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Address Info: 1150 O Street, P.O. Box 758, Greeley, CO 80632 | Phone:
(970) 400-4225
| Fax: (970) 336-7233 | Email:
egesick@weld.gov
| Official: Esther Gesick -
Clerk to the Board
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900534.tiff
RESOLUTION RE: APPROVAL OF RENEWAL REQUEST FOR 3.2% BEER LICENSE ISSUED TO ROBERTA AND C. RAY HINDERLITER, DBA I-76 MOTEL AND CAFE, UNIT A - EXPIRES JUNE 23, 1991 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, Roberta and C. Ray Hinderliter, d/b/a I-76 Motel and Cafe, Unit A, have 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 off the premises, and WHEREAS, pursuant to Weld County Ordinance No. 6, Section II., C., said applicants have paid the sum of $57.50 to the County of Weld for the renewal of the existing license, and WHEREAS, said applicants have exhibited a State License for the sale of 3.2% 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: 35929 I-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 applicants, does hereby grant License Number 90-8 to said applicants to sell 3.2% 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 June 23, 1991, providing that said place where the licensee is authorized to sell 3.2% fermented malt beverages 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. LCOO/6 A ee Sea - 5O" 900534 Page 2 RE: 3.2% BEER LICENSE - I-76 MOTEL AND CAFE The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 11th day of June, A.D., 1990. ATTEST: Weld County Clerk and Recorder and Clerk to the Board city: eputy County CtLer APPROAJED AS TO FORM: County Attorney BOARD OF COUNTY COMMISSIONERS WEL cUNTY, COLORADO Constance L. Ha 900534 Liquor Enforcement Division 1375 Sherman Street Denver, Colorado 80261 HINDERLITER ROBERTA HINDERLITER C RAY I SEVENTY SIX MOTELS CAFE 35929 I 76 ACCESS RD ROGGEN CO 80652-9609 mccommmbe Q.,,, CM Indus. wo I maw Date UCEMSE EXPIRES AT MDNIDM 14-27452-001 03 206 7011 5 062487 JUN 23, 1991 Typ. Nam and D.wlpden d lbnw F.. J 3.2 PERCENT BEER RETAIL LICENSE $ 50.00 COUNTY 85 PERCENT OAP FEE $ 42.50 TOTALFEE(N $ 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 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. 900534 A % w -J \ �� b 6 - / N 0 &!:- m Wk(\ co U§§� g A 2 ��*2 04405 2 = .17 Li. `2~ m d ~ 0 ® a.\) R x 0 � m \Z © Z CL CC //\/ E�04% on Postmark or Date '4j/o 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 S961 _7` K Lui0A Sd , \e; ;2 2,§ 2-- 2 206 O a) /}\ csi j \\\F. & ;»% § k k\§kk 2`� } 2_| \2 0 ■03 ] N &§-- §\Wou §}3/ z -§e �,$�@\ co o2. C , ! -'aZ @- a«« ? \ 62E \ -� ) o 0.3.— §�$!f]# 0v-2222 w000. 04) 'die en '3-E'Voo w 7$f{w z DOMESTIC RETURN RECEIPT 3. Article Addressed to: x ♦ U.S.G.P.O. 1989-238415 900534 VCSOO6 o a U o m - d a co a . a U) G m O O -o g o o ° o ,m o rn CDc o o o U ed e Y C) CC C9 d W ..2i W ° > ° Co C) b as O o X7-0 q ° ei ° ° w ° °cv O CL: ro H 7 0 NON -TRANSFERABLE 10.1 Cr) N z z O THIS LICENSE EXPIRES DATE: JUNE 11, 1990 SHERIFF'S OFFICE REPORT FOR BEER OR LIQUOR LICENSE RENEWAL REQUESTS APPLICANT: ROBERTA AND C. RAY HINDERLITER)61 I-76 MOTEL AND CAFE P.O. BOX 28 ROGGEN, CO 80652-0027 TYPE OF LICENSE: 3.2 % BEER RETAIL SHERIFF'S REPORT: SHERIFF'S OFFICE NOTIFIED 6/7/90 HEALTH DEPARTMENT REPORT: 900534 DR 8400 (8/89) Colo. Dept. of Revenue Liquor Enforcement Division 1375 Sherman Street Denver, Colorado 80281 886-3741 Liquor or 3.2 Beer License Renewal Application H(NDfRL:11R rk..7DERfA HINDERLi'ER C kAY I SEVENTY SIX MUTELC. CAFE PG t.}iiX 2: ROGGENN CU (30652-0027 License Number: 14-27452-001 Liability Information: 03 206 70115 062437 Business Location: 35929 I 7', ACCESS ki) VOGGEN CO • Current License Expires: JUN ?3.1990 License Type:. J ©LR EY/C OO URTTY ©OPT 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. ❑ This renewal reflects no changes from last application. ❑ Them are changes from last application. (Report changes on form DR 8176 - "Report of Changes - Liquor and 32 Beer Licenses' and attach that form to this renewal application.) • SIGN THE FORM • ENCLOSE TOTAL AMOUNT DUE • SUBMIT FORM TO LOCAL (CRY/COUNTY) LICENSING AUTHORITY FOR APPROVAL • CHECK WRH LOCAL AUTHORITY FOR AMOUNT OF LOCALIRES. Authorized »C� ��O 3 Z Title of Sign it conic net/6„ Sales Tax NO. /�f_Z74' COPIES) - ATTACHED DR 8401 MUST BE COMPLETED (ALL 3 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 liar to license ex ration 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 with the provisions of Title 12, Articles 46 and 47, C.R.S. THEREFORE THIS APPLICATION IS APPROVED. i Local Licensing Authortly for: Weld County-/'�^"®s • TOWN/CITY is COUNTY ` j, _1,,i, -2/,.z ,•,,.-,.r.