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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 I.,C,CC `,0y c2G 11 i P , S t` , 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 - , I All i bk d m w g `- e i cp v p o ca "t" 0,3 a :° r-4 oi a z z ° c.) a) .a.a co a 18 te; v a H › -C ^ N b d F 0 ~ U g W W ,, w e. i p c b.d � • O ran .F�- OGV\ y 0 �.o 0 . � p � W u , W 0 cdd - Ow � � d �c\ � ri J �, O O .�., m W H F.•V •� ° rn < rn v6i Z ON d i W q P. cdW y 8 , .�. F q O 'n .., C = x O m .C N Ns ri 6 H i, O NC p u m 0 m W O W n 'O'b i. < I U] e W F ••6 -4-' rte' Ch 2F o in .W b ° .Q re o• OJ• h Icy m IX z FxU' q 0 W 24 O 6 N , •W '}' tea p d O .. 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'�� � Is O 3+ m a x N � r~ <F 1 F 44 A � p m ., ..°.• F • t'p, c . a�7 ° H u �t r, ' rz4 p O3 qcd rn mW O ° ..-. .. 1 E" ei N ... z F ' .ti' 41 I N y O E, o i- ...... s - 1 r,,•'4 •4 ci 11 0 e tcs Off C 0 11Or e ClO 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 ��JJJ 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. 3 Send 8 Reply 10 Delete 11 Change description PF1=Help 2= 3= 4=Main Menu 5= 6=Fast Path PF7= 8= 9= 10= 11= 12=Quit ___> 4B 0-001 P 387 472 727 � 91 Im N C° 1(owwo " m *�D°'=oaz RECEIPT FOR CERTIFIED MAIL ° > ≥ c -4.0 o P a'm"'o m^oo m NO INSURANCE COVERAGE PROVIDED 3 m N O h ° ry ,o �'°G ry m xi NOT FOR INTERNATIONAL MAILCO re 3 el co rt p, D C N m ≥:! cat 8 (See Reverse) � N E�1 O a 3 0 a.m.,,m,m m m m -o 5 a 2g i9,tr.' amj °m ° $ 333 a Colorado Dept. of Revenue o co a w o m N ' m m 3 ° �� Liquor Enforcement Division ^ _ q co o rt a m o o �= m 1375 Sherman Street A w n w ; a a z° m a a c Denver, CO 80261 rn x° �9. 0m ca.a° PC. NN m30a• m u co ctPO � ".° ^ ° m�0 t,(D T� °cgFm 4 < tD �. =. 6 z a Certified Fee c y 0 ° m m f H. z d < m QQ/N Special Delivery Fee a 2 m a. co 0 ° Restricted Delivery Fee -�- - OM ,. m i _r m Return Receipt showing _ .... o,. ^ m j m Io whom and Date Delivered �'� p o rn m m 0' SI Return Receipt showing to whom, i�m'y 0 o D m w Date.and Address of Delivery o ism y �� $ ° m C TOTAL Postage and Fees S G (jf m .a 2 m m n W. 3 _:� Z ; N moo - o Postmark or Date -i �:Y o Z �3 , 5 c m w m v ° E : .. ❑ a sm a mI. N •'I m ^ C p�e ,, ° m m S 6 A = S 3 G m N W G. co m— 4 co n J • m D - 2 � Z .c qm .. O a ° ppII m N A c A ii my p o m n ° m ~ < m m 4, $9g1- #`MT—D D-- 911397 7� c.��. P 387 472 R 2 9 RECEIPT FOR CERTIFIED MAIL a a a 0+1``• 1r 0.1 • 1r. s. • .. . • NO INSURANCE COVERAGE PROVIDED w Vl N m < - 0 0 NOT FOR INTERNATIONAL MAIL j j la. 3 —+g . - 00 f 3.3 3 0 :2" (See Reverse) i.e) ... , ... x E CC tV 5 m m m r n o m 0 Xi Sent m PAVLICA Z RICHARD CO 'm m m m m .. 0 HOMESTEAD SALOON � D`,1 _ a 3 c a m 'm m m m Street and No. CO a O w y CO' w m x• a Oct 3 3 3 3 3 moo o P.O., Statea dZPCR 3Code BLDG 39570 c ry � � 9 $, m,°m,c 'u nm � m ,--, Ow N » 33-am0a o HEREFORD CO '80732-9999 � ' , 0 ri to • ° m m aao 3 Postage co f» Cy a 9 S m 0t" gy �, 0 CD IV O •0o O N Certified Fee W y y A W k0 333��P. :-, a Special Delivery Fee In 'i' '� C d'� m �`�` Restricted Delivery Fee a v "� m a C:3 70C mv'o -,, Return Receipt showing e m to whom and Date Delvered Y.• o . rola al • m Return Receipt showing to whom, °CS m Date.and Address of Delivery m � .I ❑.� ❑A $ o c co T. {�.0 m '0 MIP It n m 3 p TOTAL Postage and Fees S 0 a m Mai OW D m n O as ` � a z m.m W a 0 0 O � 'm & a 0 8 Postmark or Date 7C S m u o g a m 2 W m C 4 n m w: •. O ; apt z w 0 N r• . o _ 6 an a en �N m 0 Ng ^ ❑ ❑ �5t i II m ❑ ❑ ❑ "u. ...1 00 m a S * m � �A S � 3 0 a <. � C O oc o c 0 ... u w e Xi 9 9-3 '; a m 0. a0 0.0 c m D _ o 'm mci.• m $ fmj a 1°o' m f° a ' m m e a m a P' 4 ' i . ; # • • 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 Hello