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HomeMy WebLinkAbout930902.tiff RESOLUTION RE: APPROVE CHANGE OF OWNERSHIP REQUEST FOR TAVERN LIQUOR LICENSE, WITH EXTENDED HOURS, FROM DENNIS GENE ZITEK, DBA LAZY D 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, Dennis Gene Zitek, dba Lazy D, has presented to the Board of County Commissioners of Weld County, Colorado, an application for a Change of Ownership of a Tavern Liquor License for the sale of malt, vinous and spirituous liquors for consumption by the drink on the premises only, said license previously held by Zane Richard Pavlica, dba Homestead Saloon, and WHEREAS, pursuant to Weld County Ordinance No. 6, Section II. , C. , said applicant has paid the required fees to the County of Weld for a Change of Ownership 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, #39520, Hereford, Colorado 80732 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 93-15 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 Clerk to the Board of Weld County, Colorado, which license shall be in effect until September 2, 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. 930902 CHANGE OWNERSHIP OF TAVERN LIQUOR LICENSE - LAZY D PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 23rd day of August, A.D. , 1993. (r'itat"" ' BOARD OF COUNTY COMMISSIONERS ATTEST: WELD .COUNTY, COLORADO Weld County Clerk to the Board (.1 .' � Wed— Constance r/'JLD_. arbert,/// �J / Chairman � BY: �.drl� tom-- I Y P I l ll .C� ,6 "w1 Deputy to the Board W. . ,Webster, PrO Tem/ I APPROVED AS TO FORM: -t %. C. 1,... .-„‘....../,,,4 /// ger. Baxte Cou ty Attorney r I K. Hall . i _m /Barbara J. Kirkme er 930902 Received by: ������ 7 On this date: ./.52,-/ 742 9 3 l\��� �t \kiseak r�i�ll Ilil�:g �',;Cil I iris - '.i:.,:./.;17,',:./ Kkxl I r''i�)' ix J c -I r x , NZ 2qC t N9lh� 5 /R:<. =.ai.N.. ; Ati \� d 199 AAt r /x f l:' h / �} ,n�M1 2 °ft �a: f rY_ ,�`` �tk"r F x` 71 \ t�x ,YwY.y� x . ( y ' - p ttr rY-1't9. q;rt i 1y, §F .. h‘'' g:>'Z':-%.,:::::-ff..1.:"C'''.::. ‘/;: l 14-) i r• ,4 ^� 14 r �: F yr`ry t �: Arf Chi `' '. tFp / v s3 rty N !!&17.:),V l4, t o Sty, ( Srr { J vr; .� ,Y • it �� p .. r� rs s' pr,“-,0c,C14t 9+J.11)I.,....,-;..,,,g{N ofr ▪ �i w (r - . tS �,: � gti6d�rltW o , b a 't1 ��. O. 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PI O— w OJ O 1Zi Y 1y •Y� f il. al 4 � p co .al �II ,� " O' r r r 9u ' 6 > ' irkr ',� 1r In Y ti iIZ ( 1 ''��(pp' l "1 y� '; '7 t T r i{ °(�'1 3. I / _ ) ( E { {l)f IrYI\ y� Y I Y r / V I 111LIs ail , ' II 9 / 'd f V y t rx ,t ti YI r v w✓ : q>• f , y,. r. r r e aif s PI s \F$�`s%ats z `x 4ia`i i. rr c„ 1;sis}. ,i r , c-4".r` / ,v ✓ `a° ' , ,', s x / 1f. '• r x , a s?0922 THIS LICENSE MUST BE POSTED IN PUBLIC VIEW.: OR8402(10192} I • STATE OF COLORADO DEPARTMENT OF REVENUE Liquor Enforcement Division 1375 Sherman Street • • Denver,Colorado 80261 • ZITEK DENNIS G • THE LAZY D WCR 136 #39520 • HEREFORD CO 80732 1 ALCOHOLIC BEVERAGE LICENSE Liability Information Account Number County City Indust. Type Liability Date LICENSE EXPIRES AT MIDNIGHT 02-81494-0000 03 206 5813 I 090393 SEP 02, 1994 J I, Type Name and Description of License Fee 2010 TAVERN LIQUOR LICENSE - $ 50.00 MALT, VINOUS, AND SPIRITUOUS 2190 COUNTY 85 PERCENT OAP FEE $ 276.25 I EXTENDED HOURS TDTALFEE(S) $ 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, testimony whereof,I have hereunto set my hand. SEP 0 7 1993 Division Director Executive Dire 'tor OR 8404(02/91) Flip e i G)Lc 'r�ec ) r ; COLORAODO DEPARTMENT OF REVENUE Liquor Enforcement Division 1375 San St. Denver CO 8026; COLORADO LIQUOR LICENSE APPLICATION IMPORTANT: For those retail licenses described in Column A below, this application and all License Issued Through Use License Account No. supporting documents must FIRST BE FILED IN DUPLICATE WITH,AND APPROVED BY,THE (Expiration Date) for all reference LOCAL LICENSING AUTHORITY(CITY,TOWN, COUNTY). Applications will not be accepted unless all applicable questions are fully answered,all supporting documents correspond exactly with the name of the applicant(s),and proper fees are attached. fi», .• ;LIABILITYINFORMATION ' jMy You may attach separate sheets or additional documents if necessary to fully complete this ` ` 1'ifty; )ntlustrytypo Liability Oats; application. All documents must be typewritten or legibly printed in black ink. Form DR 8404-I, "Individual History Record' must be completed and filed In duplicate by the following: FEEPAII) • Each applicant • Over 5%limited partners 3 Caeh Fund 3.1811! clty Courtly • All ostkholders f a corporation • ManagEach person ,.. • All stockholders of a corporation not subject • Each person required to file form 66.1 ; 41.9 314 49.1 to the Securities and Exchange Act of 1934 DR 8404-I must submit fingerprints • Over 5%stockholders of a corporation subject to the Local Licensing Authority. to the Securities and Exchange Act of 1934 Please note:Fingerprints submitted will .�, 1 • All Limited Liability Company members and managers be used to check criminal history A4yrReg ExtHrs ExtHrs • All general partners records with the FBI and CBI ! IAI" . 41.24 37.1 x:49-1 Y:: NOTE: License status will not be given over the telephone. License will be mailed by the Liquor Enforcement Division to the Local Licensing Authority upon issuance. PLL ANSWFkRS MUST B€P UHTLr IN aLAc$l OR TTP€ .ffILL APPLICANTS FO :BRAND PIE "UENSEL OIl TRANSFERS OF OWNERSHIP MUST CHECK THE APPROPR!A HBO IF z ELQ Ili EITHER COLUMN A OR COLUMN B �K AND FAUST'ALSO CHEC$St I R BOX(18)OR(19} 44 9(3):: COLUMN A t < ....STATE.::. .s ga. Y,;41 9(3)',. OL•UMN S STATE FEES 18 ❑ Application Fee for New License $450.00 18 ❑ Application Fee for New License $450.00 19 6 Application Fee for Transfer of Ownership 450.00 19 a Application Fee for Transfer of Ownership 450.00 20 ❑ Retail Liquor Store License-City 202.50 26 El Public Transportation License each $50.00 20 ❑ Retail Liquor Store License-County 287.50 27 ❑ Manufacturer's License-Brewery 275.00 21 ❑ Liquor Licensed Drugstore-City 202.50 28 ❑ Manufacturers License-Winery 275.00 21 ❑ Liquor Licensed Drugstore-County 287.50 29 L Manufacturer's