HomeMy WebLinkAbout930105.tiff RESOLUTION
RE: APPROVAL OF RENEWAL REQUEST FOR TAVERN LIQUOR LICENSE ISSUED TO ZANE
RICHARD PAVLICA, D/B/A HOMESTEAD SALOON - EXPIRES FEBRUARY 26, 1994
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 93-06 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 February 26, 1994,
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.
930105
APP.
RENEW LIQUOR LICENSE - HOMESTEAD SALOON
PAGE 2
The above and foregoing Resolution was, on motion duly made and seconded,
adopted by the follllp win pJ�on the 18th day of January, A.D. , 1993.
BOARD OF COUNTY COMMISSIONERS
R/RDD OOF COUNTY COMMISSIONERS
ATTEST: DDD WEL UNTY, COLORADO
Weld County Clerk to the Board
Constance L. Harbert, Chairman
BY: iti 6�- 4.A- L-7- /AM tUdivirm4
oa
Deputy Clerk to the Br W. H. bster, Pro
APPROVED AS TO FORM:
orge E B ter
Codrt'y Attor ey Da e . Hal
Barbara J. Kirkmeye
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911*MS
THIS LICENSE MUST BE POSTED IN PUBLIC VIEW
DR 8402110/921
STATE OF COLORADO
DEPARTMENT OF REVENUE
Liquor Enforcement Division
1375 Sherman Street
Denver,Colorado 80261
PAVLICA ZANE RICHARD
HOMESTEAD SALOON
W C R 136 BLDG 39520
HEREFORD CO 80732-9999
ALCOHOLIC BEVERAGE LICENSE
Liability Information
Account Number County City Indust, Type Liability Date LICENSE EXPIRES AT MIDNIGHT
14-29235 03 206 5813 1 022789 FEB 26, 1994
Type Name and Description of License Fee
T TAVERN LIQUOR LICENSE - MALT,
VINOUS, AND SPIRITUOUS $ 50.00
COUNTY 85 PERCENT OAP FEE $ 276.25
TOTALFEEISI $ 326.25
This license is issued subject to the laws of the State of Colorado and especially under the
provision of Title 12, Articles 46 or 47, CRS 1973, as amended. This license is
nontransferable 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 Division, 1375 Sherman
Street,Denver,CO 80261.
4Gtestimony whereof,I have hereunto set my hand.
,,t4 C ef SL \I-Aft/4 Of
JAN 2 5 1993
Division Director . Executive Dire tor
9301.05
I
DR 8800(8/89)
Cob.Dept.of Revenue Liquor or s.2 Beer License - "
Liquor Enforcement Division
1375 Sherman Street License Number: License Type:
Denver,Colorado 80261 renewal Application 14-29235 T
1866-3741
Liability Information:
03 206 5813 1 0227.34
I S'A V L I C a 1 A e4 E RICHARD Business Location:
HUMESft AU SALIICN al r C II 136 tALDC 39520
PO till 80 HEREFORD CO
HEREFORD CC 80732-0080 Currem License Expires:
FEB 26. 1993
Co'0 7 V/CC)URIIIIT COPY
PY
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 POIRETO LOCAL(CITY/COUNTY)
./a—This renewal reflects no changes from last application. LICENSING AUTHORITY FOR APPROVAL
0 There are changes from last application.(Report changes on form DR 8176-"Report of • (HECK WITH LOCAL AUTHORITY FOR AMOUNT
Changes-Liquor and 3:2 Beer Licenses"and attach that form to this renewal application.) OF LOCAL FEES.
L�M1,�^i`.�.�. BWo-�Pt�a'k1A3�a'"a'4rc'�'¢t$�RR%YE`v'3��3. .d:.*) .YF a.t •.yrihb-`U "YFdH'eYhN39h%5'tr'"Rk,BP'^MdCi$Wi^.yMWa�1Y£5. .,dflh3°r ba ^3. s^"Y.fi°r[e+a@dkV.[w4#t kPib.4 i�t3nv+rei4^9�
,
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U�'\S.1 'S vat!§"' � il. v.•a ,.:,°
I declare under penalty of perjury in the second degree that this eppi/cation and all attachments are true,correct and complete to the best of my knowledge.
Au zed Signalj�) n Date: ausiness Phone:
]rrvz- dil PCliik ca. 01- 12- g2 3-494-2 ' /
Signer(If corporation): 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 RenWNte no later than 30 to license ex ratio�n,
fi Iff-Yw .t�e A.;, i` v • e , wr' a :R ., • m •,...I` dgcl: 9 11
The foregoing application has been examined and the premises,business conducted and ratter of the applicant are satisfac- ,
tory,and we do hereby report.that such Itcense,if granted,will comply with the viii' of Tale 12,Articles 46 and 47,C.R.S.