^"-": rcv /itSignature: c2iJar �°' � Title Chairman, Board of Commissioners Att - Date June 11, 1990 T DETACH • Do NOT DETACH • DD. NOT CETAONJDO NOT DETACH • Do NOT DETACH • NOT DETACH • Do NOT DETACH • Do NOT DETACH • DO NOT DETACH .�*^ 3�'u—y� ya± '•s t y p C �{..�.-r---------------' -«-s ..�.._ - - . _. ._ ..- _ ... .. 9 .....1. � •_... � 3�•,•1y'f�•v,L. ii} AC C.)) R....MW.. ROfGEN CCI NAME: USE LICENSE NUMBER FOR ALL REFERENCE LIABILITY INFORMATION RENEWED LICENSE t COUNTY CITY INDUST. TYPE u.9. DATE EXPIRES AFTER it v(F:RL ( ft k int: RTA 14-27452-001 03 206 7011 5 062487 06-23-91 ,yE rz:9 TYPE OF LICENSE ISSUED CASH FUND STATE FEE CITY 85% OAP CO 85% OAP 56-01 (9) 41-0 (9) 454 (9) 37-1 (9) 49-1 (9) ,!'s i.2 P E ={ C'c- "i t ti i. li t lit TAIL 1ICt'NS' (3) 11 b 25.00 S 25.00 - It 0 42.53 T" Make check payable to: COLORADO DEPARTMENT OF REVENUE TOTAL AMOUNT DUE* 8 9 2.5 0 `e EXTENDED HOURS —Applies only to Hotel and Restaurant Beer and Wine, Club, Tavern, Extended bows? and Arts licenses. If desired, check "yes" and enclose Total Amount Due PLUS $170.00. 0 Yes [7( No 000534 R 8401 (6/88) Attachment to L..iuor/3.2 License Renewaa, Application This page must be completed and attached to your signed renewal apploatbn form. Fagure to Include thk page with the applketbn mgr rewg In your Neaae not beln8 renewed. Trade Nanwystabll;rnt /J / _ �f' /J71 /1eCe Staffi L)c�er(ge_ 1, / 1. Do you have legal posession of the pr ses for which this application for license Is made? YES NO Are the premises owned or rented? If rented, effective and expiration date of lease: ■ 2. (a) Has the applicant, or any of the partners, or officers, stockholders or directors of said applcant lid a corporation) ever been YES ❑ NIp convicted of a crime? If answer is yes; explain in detail and attach. (b) Have persons lending assistance or financial supportto the applicant, or manager, or empioyees, ever been corwicted of a crime? YESNoSI If answer is yes; explain in detail and attach. 3. Has the applicant, or any of the partners, or officers, drectors or stockholders of said applicant (If a corporation) or manager, ever: (a) been denied an alcoholic beverage license? YES (b) had an alcohol beverage license suspended a revoked? YES (c) had interest in any entity that had an alcohoic beverage license suspended or revoked? YES❑ If answer is 'yes' to any of the above questions, explain in detail and attach. ■ ❑ NO NO NO$ 4._ Does or did applicant, or any of Ikepartners, or OMs, dkrcjors s ,said (iya corporatiorthave a tact Att No r] or indirect interest May other Corrado liquor license (aclude or Irani any or interest in a barite anjltenseer I answer is yes; ambin in detail anti attach.. Z/ i l�se. 4.-e • ett- i 444 5. identify the Persopa,. rl is or cO 4 id�illerest, evidenced either by a lo, which this license is requested. names and addresses and the amount and wine of such financial interest tie:, bark, Mathes, Mends, previous owners, etc.), expressed in dolars or other items of value, such as inventory, furniture or equipment. Use separate sheet If necessay. Name.�/J�lime // /1_ ' .. Addres - Lit / i i t ppe andMnud 6. List on apyrate shed met and addresses of al liquor businesses M which any of the persons M question N 5 Be met fayd. 7. Op�rdAd Agergerjl Address ' pis .4,0 a f�1 "ie`Y _( ii �f' 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 anal 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 Bit Treasurer - Home Address Date of Bit :: — - a,.�c h Secretary ,y r-,....—A F"' Address, ?" Date of BEM(e) List all stockholders,5% or over, (if 'pubic corporation) inckndng actual owner or pledgee. (Use separatelstpet if necessary) Name Address Percent of Stock Date of Birth Name Address Percent of Stock J Date of Birth Name Address Percent of Stock Date of Beth ' 8) Name of aN Directors'!Irustees of Corporation Name Address of Birth ‘. Name Address Date of Birth 8. If applicant is partnership list I general partners. Use separate sheet if necessary. NamS Address Date o Name Address �yg /iG 7 900534 z d W a co Z H A O o > H 1N- _W o< W q • LL w g H W I7.1 H fu Was O W 4 .o co U � g •I co o r 0: n W 0 00 al u e o q O 4'i in 10 z O W W 00 O d - zz a .7 .-i q S96) aunp '0090 wiod Sd 900534 IEASURER'S OFFICE, WELD COUN' W. 1 91 3 �,�/,�, Greeley Colorado .. /- � , 19•��• RECEIVED OF. & ta.. t< -:.e cafi' X74' inecto, 1 FOR CREDIT County General Fund 101 0000 tar�tC.�L-A_O.C , 59 OC1 Health Department 119 0000 Human Resources 121 0000 Social Services 112 0000 Housing Authority Road & Bridge Fund 111 0000 Airport 177 0000 County Clerk Cash Escrow 810 0803 Fee Fund 900 0912 School District Gen Fund School District C R F School District Bond Fund FRANCIS M. LOUSTALET lerk TOTAL AMOUNT I'J �/ _ j77 County Treasurer ricnear—n a
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