License-Distillery or Rectifier 1025.00 22- ❑ Beer&Wine License-City 177.50 31 ❑ Wholesale Liquor License(Vinous&Spirituous) 1025.00 22 ❑ Beer&Wine License-County 262.50 32 ❑ Wholesale Beer License(Malt Liquor) 525.00 23 0 Hotel&Restaurant Lic. 0 City ❑County 326.25 37 O Importers License(Malt Liquor) 275.00 24 ❑ Hotel&Restaurant Uc. 38 0 Importer's License(Vinous&Spirituous Liquor) 275.00 w/Optional Premises o City ❑County 326.25 43 0 Limited Winery License 45.00 25 ❑ Club License D City O County 135.00 44 0 Nonresident Manufacturer's License(Malt Liquor) 275.00 40 0— avem License ( city (3C unty 326.25 41 ❑ Arts License ❑ City ❑County 135.00 42 ❑ Racetrack License ❑ City O County 326.25 45 0 Optional Premises tic. ❑ City ❑County 326.25 0-E tended Hours-Special License 170.00 1. Name of Applicant(s): If partnership,list partners'names(at least two);if corporation,name of corporation: Date filed h Lo I1 Authority: pen n.5 tren -e 7...r. 4- gl/7�(13 la.Applicant is a: F.E.I.N.: / ❑ Corporation [J1dvidual ElPartnership ElLimited Liability Company , O4' — L4/LI Lj'7.. 2. Trade Name of Establishment: (DBA) State Sales Tax No.: Social Security No.: ! A 7 ' '/.' - c.2-.,);\ 7 ^/-1. 5 -e-/ ') ' 3. Address of Premises pacify exact location of premises.Diagram of premises must accompany this application.) Business Telephone: t.,w c I? I 3 G 3 V d it/o' -?a s/ City: County: State: Zip Code: /17aye fat c✓ co tot Ca 5'c/ '7 .t 2. 4. Mailing Address: (Number and Street) City or Town: State: Zip Code: J a `rh ✓`a 4sy-. v Gray .5 ca. •, 5. If this is a transfer of ownership or renewal application,you MUST answer the following questions about this business: Present Trade Name of That Establishment(DBA): Pre e 1 Stel�ee i nqe No.: Pre ant Type of License: Present Expiration Date: 2 ,F-/.e•,- vSri ..c/ Aa„ . . c 1q-�(�. 5 to ye.rr- (.21.??,,/9i/ ✓ -r5 930902 l eat 3-,4 YES NO 6. Is the applicant,or any of the partners,or officers,stockholders or directors of said applicant(if a corporation),or manager, under the age of twenty-one years? a_- 7. (a)Has the applicant,or any of the partners,or officers,stockholders or directors of said applicant(if a corporation)ever Lite' been convicted of a crime? If answer is'yes;explain in detail. Exclude minor traffic violations. (b)Have persons lending assistance or financial support to the applicant,or the manager,or employees,ever been convicted of a crime? If answer is'yes;explain In detail. Exclude minor traffic violations. 8. Has the applicant,or any of the partners,or officers,directors or stockholders of said applicant(if a corporation),or I �, manager,ever: I L (a)been denied an alcoholic beverage license? I FR- (c)had an alcoholic beverage license suspended or revoked? (c)had interest in an entity that had an alcoholic beverage license suspended or revoked? If'yes;explain in detail on separate sheet.9 3. Has a liquor license for the premises to be licensed been refused within the preceding two years?If'yes;explain in detail. f l I` 10. Are the premises to be licensed within 500 feet of any public or parochial school,or the principal campus of any college, university or seminary? —11. Does or did the applicant,or any of the partners,or officers,directors or stockholders of said applicant(if a corporation) 1 . r! ' have a direct or indirect interest in any other Colorado Liquor License(include loans to or from any licensee,or interest in a loan to any licensee)? If'yes,'explain in detail. 12. State whether the applicant has legal possession of the premises by virtue of ownership or under a lease.Attach a copy of 1 deed or lease. If leased,list name and address of landlord and term of lease.Attach a copy of diagram of premises. 06 h tel)' S6,,) ' 13. Identity the persons,firms,or corporations who now,or will,have a financial Interest,evidenced either by loans or equity ownership in the business for which this license is requested. State the names and addresses of any such persons,and the amount and source of such financial interest expressed in dollars or other items of value,such as inventory,furniture or equipment(i.e.,bank,relatives,friends,previous owners,etc.). Use separate sheet if necessary. NAME ADDRESS INTEREST crr w X 21e4 H! 5/ f 4. cg !3L _ ern Iy Qrr .r ci-Fl�� l]Jrr/w 7, -4 1. !� ! ! , 14. List the names and addresses of all liquor businesses in which any of the persons in the previous question are materially interested. Use separate sheet if necessary. NAME BUSINESS ADDRESS Attach copies of all notes and security instruments,and any written agreement or details of any oral agreement,by which any person(including a corporation)will share in the profit or gross proceeds of this establishment,and any agreement relating to the business which is contingent or conditional in any way by volume,profit,sales,giving of advice or consultation. Page 2 of 4 try ciC,err r ` 15. Liquor Licensed Drug Store applican iswer the following: YES NO (a)Does the applicant for a Liquor Lcensed Drug Store have a license issued by the Colorado board of Pharmacy?COPY MUST BE ATTACHED. 16. Club Liquor License applicants answer the following: (a)Is the applicant organization operated solely for a national,social,fraternal,patriotic,political or athletic purpose and not for pecuniary gain? (b)Is the applicant organization a regularly chartered branch,lodge or chapter of a national organization which is operated solely for the object of a patriotic or fraternal organization or society,but not for pecuniary gain? (c) How long has the dub been incorporated? (d)How long has applicant occupied the premises (Three years required) to be licensed as a dub? Note: Applicants must also answer question 21,parts(a)through(d),and(f),below. 