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HomeMy WebLinkAbout940843.tiffRESOLUTION RE: APPROVAL OF RENEWAL REQUEST FOR 3.2% BEER LICENSE ISSUED TO L. JENSEN, DBA HIGHLANDLAKE, INC. - EXPIRES NOVEMBER 9, 1995 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, L. Jensen, dba Highlandlake, Inc., 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 by the drink on the premises only, and/or in sealed containers not for consumption at the place where sold, 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 by the drink on the premises only, and/or in sealed containers not for consumption at the place where sold, 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 94-12 to said applicant to sell 3.2% fermented malt beverages for consumption by the drink on the premises only, and/or in sealed containers not for consumption at the place where sold, only at retail at said location; and the Board does hereby authorize and direct the issuance of said license by the Chairman of the Board of County Commissioners, attested to by the Clerk to the Board of Weld County, Colorado, which license shall be in effect until November 9, 1995, providing that said place where the licensee is authorized to sell 3.2% fermented malt beverages for consumption by the drink on the premises only, and/or in sealed containers not for consumption at the place where sold, 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. 940843 LCI:'c7 3 ad RENEW 3.2% BEER LICENSE - HIGHLANDLAKE, INC. PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted bX the following vote on the 31st day of August, A.D., 1994. ATTEST: Weld County Clerk to the Board BY: �Deputy o rl` k toz Boar APPROV D AS TO FORM: 4 C�ty �trn ey BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO Ek W. H. Webster, C airman (, Geoses/E. Baxter Constance L. Harbe Barbara J. Kirke y er 940843 THIS LICENSE MUST BE POSTED IN PUBLIC VIEW DR 8402 11019 2) STATE DEPARTMENT - ALCOHOLIC OF Liquor Enf orcement 1375 Sherman Denver. Colorado COLORADO OF REVENUE Division Street 80261 HIGHLANDLAKE INC 17029 WELD CNT_Y RD 5 PLATTEVILLE CO 80651 BEVERAGE LICENSE Account Number Liability Information LICENSE EXPIRES AT MIDNIGHT County City Indust. Type Liability Date 14-27324-0000 03 206 5941 C 111087 NOV 09, 1995 Type IName and Description of License Fee 2123 2190 3.2 PERCENT BEER RETAIL LICENSE (ON/OFF PREMISES) COUNTY 85 PERCENT OAP FEE $ 50.00 $ 42.50 TOTAL FEEIS) This license is issued subject to the laws of the State of Colorado and especially provision of Title 12. Articles 46 or 47. CRS 1973. as amended. nontransferable and shall be conspicuously posted in the place above described. only valid through the expiration date shown above. Questions concerning be addressed to the Department of Revenue. Liquor Enforcement Division. Street. Denver, CO 80261. testimony whereof. I have hereunto set my hand. SEP 0 61994 Division Director Executive $ 92.50 under the This license is This license is this license should 1375 Sherman Dire tor 940843 NON -TRANSFERABLE 1r� OR 8401 (KC) Attachment to Liquor/3.2 License Renewal Application This page t be completed and attached to your signed res d application form. n ..o Failure to include this page with the application may result in your —.onset not being renewed. Trade Name of Establishment u lI / - - I /ally, tin_ 1. Do you awe legal posession of the premises for which this application for license is made? State license Number Fol Are the presses owned or rented? If rented, effective and expiration date of lease: YESS :AGE 2. (a' the applicant, or any of the partners, or officers, stockholders or Erectors of said applicant (if a corporation) ever been 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? If answer is yes; explain in detail and attach. YES ❑ NOS YES❑ No 3. Has the applicant, or any of the partners, or officers, directors or stockholders of said appliicantOf a corporation) or manager, ever. (a) been denied an alcoholic beverage icense? (b) had an alcoholic beverage license suspended or revoked? (c) had interest in any entity that had an alcoholic beverage license suspended or revoked? If answer is yes' to any of the above questions, explain in detail and attach. 