HomeMy WebLinkAbout920591.tiffRESOLUTION
RE: APPROVAL OF RENEWAL REQUEST FOR 3.2% BEER LICENSE ISSUED TO ROBERTA AND C.
RAY HINDERLITER, DBA I-76 MOTEL AND CAFE - EXPIRES JUNE 23, 1993
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, 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
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 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 applicant, does hereby grant License Number 92-09 to said
applicant 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 Clerk to the Board of Weld County, Colorado, which license shall be in
effect until June 23, 1993, providing that said place where the licensee is
authorized to sell 3.2% fermented malt beverages for consumption 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.
920591
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RENEW 3.2% BEER LICENSE - I-76 MOTEL AND CAFE
PAGE 2
The above and foregoing Resolution was, on motion duly made and seconded,
adopted by the following vote on the 22nd day of June, A.D., 1992.
ATTEST:
Weld County Clei
the
BBo{ardd
BY:/ !uty(7-r d-z(Deputy o the Board
APPROVED AS TO FORM::
1
ounty ttorne
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
Constance L. Harbert, Pro-Tem
EXCUSED DATE OF SIGNING
(AYE)
920591
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THIS LICENSE MUST BE POSTED IN PUBLIC VIEW
DR 8402M/911
STATE
DEPARTMENT
ALCOHOLIC
OF COLORADO
OF REVENUE
Liquor Enforcement Division
1375 Sherman Street
Denver. Colorado 80261
HINDERLITER ROBERTA
HINDERLITER C RAY
I SEVENTY SIX HOTEL&
CAFE
35929 I 76 ACCESS RD
ROGGEN CO 80652-9609
BEVERAGE LICENSE
Account Number
Liability Information
LICENSE EXPIRES AT MIDNIGHT
County City Indust. Type Liability Date
14-27452-001
03 206 7011 5 062487
JUN 23, 1993
Type
Name and Description of License
Fee
J
3.2 PERCENT BEER RETAIL LICENSE
COUNTY 85 PERCENT OAP FEE
$ 50.00
$ 42.50
TOTAL FEEISI
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.
Division Director 7 Executive
$ 92.50
this
under the
This license is
This license is
license should
1375 Sherman
Director
920591
16S02 6
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:
(
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 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.
Authorized Signature:
Date:
Business Phone:
Title of 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 UCENSE 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.
REPORT ANC APPROVAL OF LOCAi: LICENSING AUTHORITY
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 spt1 license, if granted, will comply with the provisions of Title 12, Articles 46 and 47, C.R.S.
THEREFORE THIS APPL(CAT N IS -APPROVED.
Local Licensing Authority for: -
-
Y T..k.}
Y : CUI
.,.. _
❑ TOWN/CITY IE COUNTY
Signature:,,,.
..:.
Title l-fAIR.-R:
Attest:
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Date
Do NOT DEIAACH • Do NOT DETACH • DO NOT DETACH • DO NOT DETACH • Do NOT DETACH • Do NOT DETACH • Do NOT DETACH
-BUSINESS-WCATION: r - ,- o- y: i" r ; 0
NAME:
USE LICENSE NUMBER
FOR ALL REFERENCE
LIABILITY INFORMATION
RENEWED LICENSE 33
EXPIRES AFTER
COUNTY CITY INDUST. TYPE LAB. DATE
c,tLe- )a— ;4`,--CCl
.-.,; /:"'i
Q
4
TYPE OF LICENSE ISSUED
CASH FUND
STATE FEE
CITY 85% OAP
CO 85% OAP It
66-01 (9)
41-9 (9)
45-9 (9)
37-1 (9)
49-1 (9)
..
r
QQ
2
m
m
31
m
Make check payable to:
COLORADO DEPARTMENT
OF REVENUE
TOTAL AMOUNT DUE MD-
EXTENDED HOURS —Applies only to Hotel and Restaurant, Beer and Wine, Club, Tavern, Extended hours? D
and Arts licenses. If desired, check "yes" and enclose Total Amount Due PLUS $170.00. ❑ Yes ❑ No r
920591
w
•DR 8401 (4/90)
Attachment tC)iquor/3.2 License Renefll Application
This page mustiest 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.
Trade Nake of Establishrpent
/107 L c4
1. Do you have legal posession of the premises for w ich this application for license is made?
Statg7ens 27Yr
YESZ NO ❑
Are the premises owned or rented? .a . If rented, effective and expiration date of lease:
YES NO
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.
YES NO
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..
YES ❑ N0�
YES NOR" ---
YES ❑ NOR.
4. Does or did applicant, or any of the partners, or officers, directors or stockholders of said applicant (if a corporation), have a tect
'or indlrett interest'M'EnroltrarY'.titdla'db ItttttorlltetlsE1T eatte fairtirottie itylieens`ee; 6r tf€ iss m atiritilWlieenteei"r
If answer is "yes; explain in detail and attach.
1 ✓ghp Li CE NS e , SA ti/e- <4 T/0/V
NOD
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.
Name / Address i G Int rest Type and A 9k
/(°3E era ti y it/Miee-44/71X c y'7fr e 5s f o Ott) rie 4S /� �o
6. List on a separate sheet the names an resses of all liquor businesses in which any of t persons in question No. 5 are materially interested.
3,z/kl AL. Av6t/,v/rev,Ce'Ye= "94.4cE
7. Operating Manager
O (v ,V4 4
8. If applicant is a partnership (except husband and wife , list all general partners. Use separate sheet if necessary.
Nape /
Address
/�OIJGC47 6a
Date of Birth
/C_/4V 77//vzaC_//EK
Na�n�
/Cedi2)6A7.7I 719,114)621 4--/r
Address
C�GG =-� Co
Date of Birth
/
9. If the applicant is a corporation, answer the following:
Address
Date of Birth
N,
(a) Corporation is organized under the laws of the State of:
(b) Principal place of business is:
lc) Date of filing last annual corporate report to the Colo. Secretary of State:
(d) Name of each officer listed below:
Date Incorporated:
President
Home Address ._.,.__.,. ,..,.__ _-__,.
➢atenfBath• ..
Vice-Pres.
Home Address
Date of Birth
Treasurer
Home Address
Date of Birth
Secretary
Home Address
Date of Birth
(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
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
DPSBIB20 DESCRIPTION OF MESSAGE IN IN -BASKET
Message : Reply to your message of 06/18/92 09:08
: In checking the 10-4 files in the computer, I find no violations
: in the past year for the I-76 Motel and Cafe. Lt. Malcom
Received from : PCJLTN01-MAIN
Received : 06/18/92 13:54 Sent : 06/18/92 13:54
Select an option and type it below; then press ENTER.
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