17. Colorado Manufacturer,Wholesaler or Limited Winery applicants,answer the following: (a)Will the applicant store or sell alcoholic beverages at more than one location in Colorado. If"yes,"provide the address of each location and explain the activity to be conducted at each location(e.g.,warehouse,salesroom,etc.) (b)If the applicant is a wholesaler,does or did any owner,part owner,shareholder,director or officer have any skeet or indirect financial interest in a wholesaler,retailer,manufacturer or importer already licensed by the State of Colorado to sell malt,vinous or spirituous liquor? If yes,'attach explanation in detail. (c) Does the applicant have a valid Federal Basic Permit? If"yes;attach a copy of the permit;if'no;explain whether one has been applied for. 18. Nonresident Manufacturer(malt liquor)or Importer(malt,vinous or spirituous liquor)applicants,answer the following: (a)To what Colorado licensed wholesaler do you intend to ship your merchandise? (b)Does or did any owner,part owner,shareholder,director or officer of the applicant have any direct or indirect financial interest in an importer,manufacturer or retailer already licensed by the State of Colorado to std malt,vinous or spirituous liquor? If'yes;attach explanation in detail. (c) Does the applicant have a valid Federal Basic Permit? If'yes,'attach a copy of the penult;if'no;explain In detail. (d)Are you the primary source of supply In the U.S.?If"no;explain. 19. If the applicant is a partnership,answer the following: (Attach separate sheet if necessary.) (a)Name of each general partner and each limited partner Home Address,City and State Soda!Security I Date of Birth holding a greater than 5%interest. • (b)On what date was the partnership formed? Attach a copy of the partnership agreement (except for Date: partnerships consisting only of a husband and wife). 20. If the applicant is a Limited Liability Company,answer the following: (a)Name of each member and manager of the Limited Home Address,City and State Soda!Security I Date of Birth Liability Company (b)On what date was the Limited Liability Company formed? Date: Attach the following: 1.A copy of articles of organization. 2.Acknowledgement from Secretary of State's office. 3.Copy of operating agreement (c) Name of Responsible party Page 3 of 4 aT '>fl '!,y4 21. If the applicant is a corporation,answer the following: (a) Corporation is organized under the laws of the State of: Date of Incorporation. (Attach Certificate of Authority (b)Out-of-state corporations,give data authorized to do business in Colorado: from Cob.Sec etary of State) (c)Date of filing last annual corporate report to the Secretary of State: (d)Name of each officer listed below: Home Address,City and State: Social Security a Date of Birth: Nosiest VS-Praldent: Treasurer: Seaatery: (e)Name all 5%or greater stockholders; Home Address,City and State %of stock Date of Birth: include actual owner or oledaee (I) Name of all Directors or Trustees of Home Address,City and State Corporation: 22. Manager: ,j� ' typ �(�,yS s:.dia₹ 'k8$�' "si : ' 41 fi `40Pt iAS �' IRM v.#aF vg.vx 3' > •i:'.z:.'... . f v'�EF#r,� ....s>°3's. :.. R .: �Be:.c. . 4s �a.,,.. v .,:mrs..5s. r f£n,:';'Q?.'''..t .. ':,._8v..... 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. Awed Signature: tale %Date: v • • / ) i v ♦ax 8 tt4P :t. 8,; • • x o fb�8 3i'90 sTs as s a. o§° (6lanuIacuer , nn�srsa',r Ywrnits' a4PullatraflsonSonlcensees mingemsoms v e r sa. . ' lfia eeotfa Qo% aw Is this application for a: New License I y(Transfer of Ownership Other(specify): YES NO Each person required to file DR 8404-I: Has been fingerprinted X 1 1 Background NCIC and CCIC checked \X The liquor licensed premises is ready for occupancy and has been inspected by the Local Licensing Authority. If'nog the building will be completed and ready for inspection by saw _ The foregoing application has been examined; and the premises, business to be conducted, and character of the applicant are satisfactory. We do report that such license,if granted,will meet the reasonable requirements of the neighborhood and the desires of the inhabitants,and will comply with the provision of Title 12,Article 47,C.R.S.THEREFORE,THIS APPLICATION IS APPROVED. Local Licensing Authority trx: ❑ TOWN,CITY WELD COUNTY, COLORADO X❑ COUNTY s te; TIN: CHAIRMAN, WELD COUNTY BOARD claw r OF COMMISSION S 08/23/93 Signal -neat:, / p MacLD COU C RK TO THE BOARD Dale: Ir Ir d vim( By:( ��® - �a .( s DEPUTY 08/23/93 If premises are located within a town or city,the above approval should be signed by the may rk,if in a county,then by the chairman of the board of county commissioners and the clerk to the board. If,by ordinance or otherwise,the local licensing authority is some other official,then such approval should be given by such official. ��,y� Page 4 of 4 Q-7s17=•02 • DR 8404-1(2/89) COLORADO DEPARTMENT OF REVENUE LIQUOR ENFORCEMENT DIVISION INDIVIDUAL HISTORY RECORD 1375 Sherman Street Denver,Colorado 80261 To be completed by each individual applicant,each general and over 5%limited partner of a partnership, each officer,director,and over 5%stockholder of a public corporation,and the manager of the applicant. NOTICE: This individual History Record provides basic information which is necessary for the licensing authorities'investigation. ALL questions must be answered in their entirety. EVERY answer you give will be checked for its truthfulness. A deliberate falsehood will Jeopardize the application as such falsehood within Itself constitutes evidence regarding the character and reputation of the applicant. 1. Name of Business: Date: Social Security Number: t 2. Your 3. Also Known As: (maiden name/nickname,etc.)Full Naafi:(IesVfiraVmiddle) 7 ir,Ct p0> Ge...e a 4.Mailing Address: (if different .,r from residence) Home Telephone: 2 7..),_ .� A1eir 50rs Co 303 -1rW --geroe 5.Residence Address: (street and number,dry,state,zip) VGY9f & r(? / 76 Ord vrs-- C0 ,.O 9g 8. Is your residence: It rented,from whom? [r OWNED O RENTED 7. Date of Birth: Place of Birth: 8. U.S.Citizen? `-� 4J �fE5 ❑NO �� �,Z��re: / (n o �� vFfs R D If natural lit iota where: When. Name of U.S.District Court: Naturalization Certificate No.: Date of Certificate: if an den,give Alien's Registration Card No.:Permanent Residence Card No.: 9. Height: Weight: Hair Color: Eye Color Sex: Race: 10.Do you have a Colorado Drivers License? If yes;give number: �, {-/, /.-90 Or/V t3 ten, nit w [*ES O N J 973 i27O 11. What Is your relationship to the applicant?