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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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910263.tiff
RESOLUTION RE: APPROVAL OF RENEWAL REQUEST FOR TAVERN LIQUOR LICENSE ISSUED TO SHIRLEY BOYD, D/B/A VALLEY HAYLOFT, INC. - EXPIRES JUNE 26, 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, Shirley Boyd, d/b/a Valley Hayloft, Inc., 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: 3101 Highway 119 Longmont, Colorado 80501-9543 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 91-06 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 March 26, 1992, 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. 910263 XOO161 Page 2 RE: TAVERN LIQUOR LICENSE RENEWAL The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 27th day of March, A.D., 1991. ATTEST: chwa% Weld County Clerk to the Board BY: /i. C f i '/7-4,61 i'L9 Deputy Clerk to the Board__ APPROVED AS TO FORM: County Attorney BOARD OF COUNTY COMMISSIONERS WELD COUNTY, CORADO Gordon George Ken edy, Pro-Tem (it)Ge_ Constance L. Harbert C. J f� Webster 910263 YALLEY HAYLOFT 1N6 3101 NWT 119 L.ONGMONT CO 80501`"9543 . £92OT6 S O a z tills LIC:LNSL k io 0o —a °• e i i c o 0� c 4, j z �J ^U.0_� A, H ai d CI ao F~ IOO y m ts A 01.b'O Ov,',, �2i P'Z H N w b ..•O pi O vi M u •' ^1 F p r ‘ ( H �q�1 I N °i ;34.-01h Lam. 1 ;'k May 1p. a w CIN 0 CL c12a! 'el a O m 1y Fa . f° 'O F A 0 viA 0 b g d al d C7;'1 bol p Ey i s 2 d Hb N cv . OM w I H I: 4aa F C W 8v Z 2• a) O �= D m U of O DI Fm. a ti g w &;-C..);94' . H F 0 v1 a q ; 'a -51r z ft a Nm ri r "6' m�1 Ms "' — PC'3 a7 � V] U 4.r ,y. / m O A W - +2 b +' O ,b o ^Y r9 Ay, '. cq of W a'i gi . rc.. , ... . i m U a) a> -a Q 0 F 4 9 U ou F a) a 11 O 42, 4 ca Ts .0 F L C) QO' H.G " b y F .a G w P 0 a0. Y y o ... C) Ara H y 4 -0-L.' oyj •_„ O •r 0 .- A Kamair' d o tic o.5 to as b O 01 4 tn. .r U) of n —' a) 8 ao DR 8400 (8/89) Cob. Dept. of Revenue Liquor Enforcement Division 1375 Sherman Street Denver, Colorado 80261 866-3741 Liquor or 3.2 Beer License Renewal Application License Number: License Type: Liability Information: Business Location: Current License Expires: ,?ll r ., .p. t 1,/COO CI �C ©W7 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. D This renewal reflects no changes from last application. ❑ There 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 (CITY/COUNTY) UCENSING 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. Business Phone: Authorized Signature: Date: _ 2 Title of Signer (if corpore&Tibn): Sales Tax No. 41 / 7 , h' - D' 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. 013 I. s+rFROVAL F LOC ING AUTHORITY i •x , ) ,� r' 1 OL ,ICE 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 provisio of Title 12, Articles 46 and 47, C.R.S. ❑ TOWN/CITY THEREFORE THIS APPLICATION IS APPROVED. Local Licensing Authority for: Signature: Wel(C:',,:tz- , Title , , COUNTY Attest: Date Do NOT DETACH • Do NOT DETACH • Do NOT DETACH • Do NOT DETACH •`VV NOT DETACH • Do NOT DETACH • I11D NOT DETACH • Do NOT DETACH • Do NOT DETACH BUSINESS-LOCATION-.n+;''-LI'S-,_- - P•G Chnf I 1 NAME: USE LICENSE NUMBER FOR ALL REFERENCE LIABILITY INFORMATION RENEWED LICENSE ) EXPIRES AFTER 1 COUNTY CITY INDUST. TYPE DAB. DATE —:5.764 Ez • *: rfe .,__r ,' _-. t I I TYPE OF LICENSE ISSUED CASH FUND STATE FEE CITY 85% OAP CO 85% OAP I 66-01 (9) 41.9 (9) 45-9 (9) 37-1 (9) 49.1 (9) LS ,<L';\ LiU _Te V 'Jsn 'i: , I I Make check payable to: COLORADO DEPARTMENT OF REVENUE TOTAL AMOUNT DUE 0- • • EXTENDED HOURS — Applies only to Hotel and Restaurant, Beer and Wine, Club, Tavern, Extended hours? •. and Arts licenses. If desired, check 'yes" and enclose Total Amount Due PLUS $170.00. 6 Yes f No I 910263 R 8401 (4/90) Trade Name of Establishment Attachment to lquor/3.2 License Renev I Application This page must be completed and attached to your signed renewal application form. Failure to include this page with the application may result in your license not being renewed. State License Number YES:' N0J 1. Do you have legal posessionof the premises for which this application for license is made? Are the premises owned or rented? ci :,v _ 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 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. 3. Has the applicant, or any of the partners, or officers, directors or stockholders of said applicant (if a corporation) or manager, ever: (a) been denied an alcoholic beverage license? (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 applicant, or any of the partners, or officers, directors or stockholders of said applicant (if a corporation), have a direct or indirect interest in any other Cdbrido liqudrriicene (fnCkld€ 08n5 to'or fr"o"(n airy lice`nseA Tntere5l m"a'iia'n`to "any`Gdense dr' 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 amount and source of such financial interest (i.