HomeMy WebLinkAbout911397.tiff RESOLUTION
RE: APPROVAL OF RENEWAL REQUEST FOR TAVERN LIQUOR LICENSE ISSUED TO ZANE
RICHARD PAVLICA, D/B/A HOMESTEAD SALOON - EXPIRES FEBRUARY 26, 1993
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, Zane Richard Pavlica, d/b/a Homestead Saloon, 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 II, 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:
Weld County Road 136, Building 39520, Hereford, Colorado 80732-9999
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 92-02 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 to the Board, of Weld
County, Colorado, which license shall be in effect until February 26, 1993,
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.
911397
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Page 2
RE: TAVERN LICENSE - HOMESTEAD SALOON
The above and foregoing Resolution was, on motion duly made and seconded,
adopted by the following vote on the 20th day of November, A.D. , 1991.
sea.,47 BOARD OF COUNTY COMMISSIONERS
ATTEST: WELD COUNT . C LORADO
Weld Count Clerk to the Board
4 7 Gord acy"
Y , irman
r ✓ t EXCUSED
BY �L4.ut, C e to���e
Deputy C er to the Boar Geor e Kennedy, Pro-Tem
APPROVED AS ORM: _� a
Constance L. Harbert
',AC y
County Attorney C. W. 4Kirby
iii 4\1 ' Lig
W. H. Webster
911397
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De 0 e rte t t enf� Off a@warii,li@ j'
Liquor Enforcement Division\ Ei
1375 Sherman Street
Denver, Colorado 50261 E
PAVLICA ZANE RICHARD
HOMESTEAD SALOON
W C R 136 BLDG 39520
qi HEREFORD CO 80732-9999 --1)
..4.\-\\I
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Alcoholic Beverage License $
II
AccouM Number "`arm.,mm LICENSE EXPIRES AT MIDNIGHT
County City Indust. Tae Liability Date,
14-29235 03 206 5813 1 022789 FEB 26, 1993
Type Name and Description of License Fee
T TAVERN LIQUOR LICENSE - MALT,
VINOUS, AND SPIRITUOUS $ 50. 00
i
,,��� COUNTY 85 PERCENT OAP FEE $ 276. 25
/ E
S[� TOTAL FEE(S) $ 326. 25
4 P
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 conceming this license
should be addressed to the Department of Revenue, Liquor Enforcement Divison, 1375
Ill Sherman Street,Denver,CO 80261.
In testimony whereof,I have hereunto set my hand.
rte,,/'f,,�
MET � ,-
LDRDivision Director
. N p y 2 b 1991 Executive Director
8402 (3-e6)
I
DR 8400 O89)
cola.Dept.of Rinen -TM, Liquor ur 3.2 Beer License
Liquor Enforcement Div ion
1375 Sherman Street License Number: License Type:
Denver,Colorado 80261 Renewal Application
866-3741
Liability Information:
i ' 1 . 1 ,
Business Location:
" T . iAt-• i,1 L. ., N I. . .3 _JI,
rt t.. ....., • , .U 7 ) L Current License Expires:
l °.r[WU-7V COPY'
YOUR PROMPT ATTENTION IS REQUIRED.FAILURE TO COMPLETE THIS FORM ACCURATELY • SIGN THE FORM
AND PROMPTLY MAY RESULT IN YOUR LICENSE NOT BEING RENEWED. • ENCLOSE TOTAL AMOUNT DUE
• FILL OUT THIS FORM COMPLETELY AND CHECK APPROPRIATE BOX BELOW. • SUBMIT FORM TO LOCAL(CITY/COUNTY)
❑ This renewal reflects no changes from last application. - LICENSING AUTHORITY FOR APPROVAL
❑ There are changes from last application.(Report changes on form DR 8176-"Report of • CHECK WITH LOCAL AUTHORITY FOR AMOUNT
Changes-Liquor and 3.2 Beer Licenses"and attach that form to this renewal application.) OF LOCAL FEES.
I declare under penalty of pe ftuty-inthe second degree that this application and all attachments are true,correct,and complete to the best of my knowledge.
Aut rized Signature: , - Date: „ — c, �JBusiness Phone
X'._. t
TRW of Signer(if corporation): Sales Tax N ry
4-7 2 5
ATTACHED OR BOOT MUST BE COMPLETED(ALL 3 COPIES)
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;((¢9tfse 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.
The foregoing application has been examined and the premises, business conducted and character of the applicant are satisfac-
tory,and we do hereby report that such license, if granted,will comply vith the provisi ns of Title 12,Articles 46 and 47, C.R.S.
THEREFORE THIS APPLICATION IS APPROVED. ✓✓`��E''ffpe
Local Licensing Authority for
:+e'd County, c7nrs, o ❑ TOWN/CITY # COUNTY
Signature: Title Ch.'-I. , (1.,1w;
Attester Date
C.4t444k Beard
DD NOT DETACH•DD NOT DETACH•DD NOT DETACH•Do NOT DETACH•DD NOT DETACH•DO NOT DETACH•DO.NOT DETACH•DO NOT DETACH• Do NOT DETACH
NAME: USE LICENSE NUMBER LIABILITY INFORMATION RENEWED LICENSE IL
FOR ALL REFERENCE COUNTY CITY INDUST. TYPE LIAR.DATE EXPIRES AFTER ;Qr
1 .