(sole owner,partner,corporate officer,director,stockholder or manager): 12. If Stockholder,Number of Shares Owned Benefldally or of Record: Percent of Outstanding Stock Owned: 13.If Partner,state whether. Percent of Partnership Benefldally Owned: ❑ GENERAL ❑ LIMITED 14.Name of Present Employer: 15.Type of Business of Employment: S -eIT no,r/ tQ407 16.Address of Business Where Employed:(street and number,Crstate,zip) Business Telephone: _ </6 V91 w (y c fl ! '2 F n,/.-0 Jr Cre n P 9 3 0.3--6'FC .n qi fr 17.Present Position: O'er r r d en, d o fl Zi?-s k Pel in c- 18.Marital Status: 19.�NNaa7me of Spouse:(include maiden name If applicable) • %f1 errr e c2 /2,9 art/ 'On x! .41",,Q... 7/Tc f(/'.t,,.r/r/t' 20.Spouse's Date of Birth: Spouse's Place of Birth: /Seside Y9 /70/• r /3/„ M 4/ -01 21.Spouse's r sidence address,it different than yours:(give street and number,dry,state,zip) SGi,7 . 22.Spouse's Present Employer: Occupation: 5'a •,i f7 y,•••____> a d.....-ti, 23.Address of Spouse's Present Employer: -- 24.List the name(s)of all relatives working in the liquor industry,give their. Name of Relative: Relationship to You: Position had: Name of Employer: Location of Employer: CONTINUED ON REVERSE SIDE fir: 25.Do you now,or have you ever held a direct or Indirect Interest in a State of Colorado Liquor or Beer License? If yes;answer in detail. ❑ YES agITEI 28.Do you now,or have you ever had a direct or indirect Interest in a liquor or beer license,or been employed in a liquor or beer related business outside of the State of Colorado? If'yes;describe in detail. EKES ❑NO / 7-p.vcis c4 � i.- /n /�nc /��7 /„,ifs ( QTT) R/o f' 27.Have you ever been convicted of a crime,fined,Imprisoned,placed an probation,received a suspended sentence or ted ball kr.iy offense in diminatii military court?(Do not include traffic violations,unless they resulted in suspension or revocation of your drivers license,or you were convicted of driving under the influence of alcoholic beverages.) If yes;explain in detail. ❑YES !O 28. Have you ever received a violation notice,suspension or revocation for a liquor law violation,or been denied a liquor or beer license anywhere in the U.S.? If yes,'explain in detail. ❑ YES F] O 29.Have you ever held a gambling or gaming license or owned a Federal Gambling Stamp? If'yes,'explain in detail below. ❑ YES 0146 State/Federal: Year: City: State: State/Federal: Year: City: State: 30.INNtary Service:(branch) From: /p4 4 To: Serial No.: Type of Discharge: YV n 'Ire' 6-0..-d i /P 9 2 g 8'0 3 9 ern 6 Pon rr i le 31.List all addresses where you have Nyed for the la years.(Attach separate sheet If necessary) _- -- Street and Number City,State,bp From: To: 0/.6740/.67474 /d dcts% N/G/`,"Y Q p W L(7 (2‘ n /6r V r - C o l l ba 9 32.List all former employers or businesses engaged In within the last five years.(Attach separate sheets if necessary.) Name of employer: Address:(street,number,city,state,zip) Position Held: From: To: 5-.•-e5-.•-eye 33.List the names of persons who can vouch for your good character and faness in connection with this application. Name of reference: f] Rif (street,number,city,state,zip) No.of Years Known: _`__ 177G 1-4 /1 Beta neht /1 /7 Cr[I'n /Pr x), ,) a// L.�'` ` --i e_ 0e / a Waif/see, SR Cai/nv„ rr" wyc1 sigh _3‘? yeeK- J fsn 4a�.c7 g 13 move r Co / ' A yra.s OATH OF APPLICANT I declare under penalty of perjury in the second degree that I have read the foregoing application and all attachments thereto, and that all information therein is true, correct, and complete to the best of my knowledge. Signature• a / Title: Date:`lc�/ 93( nn August 8 , 1993 To Whom It May Concern: We have known Denny Zitek for the last twenty-one years . We feel Denny would be a very responsible and conscientious bar owner and would abide by the rules and regulations of a liquor license. We also feel that approval of this liquor license would be an asset to the Grover-Hereford communities . Jim and Lonna Loyd 930901 �. .� :L f �lb�d , et, Dl �i,�e+.A G� � c . p.1-i.11.9�t�). tVidatiAtralit, 0. E coon . ttaide ssdie Jul i cc or( 3C • Vii , 9 K3 tsflo .fit- % Qo • D. f ' A_ -WO-417 rt-ct-ote u -{o 111-44-0 4. . t eta- 2) 42,e dea PJ rt.' Q-' 2.��t-ate _.�Cn--� .` �. !. lita, --4tt Vet“ !/'C21 GYo ueir Co 90 /.2_? 930902 August 1, 1993 I Zane Richard Pavlica, hereby terminate any and all leases between Zane Nicholas Pavlica, and or any other person or persons who may or may not have an interest in the property hereby called, "Hereford Lane ' s" , or "Homestead Saloon" . This termination will become effective upon the sale of the said property and closeing date of August 31, 1993 . This termination will be void if there is no such sale, or closeing date has not been met August 31, 1993 . Owner Of Hereford Property d =-�' - J1 d� -a7.0 1 .2 Lessee Of Hereford Property -- - • -- /fr//93 3A9 • Witness ;14;- Q c z\ !\ 4.- , gx 4,1 ya ,i, 1 Q I tt 0 ct fY o 1 Ni \IJ ct II :ii is it:j 9 i I:i � J il"; ;��i;j Q"i_ "---1am RUG-06-1993 15:50 FAUN--MCCARTNEY LAW OFFICES TO MCF`LyF P.02 0FFEt2 , 2 .cc:sr!ra1dcn & REC$xP'r Cheyenne, Wyoming, 1993 RECEIVED FROM Dennis C. Zitek, (hereinafter referred to as Purchaser, whether one or more) the sum of $5000.00, in the form of personal check, by Zane R. and Zane N. Pavlica, "as their interests may be", Seller, to be deposited promptly and held. by Ken McCartney, in his trust account, as earnest money and part payment for the following described real estate situate in the Village of Hereford, County of Weld, Colorado, commonly known as Hereford Lanes , Homestead Saloon, and Homestead Lounge and more particularly described, to-wit: See attached Exhibit "A" with all improvements thereon and all fixtures of a permanent nature currently on the premises except as hereinafter provided, in their present condition, ordinary wear and tear excepted, and including all personal property described herein. THIS IS AN OFFER TO PURCHASE ASSETS ONLY AND IS NOT AN OFFER TO PURCHASE THE BUSINESS. THIS OFFER AND THE DEPOSIT MADE HEREWITH IN THE AMOUNT OF $5000.00 IS CONTINGENT UPON DISMISSAL OF ADVERSARY PROCEEDING (92-2052) AND CONFIRMATION OR