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Home My WebLink About910783.tiffRESOLUTION RE: APPROVAL OF RENEWAL REQUEST FOR 3.2% BEER LICENSE ISSUED TO L. JENSEN, DBA HIGLANDLAKE, INC. - EXPIRES NOVEMBER 9, 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, L. Jensen, d/b/a Highlandlake, Inc., has 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 on and off the premises, 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 on and off the premises, 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 91-11 to said applicant to sell 3.2% fermented malt beverages for consumption on and 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 providing that said place where the licensee is authorized to sell 3.2% fermented malt beverages for consumption on and off 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. 910783 r nn :i\ln_so Page 2 RE: BEER LICENSE - HIGHLANDLAKE, INC. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 29th day of July, A.D., 1991. ATTEST: Weld County Clerk to-ihe Board By: ShI 9/149141 Deputy rk to the Board APPROVED A FORM: cc C /fr r;12 ounty Attorney BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO Gordo Geor e Kennedy, Pro-Tem Constance L. Harbert 910783 bA e400 (8/59) Colo. Dept. of Revenue Liquor Enforcement Division 1975 Sherman Street Denver, Colorado 80281 866-3741 Liquor or 3.2 filler License Renewal 404cati J HIGHLAt*ULAKF INC L J>NSEN 515 KIti ARK Si LONGMONT CO /30501-5573 License Number: 14-27324 License Type: J Liability Information: 33 206 5941 3 111017 Business Location: 17029 WELD Ct4TY it:) ,, PLATTEVILLE'k`J Current License Expires: NI,! 09,1991 ©97Y/©© 51 Y ©O'Y YOUR PROMPT ATTENTION IS REQUIRED. FAILURE TO COMPLETE THIS FORM ACCURATELY AND PROMPTLY MAY RESULTS YOUR LICENSE NOT BEING RENEWED. • FILL OUT THIS FORM COMPLETELY AND CHECK APPROPRIATE BOX BELOW. $1 This renewal reflects no changes from last application. ❑ There are changes from last application. (Report changes on form DR 8176 - "Report of Changes - Liquor and 3.2 Beer Licenses" and attach that form to this renewal application.) • SIGN THE FORM • ENCLOSE TOTAL AMOUNT DUE • SUBMIT FORM. TO LOCAL:(TYMAUNTY) LICENSING AUTHORITY FOR APPROVAL • CHECK WITH LOCAL AUTHORITY FOR AMOUNT OF LOCAL FEES. Authorized Signature: ini a-x-.(� (1-t� Ii a-e-s� Date: el til ci I Business Phone: 5 5.—'y< d Title of Signer (if corporation): Sil( ,-,6),--X--e-4.--(---Sett-1 -7fr SalesTax No. 15'— 2 -7 3 2'f ATTACHED DR 8401 Must BE COMIPLITED ALL 3 Copws) SUBMIT THE STATE COPY AND LOCAL (CITY/COUNTY) AUTHORITY COPY NO LATER THAN 45 DAYS BOORSi EXCEPTION: Wholesaler, manufacturer, importer, and public transportation approval and must be returned directly to the Colorado Department of. The foregoing appli tory, and we do THEREFORE:TRI$,A Local Licensing Authority" fit: 7:I. Weld.-6ouunty, Colorado "" ■ TOWN/CITY fil COUNTY Signature: -'`;,, J t Title Chairman, Weld County Board of Commissioners Attist I "I )Date � QD /e,��,, wv ✓ ,.L.,ft/kY t271rw1/2,alleluia- 7/29/91 YOUR LOCAL (CITY/COUNT,LICENSING AUTHORITY ICENSE EXPIRES. license renewals do not need Ldcet oensing Authority no later than 30 days or to ex • ` : Lion t examined and the premises, bueicwetc ltiducted and character of Vie applicant are satisfac- such license, If grant., will comply with the provisions of Title 12, Articles 46 and 47, C.R.S. IS APPROVED. Do Nor asses ai •. • Do NOT DETACILt Do NOT DETAC((A DO NOT DETACH • DO NOTCI(I Do NOT DETACH • DO NOT DETACH • Do NOT DETACH T lrV1C P,i PLATTEVILLI C:3 NAME: , USE LICENSE NUMBER FOR ALL REFERENCE LIABILITY INFORMATION RENEWED LICENSE PARSES AFTER cousin' Dm INDUST. TYPE LIAa. DATE LA"iitL. KE • T"lC I4-27324 03 206. 