1 De o . rte ( ) ai Off s�.C@�ED:Qa® ( Liquor Enforcement Division 4 1373 Sherman Street Denver. Colorado 80261 1/411/4,,_ )15)){ GARCIA ALVIN V 6ARCIA JUANITA L rer 6ARCIA STORE 1517 N 25TH AVE GREELEY CO 80631-9508 i), Alcoholic Beverage License ...... ii))))).---\\.41‘a( Account Number Count/ ON MOM. Two Usbilib OW LICENSE EXPIRES AT HDNOHT 14-02836 03 206 5412 5 091079 SEP 09. 1992 rYM NammW Dswolm d Uca,w rw € J 3, 2 PERCENT BEER RETAIL LICENSE E 50. 00 1 COUNTY 85 PERCENT OAP FEE E 42_50 . (1/21 ro m.ssenn $ 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 47, CRS 1973, as amended This license is non- 1 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. . 1 ems-/1�S JLC w Division Director Executive DirectorJUL 2 9 1991 5 4 DR 8402 (3-88) 51,0704 i " m m co Ng d P 387 472 7q4d RECEIPT FOR CERTIFIED MAIL :CI' 'a0i e v ≥ � mrm m \_ T, y a" fY NO INSURANCE COVERAGE PROVIDED " •� NOT FOR INTERNATIONAL MAIL m CC C Z EC w O w i Coo Aatio—nl y an d N ct � cc •• " N J O =2 Q S Colorado Dep't of Revenue " CC ' E � �`� " w Liquor Enforcement Div o o' a ,` n " EEO -0 " 1375 Sherman Street 2 .= D E > — ≥ a ,, H Denver, CO 80261 "o - .- 04 0z' •v v " n LU — .2 2 O " y � Q O y W ow u OW " - restage U m a' v W C) °w `�' Q to m y m c� G K O w c 6- « c - a ii 6- co c co i Special Delivery Fee " O 5 $ A- <4• « '5. m + sg (.3 C .4 511 w _ Restricted Delivery Fee O 4) CO a m m E E t., .--n m 11 a7 /s Return Receipt showing to whom and Date DehverQd,... , G. El' E F, a) 00. ...- 't d� in O m Return Receipt showing to whor*L,.cling V .t• ".. .c • � ��j CA L Dale. and Address of Delivery .6.6 ° 1;10 " A M'"' Q TOTAL Postage antl FEeg, '. r-� w« c.: E J O n •u la"r' MIN i ,�� Zo QavEwEoNt°1+ UJ �Postmark or Date .o V m " yn � c `° u« n a E +� v > w co mC N 1� N� y m € r 0 .40p0 " 0« sF0 d t, co - 0C • LL ttl" � 'J O..��/R+1 "mmc E "¢ y dOc�tl = o a omA« 8282 -8. cm 44-i E a m «� cm " eEv G1aU a a ca m , Q owm m.m, jc 03« O " C 'U d m aft n o'at N¢ A' � LroiO � 14 N m l•J zoo 3 .-y� � Q ti o'nG ?+ �rn E W VUn t,'< a> 0•NMN to N LL tA• • • « • 2 . 1M U.7HA 6 N T A akur'L SC `,.., re foricot NC viO latemy3 oft -,J,6,3 ‘ tatabl-G5Lt-v\_14 iik„) tito-_, +Dirt- I-1±-GULAic ) OO it575® 1 L,coo33 910704 9l- ro P 387 472 711 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL ALVIN V. AND JUANITA L. GARCI? GARCIA STORE 1517 NORTH 25TH AVENUE GREELEY, CO 80631-9508 Postage _-- Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt showing to whom and Date Delivered N T Return Receipt showing to whom. Date.and Address of Delivery d j TOTAL Postage and Fees 3 Postmark or Dale n •CIl7 ici cn l a a L b it belt/cc 8/S Eta- SENDER: I also wish to receive the • Complete items 1 and/or 2 for additional services. followin • Complete items 3,.and 4a & b. 9 services (for an extra • Print your name and address on the reverse of this form so fee): that we can return this card to you. 1. ❑ Addressee's Address • Attach this form to the front of the mailpiece, or on the back if space does not permit. 2. ❑ Restricted Delivery •.Write "Return Receipt Requested" on the mailpiece next to the article number. Consult postmaster for fee. 3. Article Addressed to: 4a. Article Nu r ALVIN V. AND JUANITA L. GARCIA 4b. Service Type GARCIA STORE ❑ Registered ❑ Insured r 1517 NORTH 25TH AVENUE Certified ❑ COD Return Receipt for ❑ Express Mail ❑ GREELEY, CO 80631-9508 Merchandise //1 7. Date avert_ 11101 • 61:$ign re (Addressee) U 8. Addressee's Address(Only If requealrequested. � and fee is paid) 6. Si nature (Agent) PS Form 3811, October 1990 *u.s.GPO:1990—z7aael DOMESTIC RETURN RECEIPT S?�'.17®4 Hello