ANTICIPATORY CONFIRMATION OF THE CHAPTER 13 PLAN IN CASE NO. 91-00862-A 1. Purchaser agrees to buy the above-described property upon the following terms and conditions and for the purchase price of $70,000.00 payable as follows: $5000.00 earnest money deposit, receipt of which is hereby acknowledged upon execution of this Contract; and $65,000.00 the remaining balance, which shall be paid as follows: Cash or certified funds at time of closing 2. Price to include any of the following items currently on the premises: Those listed on attached Exhibit B. and including propane tanks (if owned by Seller) ; lighting, heating and plumbing fixtures; all outdoor plants, window and porch shades, plants, venetian blinds, storm windows, storm doors, screens, curtain rods, drapery rods, heat pump, ventilating fixtures, attached TV antennas, attached mirrors, linoleum, awnings, water softener (if owned by Seller) , fireplace screen and grate, built-in kitchen appliances, wall-to-wall carpeting, and the following personal property: all remaining on the premises at time of closing. all in their present condition; PROVIDED, HOWEVER, that the following fixtures of a permanent nature are EXCLUDED from this sale: beer tapper, trailor house, equipment as mutually agreed previously among the parties. 3. An abstract of title to said property, certified to date, or a current commitment for title insurance policy in an amount equal to the purchase price, at Seller's option and expense, shall be furnished the Purchaser on or before closing. If Seller elects to furnish said title insurance commitment, Seller will deliver the title insurance policy • to Purchaser after closing without unreasonable delay and pay the premium thereon at the time of closing. Closing shall occur on or before August 31, 1993. Page 1 of 4 afl nn RUG-06-1993 1551 FROM_I•ICCARTNEY LRJ OFFICES TO P1CNI F P.03 4. Title shall be conveyed to the following named Purchaser: Dennis G. and Marjorie L. Zitek, husband and wife and Merle A. Zitek, a single person. 5. Title shall be merchantable in the Seller, except as stated in this paragraph. Subject to payment or tender as above provided and compliance with the other terms and conditions hereunder by Purchaser, the Seller shall execute and deliver a good and sufficient statutory warranty deed in favor of those persons named in Paragraph 4 above, including the release and waiver of all homestead rights, if any, and a good and sufficient bill of sale, and deliver the same to said Purchaser at closing, conveying said real and personal properties free and clear of all liens and encumbrances, except: (a) The general taxes for 1993; (b) Liens for special improvements, if any; (c) Easements for utilities: (d) Subject to building and zoning regulations; (e) City, state and county subdivision laws; (f) Reservations, restrictions and easements of record, if any: and (g) Except none. 6. Any encumbrance required to be paid shall be paid by closing agent or seller's attorney at the time of closing from the proceeds of this transaction. 7. The Seller covenants that upon execution of this Contract: (a) The above-described property is in substantial compliance with applicable city, county and state subdivision laws, requirements and regulations in force and effect as of that date, EXCEPT: (b) There are no known defects, EXCEPT: (c) Those which are readily visible upon inspection; and (d) none 8. General taxes and personal property taxes for the year of closing shall be apportioned to date of delivery of deed based on the most recent levy and the most recent assessment. Prepaid rents, or assessments, if any, shall be apportioned to date of delivery of Deed. Taxes for all special improvements now installed or assessed, to the extent due and payable on or before closing, shall be paid by Seller. Any such tax becoming due after closing shall be paid by Purchaser. 9. Possession of premises shall be delivered to Purchaser on or before August 31, 1993 subject to the following leases or tenancies: none 10. Risk of loss shall remain with the Seller until delivery of Deed. In the event the premises shall be damaged • by fire or other casualty prior to time of closing, in an amount of not more than lot of the total purchase price, the Seller shall be obligated to repair the same before the date herein provided for delivery of Deed. In the event such Page 2 of 4 PUG-06-1993 15:52 FRUM_, MCCRRII EY LP&d OF CES lU MG.irr--F P.d4 damage cannot be repaired within said time or if such damage shall exceed such sum, this contract may be cancelled at option of Purchaser. Should the Purchaser elect to carry out this Agreement despite such damage, such Purchaser shall be entitled to all the credit for the insurance proceeds resulting from :such damage. Should any fixtures or services fail between the date of this Agreement and the date of possession or the date of delivery of Deed, whichever shall be earlier, then the Seller shall be responsible for the repair or replacement of such fixtures or services with a unit of at least similar size, age and quality. 11. Except as stated in Paragraph 5, if title is not merchantable or otherwise recordable and written notice of such defect(s) is given by the Purchaser or Purchaser's agent to the Seller or Seller's agent within the time herein provided for delivery of deed and shall not be rendered merchantable within 30 days after such written notice, then this contract, at Purchaser's option, may be specifically enforced or may be declared void and of no effect, and each party hereto shall be released from all obligations hereunder and the payments made hereunder shall thereupon be returned forthwith to Purchaser upon return of the abstract, if any, to Seller; PROVIDED, HOWEVER, that in lieu of correcting such defect(s) , Seller may, within said 30 days, obtain a commitment for Owner's Title Insurance Policy in the amount of the purchase price reflecting title insurance protection in regard to such defect(s) , and the Purchaser shall accept the then existing insured title in lieu of such merchantable title. The Seller shall pay the full premium for such Owner's Title Insurance Policy, and th.e abstract, if any, shall be returned by the Purchaser. 