5941 .3 111067 11-C9-32 TYPE OF LICENSE ISSUED CASH FUND STATE FEE CITY 85% OAP CO 85% OAP 58-01 (9) 414 (9) 45-9 (9) 3T-1 (9) 49.1 (9) 3.2 Pt i10ENT 31_& -t• TAIL LTC`:.NS= (3) 11 $ 25.Gw s .?5.30 L. '.7.z:) Make check payable to: COLORADO DEPARTMENT OF REVENUE TOTAL AMOUNT DUES- 3 42.5 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. ❑ Yes ig No 94.0783 R 8401 (4/80) Attachment to LAuor/3.2 License Renew.. Application This page must be completed and attached to your signed renewal application form. Falluro to Include this nags with the application may result In your license not Ming renewed. Trade Name of Establishment State License Number 1. Do you have legal posession of the premises for which this application for license is made? YES Fil NO ❑ Are the premises owned or rented? If rented, effective and expiration date of lease: 2. la) Has the applicant, or any of the partners, or officers, stockholders or drectors of said applicant (if a corporation) ever been YES convicted of a crime? If answer is' yes,' explain in detail and attach. (b) Have persons lending assistance or financial supportto the applicant, or madiger, or employees, ever been convicted of a crime? YES If answer is yes,' explain in detail and attach. ❑ ■ NOIR. NOSY 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? YES ❑ NO El (b) had an alcoholic beverage license suspended or revoked? YES ❑ NO 51 (c) had interest in any entity that had an alcoholic beverage license suspended or revoked? YES ❑ NOD If answer is yes' to any of the above questions, explain in detail and attach. 4.. Does or did applicant or,any cif the_ er-tilers, or officers, directors or stockholders of ?id applicant (if a corporation) have a direct YES or indirect interest in any other Colorado liquor license (include bus to or from any licensee, or interest in a loan to arty licensee)? If answer is yes; explain in detail and attach. ■ NO / 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, fumiture or equipment. Use separate sheet if necessary. Name Address Interest Type and Amount 6. List on a separate sheet the names and addresses of all liquor businesses in which any of thepersons in question No. 5 are materially interested. 7. Operating Manager Address Date of Birth 8. If applicant is a partnership (except husband and wife , list all general partners. Use separate sheet if necessary. Name Address Date 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. c.4 ,i r ci j p Date Incorporated: q —.2 Sr- '6-- (b) Principal place of businesl is: /4 r ,./ /) / ,,-r ) r a /ark r- (c) Date of filing last annual corporate retort to the Colo. Secretary of State: ,S — / -- S' 7 (d) Name of each officer listed below: Presidents- - --.-HomeAddress Date ofBirth .... Vice-Pres. Home Address Date of Birth Treasurer -.. ' / tc.' f''%'nee- Tt'r1 S t rL Home Address if o 3 /4, 4 / 11 0 r I- G I7 - .y.-, . 7 Date of Birth -, �' 76-- Secretary Home Date of Birth (el List all stockholders,5% or over, (if a public corporation) including actual owner orpledgee. (Use separate sheet if necessary) Name i L -T e h --;-c n Address e:.