•i • .. . �. . . .,_ .. ......, 1 ,iJ Gam:, 7Gl ) 1 J.:Z 7 .:�;
ltt
CASH FUND STATE FEE CITY 85%OAP CO 85%OAP m:.
TYPE OF LICENSE ISSUED 66-01 (9) 419 (9) 45-9 (9) 37.1 (9) 49-1 (9) ', ,
Make check payable t0: TOTAL AMOUNT DUE a► E t = •
COLORADO DEPARTMENT
OF REVENUE EXTENDED HOURS—Applies only to Hotel and Restaurant,Beer and Wine,Club,Tavern, Extended hours? y:
and Arts licenses.If desired,check"yes"and enclose Total Amount Due PLUS$170.00. ❑ Yes ❑ No r
°R"°"°'°°' Attachment 3 Liquor/3.2 License Ret.Jwal Application
This page must be completed and attached to your signed nonfatal application form.
Failure to include this page with the application may result in your license not being renewed.
Trade Name of Establishment State License Number 7/
1. Do you have legal posession of the premises for which this application for license is made? YESK NO❑
Are the premises owned or rented? 1;0,.(f,_; / ff rented,effective and expiration date of lease://ft-,•15-.O.,:i. / , f�-/,-..)-->� '
2. (a) Has the applicant, or any of the partners, or officers, stockholders or directors of said applicant(if a corporation)ever been YES❑ Nan
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 El NOX
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(ii a corporation)or manager,ever:
(a) been denied an alcoholic beverage license? YES❑ NO
(b) had an alcohoic beverage license suspended or revoked? YES❑ NO
(c) had interest in any entity that had an alcoholic beverage license suspended or revoked? YES n NO
If answer is yes'to any of the above questions,explain in detail and attach. rtt
4. Does or did applicant,or any of the partners,or officers,directors or stockholders of said appicant(d a corporation) have,a direct _YES Q_,.NOZ.or indirect interest in any other Colorado liquor license(include loans to or from any licensee,or interest in a ban to any licensee)? '
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 bdsinness for
which this license is requested.State the names and addresses and the amount and source of such financial interest(i.e.,,bank,retatives,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
1? ry.ir',uoGR5 �l°✓c-Icr>` 1';C ,at A b
ge , �rP �Ai ilbNO737.- OVA* y'" tip,,dGG.•o?:
~6. List on a separate sheet the names and addresses of all iqu r businesses in which any of/the persons in gygstignn Nov�e materially interested.
rt at i
7. Operating Manager qqgldress Date of Birth
. <- (.' .If'', _, � A,,EC, .k 6', x tz',v 'e 1tic ,P-1, , r ,'t tU-33Z. k 2,
8.If applicant is a partnership(except husband and wife), ist all general partners.Use separate sheet if necessary.
Name ,!;, Address Date of Birth
r, .' .-1r Ic.LT iP r7, i �,'- hF4rr'1� ‘.i .�� nu•-?7
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: r,N.,. Date Incorporated: :!; a,, r-
(b) Principal place of business is: , N -el
(c) Date of filing last annual corporate report to the Cob. Secretary of State: rl' -
(d) Name of each officer listed below:R , A
/ P
President -- - -.- .#bnne Address. .. .. - Date of 6'ryfff-
Vice-Pres. Home Address Date of Birth
Treasurer Home Address Date of Birth
Secretary Home Address - .. ..- .-. Date of Birth
(e) List all stockhoiders,5%or over, (if a public corporation)including actual owner or.pledgee.(Use separate sheet it 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
,.. s
(f) Name of all Directors'/Trustees of Corporation
Name Address _ . --.-. Date of Birth
7 _
Name Address Date of Birth
911i_37
DPSBFC20 DESK" TPTION OF MESSAGE IN FILE BINET
Message • Reply to your message of 11/18/91 11 : 13
: I checked the 10-4 computer for any violations for the Homestead
: Saloon, and found nothing for the last 12 months . No problems
: on this end. Dave Malcom
Tag
Date filed : 11/18/91 Date due : 12/31/91
Received from : PCJLTNOI-MAIN
Received : 11/18/91 12 : 10 Sent : 11/18/91 12 : 10
Select an option and type it below; then press ENTER.
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A OF TE COLORADO
LIQUOR ENFORCEMENT DIVISION ,
Department of Revenue t
TO - r�,�,
1375 Shaman Street,Room 600 `
Denver,Colorado 80261 '4'-_' O1
Phone (303)866-3741
FAX (303)866-4541 Roy Romer
Governor
John J.Tipton
Executive Director
Roger Morris
Division Director
October 30 , 1991
Richard Zane Pavlica
Homestead Saloon
PO Box 80
Hereford, CO 80732-0080
Re: Account No. 14-29235 •
Expiration: 02-26-91
We are returning the application of Homestead Saloon for
a Tavern liquor license . It cannot be filed as submitted
for the following reason( s) :
*No local licensing authority (city or county)
approval .
Please submit applications to your local licensing
authority for approval as soon as possible. Your
remittance in the amount of $ 328. 25 being held by the
Department of Revenue.
If you have any specific questions that have not been
answered concerning why the document was rejected, do not
hesitate to contact our office .
Sincerely,
: Nit Foster
Secretary
Enclosure( s)
cc : Weld County
WHERE EXCELLENCE ADDS UP
COLORADO DEPARTMENT OF REVENUE
cz: 51/) I C 0` 60 LdIRC,--^)L ldvY).. dioP
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