12. Time is of the essence hereof, and if any payment or any other condition hereof is not made, tendered or performed by either the Seller or Purchaser as herein provided, then this contract, at the option of the party who is not in default or breach, may at that party's option, be terminated by such party, in 'which case the non-defaulting party may recover such damages as may be proper or such party may require specific performance of the other herein. In the event of such default by the Purchaser, and the Seller elects to treat the contract as terminated, then all payments made hereunder shall be forfeited and retained on behalf of the Seller. In the event, however, the non- breaching or non-defaulting party elects to treat this contract as being in full force and effect, then nothing herein shall be construed to prevent its specific performance. 13. In the event that any party shall become in default or breach of any of the terms of this Agreement, such defaulting or breaching party shall pay all reasonable attorney's fees and other expenses which the non-breaching or non-defaulting party may incur in enforcing this Agreement with or without suit. This provision shall not limit any other remedies to which the parties may otherwise be entitled. 14. Additional provisions: a. The Purchaser shall have ten days from the date of acceptance of this offer to conduct inspections of the property including but not limited to the roof, electrical system, plumbing system, septic system, structural and such other inspections as Purchaser may deem appropriate, at Purchasers expense. In the event the inspections show defects • Seller shall have the option of curing those defects or terminating this agreement. Tn the event Seller elects to terminate such election shall be made within 10 days of receipt of the inspection upon which Page 3 of 4 RUG-06-1993 15:52 FROM_ MCCAIRTNEY LFLJ OFFICES TO MC:N?F P.05 • termination is based and shall include a full refund of the earnest money to the Purchaser. In the event Seller elects to cure such cure shall occur before closing. b. Sellers agree to execute such assignments or other documents as required for transfer the liquor licenses associated with the property in a timely fashion and no later than the date of closing. 15. Each party hereto shall have the right to require specific performance of each and every provision of this Agreement as contemplated herein and may, if necessary, bring an action in a court of competent jurisdiction to compel the .same. 16. If this offer is accepted by the Seller in writing on or before midnight of August 9, 1993, this instrument shall become a binding contract between Seller and Purchaser and shall be binding upon and shall inure to the benefit of the respective party hereto, their heirs, successors, representatives and assigns. 17. This agreement executed in multiple copies and my signature hereon acknowledges that I received a signed copy at the time of signing. 18. All representations made in the negotiations of • this sale have been incorporated herein, and there are no verbal agreements or representations between Buyer and seller to modify the terms and conditions of this Agreement. THIS IS A LEGALLY BINDING CONTRACT. IF YOU DO NOT UNDERSTAND THE TERNS AND CONDITIONS, CONSULT LEGAL COUNSEL. D�e D is i tek rchaser Date W ess Purchaser's Address The undersigned Seller whether one or ore) cepts the foregoing offer this ( day of 1993. �/4 93 Dater/4/93 ate / Pfv1 ca, Seller Date / Wit ess , 0J 9� Date / 4. - N. Pavlica, Se Date Ji/t ess 7 _9 0 6k- ` Son,-CP. e Seller's Address et.stjef1Mntes.Doe uputt 6. J$!) •:S3 NI Page 4 of 4 RUG-06-1993 15:S3 FROM _MCCARTNE'r' LOW OFFILES TO MCNIFF R.ti6 Sri!'} !0:1-'t ' � r yv hi y 1 a/ I Ni:lei[ 1 - .��- ( -wa B 1219 REV 02165953 2/29/88 16:18 59.00 3/003 Y. i4 f I •._• �` ' F 0598 HART ANN FEUENSTEIN CLERK 6 RECORDER WELD CO, CO . 'AY• EXHIBIT -A^ '(s i i rr,,t1 PARCEL II fit A trart of ]and In the Northeast quarter INEI/4] of the '`(, � til .• Northwest Quarter INwI/4f of Kretiun Thirty-[owe 1]41, TwnsbFp I.I. Twelve 1121 North, Range Sixty-two 1621 Went of the 6th rem., •+k+ •, ., county of Weld. State of Colorado, cloncribred no follows; :y-{ +e ,' - Commencing at the Northeast corner (NR cot) of said Section 34; i ; h* F : � thence South 89 Degrees 53' Went along the North line of maid n 91 'i Section 39, 2,741.40 feet; ?' >' rijd{ thence South 0 Degrees 07' East 30.00 feet to the True noire- of `%"-r ' s �' Yr it 9� Beginning; 9I• - �Y"o lj • thence South 0 Degrees 07' east, 125.00 feet; :tell � ,', l • i thence South 89 Degrees 53' West, 260.00 feet; • ,fit •� • ,ke :` thence North 0 Degrees 07' West, 125 feet; t`I.r: thence North' 89 Degrees 53' East, 260.00 feet to the True Point •• t�.. • ' •:r• 1' of Beginning. r • -7�'.': ,,••i r' 'f : PARCEL 12 ''i lir rr.• ly;• All that portion of Section Thirty-four 1341, Township Twelve 'f S -fq=...• 112) North, Range Sixty-two (621 West of the 6th P.M., County ofii. �rt• '1= ' it Weld, State of Colorado, more particularly described as -it.; f:^.g' � 1 ,1.1#1 . ` 1 ;;' Beginning at a point south 0 Degrees 07' East, 30 feet from the .'i `"t i ASV. Section Line between Sections 27 and 34. Township 12 North, i"f # Range 62 Keat of the 6th P.N., and 2.691.9 .feet Went of the 3 ; t .----ii ' : Northeast Corner (NE Cori of said Section 34, measured along the +N •, I - k� = Y ,' Section Line which Point of Beginning is on the south ,+ ' �: ` right-of-way line of the County Road; ,`tr'� ;';+i t. Cant, and at right angles to the 4 r , thence South 0 Degrees 07' R , g g 'St .'1• County Road, 125 feet; r7-7b, 1, cj thence South 09 Degrees S3' fat and parallel to the County Road 1' �}!'i rot. point; .�. t ; SO feet to a s '��! ! thence-North 0 Degrees 07' West. 125 feet to a point in the South 44" right-of-way line of v-.id County Road; % + S ic r thence North 89 Degrees 53' Dant, 50 feet along said right-of-way 'x�' ' •'�'{ ss tine to the Point of Beginning. ; 6' tsci,•r e Ste. 1▪ tit Al tiig t ;cop r h •,I r• '• r4; ;•+f+-+ n • x;, .t13 ' 4 pi Wiligif ie r+ • 11`. 