4. Does or did appicant, or any of the partners, or officers, directors or stockholders of said aveicard fit a corporation), have a direct or indirect interest in airy other Colorado riQuor license finitude loans to or from any licensee, or interest in a loan to any licensee)? If answer is yes; explain in detail and attach. YES❑ NON YES❑ NO2 YES ❑ NOTE" YES❑ NOM 5. Identify the persons, rims 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 amoint and source of such financial nterest(i.e., bank, relatives, friends, previous owners, etc.). expressed in dollars or other items of value. such as nventory, finnitwe or equipment. Use separate sheet if necessary. Interest Type and Amount Name Address 6. List on a separate sheet the names and addresses of al iquor businesses in which any of the persons in Question No. 5 are matenaly interested. 7. Operating Manager Address Date of Birth 8.11 applicant is a partnership (except husband and write), ist all general partners. Use separate sheet if necessary. Name Address Uate 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: c df a Y 4 d o Date Incorporated: — 2 S 7r (b) Principal place of business is: IL ( or,h LN n S L a (c) Date of filing last annual corporate report to the Cob. Secretary of State: (d) Name of each officer listed below: President �- a -c(, -j • 4 h • Address HomeDate liar/ E 7.-en,S-eH I /C/1.-7 IT r✓Yd ' f '-" _ _ - ViicePres. Home Address Date of Birth Treasurer - 1 ��/ n S ! h Home Address �/7 ,5 ct /�+ ^���,.^,� Date of Birth -ace �[?i GG Secretary kdgee (Use separate sheet if necessary) (el List all stockholders,5% or over, (if a public corporation; naming alum v.."r.. u. v Name .1V7airy E �-en< en Address 17034 Rd- s PL4 rrc '. 1 L Percent of Stock Iva 7. Date of Birth Address Percent of Stock Date of Birth Cl) Name of all Directors'/Trustees of Corporation NMn a r Tencr 7' Name off GI/re-Ye N "v:cnS-€n Address /7a 014 RI -S Pt4rr«,yic r co Address 7 /7 o-!4, tZc' no, Col. Date of Birth 3 — of Birth *Er / DR MOO (8/89) Colo. Dept. of Revenue LiquorEnforcementDivision 1375 Sherman Street Denver, Colorado 80261 866-3741 Liquor or 3.2 Beer License Renewal Application L.ar:4 st. !CC/7,01-551i 7/'' License Number: License Type: Liability Information: 3 C., i 17k1 L i l l J.J Business Location: 171:,1-`/ ,d':Lu CNTV I'LA(Tcv1LL_ Lu Current License Expires: -40 1 ✓*1. 1994 (c'q 7/©OO W fl7 ©©WW YOUR PROMPT ATTENTION IS REQUIRED. FAILURE TO COMPLETE THIS FORM ACCURATELY AND PROMPTLY MAY RESULT IN YOUR LICENSE NOT BEING RENEWED. • FILL OUT THIS FORM COMPLETELY AND CHECK APPROPRIATE BOX BELOW. KX This renewal reflects no changes from last application. o There are changes from last application. (Report changes on form DR 8176 - "Report of Changes - Liquor and 3.2 Beer Licenses" and attach that form to this renewal application.) • SIGN THE FORM • ENCLOSE TOTAL AMOUNT DUE • SUBMIT FORM TO LOCAL (CITY/COUNTY) LICENSING AUTHORITY FOR APPROVAL • CHECK WITH LOCAL AUTHORITY FOR AMOUNT OF LOCAL FEES. I declare under penalty of perjury in the second degree that this application and all attachments are true, correct, and complete to the best of my knowledge. Authorized Signature: rY / L ) G[': 7A/ "L. tk-/-1.- ''-'1-e--,""""." Date: '5�- i - ;1/4 Business Phone: c:1! `�- 442 cf S : Title of Signer (if corporati n). Sales Tax No. ATTACHED DR 8401 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 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. ..A �..._ ._�...�_,. The foregoing application has been examined and the premises, business con&ucted and character of the applicant are satisfac- tory, 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 Licensing Authority for:. ,=2':1.13, CUUiC Y, COLL),: iljG M COUNTY ■ TOWN/CITY Signature: Title CHAIRA , , i , Cc.,''. ,iV' Attest: Date DO NOT DETACH • DO NOT DETACH • Do NOT DETACH • Do NOT DETACH • DO NOT DETACH • Do NOT DETACH • Do NOT DETACH • DO NOT DETACH • Do NOT DETACH -sOst Cl1P.Ar ON•• L 7:-2l; A F L G C11 1-Y RI 5 ,. .. PLAT TLV ILLt. �i: NAME: USE LICENSE NUMBER FOR ALL REFERENCE LIABILITY INFORMATION RENEWED LICENSE EXPIRES AFTER - COUNTY CITY INDUST. TYPE LIAB. DATE 3.v°i aN.:L1 • 14L[7344-Oi3( Co LD6 5981 C 131087 11-u1-ch. WF TYPE OF LICENSE ISSUED CASH FUND " STATE FEE CITY 85% OAP CO 85% OAP 69-01 (9) 41.9 (9) - 45.9 (9) 374 (9) 49-1 (9) t. Pi... C.tl4T ot_ _ X kE.TAIL 1 a'd Make check payable to: COLORADO DEPARTMENT OF REVENUE - TQTAL AMOUNT DUE*, y 2. 