- . / 7 (.) e7 WJC, q kk g ir-rt,, i /r_ Co Percent of Stock / 0 0 Date of Birth 3-4. - /3 --- of Stock Date of Birth Name - Address Percent of Stock Date of Birth (f) Name of all Directors'/lrustees of Corporation Name Address rt Date of Birth Name Address Date of Birth S asai; SOLD HERE ONLY 3.2% LICENSE FEE O N II O' 4 0 K 0 0 STATE OF W re CO el V d a• pp A a ^aaa H a O G ca O C O A ▪ ) Ca Eel R' o 0 ° <4L N - o m ca w 4' v Pa HE'q O >. O O PA c W�.1z'> ry d U {W W t W a h H W 'O W 1:4H ✓ {a+ P a • O W Ln � 0 O a �Q z • C H o O z GL M�i C b F W t rn N C Y.. W c3 O V m F• V O d S cc OF, m O O V w . z az ta O G.� DBA HIGHLANDLAKE cr. • P co O a. F CJ O O O a W co W V O C Z ti a — o o3 v y C I-i F O C) y ai z [s] 0 z O Cl b H Cr‘ O C▪ • V y V C C) C- C et C c c c v 00 U a � RI U. C2 "O .3 C.) co • N et o d � y O O U • Ei a; L d ca . ° ►-i ce 4 V 0 O CC O o UU • "• .' C O 0 is 'O b VV 0 O F TO BE POSTED IN A CONSPICUOUS PLACE NON -TRANSFERABLE N C7 NOVEMBER 9 THIS LICENSE EXPIRES Liquor Enforcement Division 1375 Sherman Street Denver, Colorado 80261 HIGHLANDLAKE INC 17029 WELD CNTY RD 5 PLATTEVILLE CO 80651 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 Revenue, above. uesnfoc ve. Liquor Enforcement this hisn1375 licens e should be addressed to the Department Sherman Street, Denver, CO 80261. In testimony whereof, I have hereunto set my hand. i \ Division Director AUG 0 2 1991 r lit 016 '-tai v I (I --119-4 DESCRIPTION OF MESSAGE IN IN -BASKET DPSBIB20 ✓ • ro -U E a) H a) m• X CD 0 1)V U C C r aroro Er1 O .C U en • i Ga Yx i r•0 rI o N w • • m Nx r yJ C o a) rl •d •'I W al C N ro ro (CI a) U r r1 N - O O. m •-1 O rl C I`I 0 ww 0 O 4) i-1 N N CU ca E d Cr: a) 9 ro AO' W H A W 0 N e ° 0 044 }) t a) 0 O X C O U a) >. W V > taro O U 9 A +) 0 N w C �. > O co >, 01.C > ro row ZI—I,CIti 07/26/91 08:58 4) C a) m zLO H •• O O 01 z� H c (NI h� Or•-• a a E 0 s4 w VV a) 0 a) rn >> ell •^I •'I N 0 a) N U U a) al a) z as 4-) a II V C0l N C 0 +) a 0 C roV a a r, +) m a) U U] x a) II II A rlM rIN II U) w w II yr PS Form 3811, October 1990 e6y) ainleu6!S •9 rS Form 3800, June 1985 P 387 472 706 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL (See Reverse) 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 S Postmark or Date 1 5() q ) Tay) amleu&S •g 0 CJ rin mwr•o • n Cn 0. Ohl IT] ° o hh o Co 0 o Tn (D rt N.) et rn t m 0 N fD M N rt rr IC) < < fD en ❑Q m N 03 m _ w'0 ° a e 2W e e z° $ C C m m -1Q»❑ rs • c •5. • • •y m W m < 'c',., 2 D3-'zmf,°.330 no,a,rim yin m rn 74. n s ,oro�,k 6 $:-. 3‘a8, am m mm $3am033 m 9 m 3 30.0 m m3 MOD -• a N2°mamj p O.° •Sam a6 m m m a o T 3 aam' a C . O CD N m O O0 Q I: �' $ n 3' z a m - O 333 • R J m O m = n 0 —o rn rimes$ `1" rue ;et am CD r?. V n g O m 0 a a c a Cj ssaippy s,eesseppv c F, ≤, m O • o o 0 n co D <' m e 'm m 0 61 reoomO 'L L8€ wood 0 H XI C P 387 472 712 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL L. JENSEN HIGHLANDLAKE, INC. 17029 WELD COUNTY ROAD 5 PLATTEVILLE, CO 80651 PS Form 3800, June 1985 to Postage S Genii ed 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/ti. /0/ I'd .JH. 9 0 H N x ti H P+7 Hrdz rd z • lz7 nra Gy n o z H Hcn co O 'rd .ovo lr ❑ ❑c vm In a g. � •'g • • • • y D n=�:w f.a.330 �. �' m "=ma 30=m m- a 3c a0, m mm aa3 t°o°3333 N .' 31m 3 Jmmm m 8° m� $ �°mama $ ° a5 m m a m m m a a n 3, o am C r3 a0 goN N O'Cmt._, 0 m Bt. S• t a m:ci =. Q mom. n Srirn v�o C:$CC= m�3 (�i �m ?PC -1 a� m n N z g T1 m 1_0793 'i� Hello