4 i allay tseeit- le Oa it C3/4X 1:, .'"i ii;-tail prill t) • ,:A ., A.•..tvA+ i +. 1yil7Ii'1, s`? .ll • l ,• 1 _ • - _ _ !1!1 AUG-06-193 15:54 FRCR'. MCCARThFY LAW OFF[CES TO MCN!'-F P.07. EXCEIZSI L "S•• liquor licences food service licences, if any Satellite Dish Pop machine Towel Dispensers Mugs and glasses Package liquor cooler overhead heater - bar - restaurant, bowling alley & lounge Ice machine Air conditioner and heat pump Cooler that needs work in kitchen Refrigerators (2) Taps at the bar All kitchen equipment - dishes, silverware, stove, deep fryer, pots, 'pans, and cooking utensils Cigarette machine Maintenance mechine Ice cream cooler Beer coolers - back and front bar Inventory in machines Shoes and ball Bowling machines Freezers (2) E:WALETIVA.1Ltc.i.00c swot<6. L9?3 405 E2 TOTAL P.07 08-19-1993 01:58PM FROM FARMERS STATE BANK TO 13033520242 P.01 I,JEDJ4S1 THIS LEASE entered into this 149 day of AIA.ci r f , 1993, at burnt 1,11 nn t n. , by and between Marjorie Zitek and 'Merfe ZiteM, hereinafter called "Lessor", and Dennis Zitek, hereinafter called "Lessee". WHEREAS, Lessor owns the real property described on Exhibit A attached hereto, including any buildings and other improvements located thereon, all of which real property is hereinafter called the "premises" . WHEREAS, Lessor desires to lease that portion of the Dennisnnbuilding and office d s the premises now same Sed from Di G. Zitek, Lessor, on the terms and conditions hereinafter set forth. NOW, THEREFORE, it is mutually agreed between the parties hereto as follows: 1. DEMISE AND TERM. Lessor hereby leases to Lessee, and Lessee hereby rents from Lessor, said premises for a term of three years, said term to commence on September 1, 1993 or on the date Lessor acquires title to the property. 2. RENT. Lessee shall pay as fixed rent for the premises, the sum of $10.00, payable annually, in advance on the first day of each and every year during the term hereof. 3. QUIET ENJOYMENT. Lessor warrants that he is the owner of the premises and has full right and authority to enter into this Lease. Lessor covenants that, for and during the term of this Lease and any extension or renewals thereof, he will not cause or allow anything to be done which will impair Lessee's leasehold interest and rights hereunder. Lessor shall defend the Lessee in the enjoyment and peaceful possession of the premises during all terms of this Lease. 4. USE OF PREMISES. Lessee shall, in the conduct of its business on premises, at Lessee's expense, comply with and carry out all applicable laws, ordinances, regulations and orders of public authority. Lessee shall , at his expense, comply with and carry out all applicable laws, ordinances, regulations and orders of public authority respecting the structure and other conditions of the premises. 5. CONDITIONS OF PREMISES. Lessee's entry into possession of the premises shall ,be deemed its acceptance of Page 1 of 5 RUG 19 ' 93 14: 59 1 307 547 3709 PAGE . 0001 08-19-1993 011 59P FROM FARMERS STATE BANK TO 13033520242 P.02 the premises in good order, condition and repair. Upon termination of this Lease, whether by lapse of time or otherwise, Lessee shall immediately yield up possession, and surrender same to Lessor, with the leased premises in a good state of repair and condition. 6. UTILITIES. Lessee shall pay for all utilities and services used on the premises. 7. REPAIR AND MAINTENANCE. Lessee shall, at its expense, keep and maintain the premises in a clean, sightly, sanitary order and in good condition and repair. Lessee shall not cause or permit any waste or nuisance in or about the leased premises. 8. ACCESS. Lessor, and his duly authorized agents, after notice to Lessee, shall have access to the premises at all reasonable times for the purpose of inspecting the same. 9.' LIENS. Lessee agrees and covenants that it will not cause or suffer the creation of any mechanic's liens, or other liens, for any labor performed or materials furnished for or on behalf of Lessee, which may cloud or impair Lessor's title to the leased premises; and that if any such lien shall arise due to an act or omission of Lessee, Lessee shall promptly remove the same at its own expense. 10. NON-LIABILITY. Lessee hereby waives any and all claims against Lessor or Lessor's agents or employees for any loss of, or damage to, personal property or for any injury sustained on or about the premises arising from any event, except any loss, damage or injury that is directly caused by the negligent act of Lessor, Lessor's agent, or Lessor's employees. 11. ALTERATIONS. Lessee shall not make any alterations to the leased premises, or any part thereof, without the consent of Lessor first had and obtained. Any addition to, or alterations of, the leased premises shall become part of the realty and belong to Lessor; provided that nothing herein shall affect Lessee's rights with respect to trade fixtures and other movable property. Lessee shall, at its expense, repair any damage caused to the leased premises by the removal of its property. 12. DESTRUCTION OF PREMISES. In the event that the leased premises shall be rendered unfit to a material extent for use by Lessee due to fire, earthquake, flood, windstorm or other casualty, the rent payable under this Lease shall abate during the time such damage remains unrepaired. Lessor shall promptly proceed to repair the damage due to such casualty. If such damage cannot be repaired within 180 days from the date of damage because of its extent or the impossibility to obtain materials, labor, or due to Page 2 of 5 RUG 19 ' 93 15: 00 1 307 547 3709 PAGE . 002 08-19-1993 01:59PM FROM FARMERS STATE HANK TO 13033520242 P.03 governmental restrictions, strikes or other events beyond the control of Lessor, Lessor shall promptly notify Lessee in writing of such fact and Lessee shall then have the option to terminate this Lease forthwith. If Lessee notifies Lessor that he does not elect to exercise this option to terminate, Lessor shall arrange and proceed to repair such damage as soon as reasonably possible. 