5 C EXTENDED HOURS —Applies only to Hotel and Restaurant, Beer and Wine, Club, Tavern, Extended hours? and Arts licenses. If dashed, chedk rye;" and enclose Total Amount Due PLUS $170.001 ❑ Yes [$ No 1157 4° 940843 a� 111k COLORADO Board of County Commissioners To Date Keith A. Schuett, Current Planner II c zt K _ i From TO P.�� le Liquor license renewal LCO-035 Subject mEmoRAnDum D C0UITI TIERS 1994 Ogg2Rt R a2.231 L. Jensen, dba Highlandlake, Inc., 17029 Weld County Road 5, Platteville, Colorado. Property is described as part of the SW4 SW4 of Section 4 and part of the NW4 NW4 of Section 9, T3N R68W of the 6th P.M., Weld County, Colorado. The property is a legal non -conforming use under NCU-141 and Special Use Permit 876 and can continue as long as the use is not expanded. 940843 DATE: AUGUST 29, 1994 TO: ROSEMARY LOPER, RECORDS FROM: OFFICE OF WELD COUNTY CLERK TO THE BOARD SUBJECT: LIQUOR LICENSE CHECKS Please run a records check on the following establishment. This information will be used by the Board of County Commissioners in considering renewal of liquor license. Please respond no later than AUGUST 29, 1994. Thank you. ESTABLISHMENT: L. JENSEN, dba HIGHLANDLAKE, INC. 17029 WELD COUNTY ROAD 5 PLATTEVEILLE, CO INCLUSIVE DATES: AUGUST 1993, through AUGUST 1994 BY: Shelly K. Miller, Deputy Call 356-4000, ext. 4226 WHEN COMPLETED, OR IF QUESTIONS. * No violations on record. VIOLATIONS: (PLEASE LIST ) BY: Letts) ran t:e or Yfltry E• Jln%sn p�n.n,a�v� c 'n BY: 940843 HIGHLANDLAKE, INC. 0s-70 MARY E. JENSEN 17029 COUNTY RD 5 535-4283 /' PLATTEVILLE, CO 80651 az,/ ( 19 �7 PAYTOTHE l �.n ,r� ZQ�'k Cr<PL Ac4_ cA c $ ORDEROF iu w .vwv J 572 United Bank United Bank of Longmont • Netlonat Association (303) 776-240.635 Coffman Street • Longmont, CO 80501 1162 82-122/1070 DOLLARS . Rtµn P 387 472 596 RECEIPT FOR CERTIFIED MAIL a • Sent to COLORADO DEPT OF REVENUE LIQUOR ENFORCEMENT DIVISION STATE CAPITOL ANNEX 1375 SHERMAN STREET DENVER, CO 80203 NO INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL (See Reverse) PS Form 3800, June 1985 cermiea ree Special Delivery Fee Restricted Delivery Fee Return Receipt showing to whom and Date Delivered Return Receipt showing to whom. Date. and Address of Delivery TOTAL Postage and Fees 5 PostmarkorDatej 1S Is Xy O W d c E co O > mca • y o w v y -0 $1 bc « m $ y U N ` A E d a m w Cv a< cc a0 3 • ❑ 0 j� a N C 2,IO 4 $ U ytsi E 8>1/47:':0 Q' y U M� y • oat m y� E ,5 m fr ^,. E ,DI A N` iLggl'. - o cl— • ay tc O 4 fra a• y� h- c p O ay. z 7 L OTC OE W H "'AB Us? I_.; J 7 Ca cii°!a°E g Wru' F W O• aam y`y¢ z z ✓ a yaY as O W W z cn c y.oe O ZC E -+o E ca OOV y W [AN rC. m« c y m Pic) .a o v,woE EyR y -W r24 o z co EEE? o2 c245 W O E . yymmwv.aEc Q W IH y m 5 c« 0 c2 c y 0 W C Es UU ii m 3 2t a; y C3 Ux W 0. . O y,T)..-.E cl d. co a. ooE;V;•-m00 E to Ul)4 < 3 M O� F6• m W • • • •E• c3,_3r2..+q 5 C RETURN R 940843 PS Form 3800, June 1985 I _ P 387 472 598 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL (See Reverse) L. JENSEN DBA HIGHLANDLAKE, INC. 17029 WCR 5 PLATTEVILLE, CO 80651 Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt showing to whom and Date Delivered Return Receipt showing to whom. Date. and Address of Delivery TOTAL Postage and Fees Postmark or Date S i m > c 'ry v `o O o w 0 4 H 0 c To 3 o w g ❑ Addressee's Addre* o y cc a 0 V nEN N c Zto U o O rn E o x o « C C 0 tl O U L w d O O a > o d a`m m o E o 2 O L 'V « To ` 'E 0 E c v « _ v Oa O TO y 'imago C J (V 0 ✓ O - 0' `o 4:11.yo; E¢ 9 0 N d C a m u« a a co NCC 0 —(4 Na co w o c E » O: EEE9eoca 00°d'.-a.E N .C co 0 c C o C W o. o. a, oto O 3 10 'c iZyVU45.44-1� m Y Q 0 d cd^' U 2� ❑❑❑ a >' o2 2 m2' a U d .0in 0 I 0 t Na R M W a❑t ❑ 3. Article Addressed ti U r/1 H 1/40 0 co al d 00 A ., ua L1 Ei7 S t W O U H Z 03 D W w4+ HN E • 4 0 a I-1 P ^ I n a 6. Signature (Agent) DOMESTIC RETUR (0 940843 Hello