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. Address Interest Type and Amount Name Okein°f-57 ow' i •.d, . //1r7I biuiy,Iii'-. ofY°;rJ�+{v. Cc io• 6"/'s 6 List on a separate sheet the names and addresses of all liquor businesses in which vany of the persons in question No. 5 are materially interested. YES NOD YESJ NOl1 7. Operating Manager Address YES[] N0E YES NON YES ❑ NON YES El NO &I 4/ - Date of Birth t. — If applicant is a partnership (except husband and wife , list all general partners. Use separate sheet if necessary. Name Address Date of SFr Name Address Date of Birth 9. If the applicant is a corporation, answer the following: Corporation is organized under the laws of the State of: Principal place of business is: 7 ias , y Y , ) ` Date of filing last annual corporate report to the Cob. Secretary of State: (a) lb) (c) • Date Incorporated: (cl name or eau' mueei II>re.. ue, President .. � _. _...,.. wr,r-1 f "' .Home: Addy ss _... 3i0/ (T 6V4: 17 y _., .. �.::-..._..."., . _.., .. _ L !rlq sv�c�lr;�." Cal) Date Of,irth. ._ _.. Lfi —; - Pres. Home Address 9 rJ Vi c. re 13 1 , y kt7�T. r •,er,n' Date of Birth — -t: Home Address /0 )�u F r1 -r '--' V' Date of Birth 'r Home Address /' I i'1 1 /1 / 2 1 63"1 .11 I, C.4/0, Date of Birth L ( List all stockholders,5% or over, (if a public corporation) including ac Name Name Address y'1, -I h4_ Address Percent of Stock Date of Birth J u._ 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 910263 DPSBIB20 DESCRIPTION OF MESSAGE IN IN -BASKET Message : Reply to your message of 03/26/91 11:18 : No liquor violations, but there have been some assaults. 041490 : both an assault and menacing in the bar, 031790 an assault : assault outside the bar. Nothing else. Dave Malcom Received from : PCJLTN01-MAIN Received : 03/26/91 14:11 Sent : 03/26/91 14:11 Select an option and type it below; then press ENTER. 3 Send 8 Reply 9 File 10 Delete PF1=Help 2= 3= 4=Main Menu 5= PF7= 8= 9= 10= 11= 6=Fast Path 12=Quit M 4B O -O01 910263 P 556 983 123 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL (See Reverse) I Colorado Dep't. of Revenue Liquor Enforcement Div. 1375 Sherman Street Denver, CO 80261 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 E Postmark or Date SENDER: • Complete items 1 and/or 2 far iMl YS pa ass. • Complete items 3, and 4e & D. t : Pcipt..your name qnd,. dr sa On the reverse of this form so that We can return•This cant to you. • Attachrthis form to thefront of the mailpiece, or on the back if space does not permit. • Write "Return Receipt.. Requested" on the mailpiece next to the article number. 3. Article Addressed to: Colorado Dep't. of Revenue Liquor Enforcement Div. 1375 Sherman Street Denver, CO 80261 5. Signature (Addressee) 6. Signature (Agent) 4a. I S Mir to receive the following services (for an extra fee): 1. ❑ Addressee's Address 2. W Delivery eter for fee. ss (Only If requested PS Form 3811, October 1990 masall.aialit raps ,1 Q M TIC RETIANSOPEIPT 910283 P 5E6 983 126 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL (See Reverse) Shirty Body Valley Hayloft, Inc. 3101 Highway 119 Longmont, 00 80501-9543 'S Form 3800. June 1985 Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt showing to whom and Dale Delivered Return Receipt showing to whom. Date. and Address of Delivery TOTAL Postage and Fees ., Puslmark or Date Lt\ ta, SENDER: • Complete items 1 and/or 2 for additional services. • Complete items 3, and 4a & b. • Print your name and address on the reverse of this form so that we can return this card to you. • Attach this form to the front of the mailpiece, or on the back if space does not permit. • Write "Return Receipt Requested" on the mailpiece next to the article number. .. 3. Article Addressed to: Shirley Boyd Valley Hayloft, Inc. 3101 Highway 119 Longmont, CO 80501-9543 f also si • mono M following SOS MM a oafs fee): 1. ❑ Addressee's Address 2. ❑ Restricted Delivery Consult postmaster for fee. 4a. Article Number 4b. Service NS ❑ Registered, ❑ Insured ❑ Certified ❑ COD ❑ Express Mail ❑ Return Receipt for Merchandise 7. Date yf Delivery /I-9/ 5. Signature (Addressee) 6. Sign PS Form ': , ,r ober 19 8. Addressee's Address (Only if requested and fee is paid) fussti s RETURN RECEIPT 44 gig 910257
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