THEREFORE THIS APPLICATION IS APPROVED,
Local:Licensing Authody for: 4 (fkr�7)
WELD COUNTY, COLORADO ❑ TOWN/CITY Ef] COUNTY
Signature: , ,1 , Tale CHAT RMAN PROTEN, WELD
• f ,h,q COUNTY COtD1ISSLONERS
Attest: n i -' if /If i .te, , ,pate
DEPUTY CLERK 10 BOARD r 01/18/93
DO NOT DETACH•DO NOT DETACH•Do ACT DETACH•DO NOT DETACH•DO NOT DETACH•DO NOT DETACH *OT DETACH•DO NOT DETACH• DO NOT DETACH
,. .
HLrr.EFflkp CO
NAME: USE LICENSE NUMBER LIABILITY INFORMATION RENEWED LICENSE '
FOR ALL REFERENCE couNre Cm INDUST. 7VPE LIAe.DATE EXPIRES AFTER
PAVLICA LANE- RICHARE) 14-29235 03 206 5813 1 022759 02'26-94
CASH FUND STATE FEE CITY 85%OAP C085%OAP
TYPE OF LICENSE ISSUED I
89-01 (9) 414 (9) 454 (9) 97.1 (9) 49-1 (9)
IAv1-RN LICiUt1h L. It.t NA St - J
- MALT. VINOUS.
AND SPIRITUOUS (3) 40 L 25.00 T, 2S.00 $ 216. 25 rI
Make check payable to: TOTAL AMOUNT DUE» L 3 26.2 5
COLORADO DEPARTMENT
EXTENDED HOURS-Applies only to Hotel and Restaurant,Beer and Wine,Club Tavern, Extended urs?
OF REVENUE , ,
and Arts licenses.If desired,check yes"and enclose Total Amount Due PLUS 5170.00. ❑ Yes �No
098,15 ,
ik g3 D(p 930105
I L Coea4-
mol wow Attachment to Li uor/3.2 License Renewal Application
This page must be completed and attached to your signed rsnewal application form.
Failure to include this page with the application may result in your license not renewed.
Tradp Name of Ester shment State License
tinme-sttA &x\ oor� /4-Z 35
1. Do you have legal posession of the is�e+s_fo�r`which this application for license is;made? G C� //y�((�� n,YES❑ NO❑
Are the premises owned or rented? Y a, If rented,effective and expiation date of lease: 1 cl o$ — i 't'i O
2. (a) Has the applicant, or any of the partners,or officers,.Stockholders or directors of said applicant(if a corporation)ever been YES❑ NO kl
convicted of a crime?If answer is'yes;explain in detail and attach.
(b) Have persons lending assistance or financial support to the appkant,or manager,or employees,ever been convicted of a crime? YES NoX
If answer is'yes,'explain in detail and attach.
3. Has the applicant,or any of the partners,or officers, Erectors or stockholders of said applicant(if a corporation)or manager,ever:
(a) been denied an alcoholic beverage license? YES NO Xi
(b) had an alcohoic beverage license suspended or revoked? YES❑ NO;Z
(c) had interest in any entity that had an alcoholic beverage license suspended or revoked? \ YES❑ NO2
If answer is'yes'to any of the above questions,explain in detail and attach.
4. Does or did applicant,or a4 of the partners,or officers,directors orStockholders of said applicant('der corporation),have a drect YES❑ N(
or indirect interest in any other Colorado liquor license Cmckrde loans to or from any icenseror interest in a loan 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 ban 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.
Nase s I Merest Type and Amount
z 1)t%oi.*sa/l-tcc o.€of,8o1 Net�fa SIor bu4(
6. List on a separate sheet the names and addresses of al iquor businesses in which any of the persons in question No. 5 we materially interested,
•
`7...Ope rating ManagerAddress Dateot6irth
It'tYYi. t Nor VAa) R&T &o 4Aere fa &o . s0132. j0-04-65...
8.If applicant is apart ersNp(except husband and wife), list ail general padrtners.Use separate sheet if necessary.
Name Address Date of Birth
AN4
Name Address Date of Birth
.Dora
9. If the applicant is a corporation,answer the following:
(a) Corporation is organized under the laws of the State of: D N A Date Incorporated:
(b) Principal place of business is: `R
(c) Date of filing last annual corporate report to the Cob.Secretary of State:
President A Hone,Address Date of Birth
D
Vice-Pres. Home Address Date of Birth
D N
Treasurer Home Address Date of Birth
`D A/A
Secretary Home Address Date of Birth
N R
(e) List all stockholders,5%or over,(If a public corporation)including actual owner or.pledgee.(Use separate sheet if necessary)
Name Address Percent of Stock Date of Birth
Name Address Percent of Stock Date of Birth
GNP}
Name A Address Percent of Stock Date of Birth
N
(f) Name of all Directors'/Trustees of Corporation
Name A Address Date of Birth
Name pun Address 9301` Dats..of,8irth
Y
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9301.05
DPSBIB20 DESCRIPTION OF MESSAGE IN IN-BASKET
Message : Reply to your message of 01/14/93 11 :24
: WE HAVE NO RECORD OF ANY CONTACTS AT THE HOMESTEAD SALOON IN
: HEREFORD.
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