13. CONDEMNATION. In the event that the premises, or a substantial part thereof, shall be condemned or taken by public authority, Lessee shall have the election to terminate this Lease. In the event of a partial condemnation or taking, and if Lessee continues its use and occupancy of the portion not so condemned or taken, the fixed rant payable hereunder shall be reduced by the proportion that the value of the condemned portion of the leased premises bears to the total value of the leased premises. Lessee shall, in any event be entitled to claim compensation from the public authority concerned for the loss of , or damage to, its leasehold interests hereunder and its equipment and other property on the leased premises by seeking a separate award of compensation. 14. ASSIGNMENT. Lessee shall not assign this Lease without the prior written consent of Lessor, but such consent shall not be unreasonably withheld. Lessor's consent to one assignment shall not be deemed a consent to any other or further assignment. Upon Lessor's consent to an assignment of this Lease and such assignee's written assumption of the payment of rent and performance of all other obligations to be performed on the part of Lessee with respect to the leased premises, the Lessee's liability hereunder shall cease and terminate. 15. ALCOHOLIC BEVERAGES. Lessor agrees and covenants that Lessee shall have Lessor's permission to use the property for the sale of alcoholic beverages for consumption on the property and for the sale of package liquor during the term of this lease. 16. SUBLET. Lessee shall not have the right to sublet the leased premises for any purpose without the prior written consent of the Lessor which shall not be unreasonably withheld. 17. INSURANCE. Lessee shall procure and keep in force, at all times, during the term of this Lease at is expense, public liability insurance for personal injury to any one person, and property damage. Lessor shall be named as one of the insured parties. When requested by Lessor, Lessee shall furnish Lessor with certificate, or certificates, issued by the insurance carrier evidencing Stich insurance. Page 3 of 5 AUG 19 ' 93 15: 01 1 307 547 3709 PAG. 003 08-19-1993 02:00PM FRflM FARMERS STATE BANK TO 13033520242 P.04 18. INDEMNITY. Lessee shall reimburse and hold Lessor harmless from any claim by, or liability to, any third person arising from the use of the leased premises by Lessee, or any licensee, customer or contractor of Lessee, provided that such loss, damage or injury did not result from a negligent or wrongful act of Lessor. 19. NOTICE. Any notice required herein shall be sent by ce shall certifiedbe addressedto registered 46499i1CountytlRoad 0136 the Lessors Grover, Colorado 80729 , and notice to the Lessee shall be to 46499 County Road 136, Grover Colorado 80729. Upon notice to the other party either party may change the address to which notice to it is to be sent. Notice shall be deemed to have been given when properly mailed. 20. REMEDIES.. In case the Lessors shall fail or neglect to keep and perform any of the covenants or the agreements in this Lease contained on the pt of Lessors' to be kept and performed, the Lease, in addition to all other remedies now or hereafter afforded or provided by law, may at its election perform such covenant or agreement for or on behalf of the Lessors or make good any such default, any amount or amounts which the Lessee shall advance on that behalf shall be repaid by the Lessors to the Lessee on demand, together with interest thereon at the legal rate, from the date of such advance to the repayment thereof in full, and if the Lessors shall not repay any such amount or amounts upon demand, the Lessee may, without forfeiture of its term herein, deduct same, together with interest thereon as aforesaid, from the next installment or installments of rent to accrue under this Lease. 21. WAIVER. No waiver by Lessor of any breach or default by Lessee in the performance of any of the provisions, agreements or covenants hereunder shall be construed as a waiver of such provision, agreement or covenant or of any other or subsequent breach thereof. 22. HOLDING OVER. In the event Lessee continues to occupy the leased premises after the last day of the term of this Lease or the extended term and Lessor elects to accept rent thereafter, or otherwise consents to such continued occupancy, a tenancy from month-to-month shall be created at the same rental as herein provided, computed on a monthly basis, and on the terms and conditions of this Lease so far as applicable. 23. REAL PROPERTY TAX. Lessee shall pay when due all real property taxes and special tax assessments levied during all terms of this Lease. Such taxes shall be prorated between the parties hereto for any year not fully covered by this Lease. Page 4 of 5 AUG 19 ' 93 15: 01 1 307 547 3709 PAGES . 00F C.:709(12,4 08-19-1993 02:01PM FRPm FARMERS STATE BAN( TO 13033520242 P.05 24. MODIFICATION. Lessor and Lessee agree that this Lease contains the entire agreement between them and shall not be modified in any manner except by an instrument in writing signed by each of them. 25. BINDING. The terms of admins istrators, shall becobecome binding upon the successors, heirs and assigns of the parties hereto. IN WITNESS WHEREQV, the parties hereto have hereunto set their hands at 6c rns, U.k?n'Q nt , the day and year first above written. LESSOR: MPS} O ITEK E l ZITEK LESSEE: Qs14# I TE1 � ',Alt LIn\nn+n•..cc Mgu.t ii, inf 1.61 PH State of Wyoming ) County of Laramie) as The foregoing instrument was acknowledged before me by Marjorie Zitek, Merle A Zitek, and Dennis G. Zitek this 19th day of August, 1993. L AE$ sob t.z 217CIL Witness my hand and official seal. (*.rat GCS Notary Public My commission expires 3-21-1997 Lana Walden Notary Public Goody of Stole of lever. ..- Wyoming My CoaSuian bpi,eft Mor.21,1997 Page 5 of 5 PUG 19 ' 93 15: 02 1 307 547 3709 PAGE . 005 08-19-1993 02:01PM FROM FARMERS STATE BANK TO 13033520242 P.06 AUG-06-1993 15:53 FROM ,GGARTI•iEY LAW OFFICES TO MCN I'.Et I,.:1., 1 i .' 7.iitlitir h; •+ 1� 4dr t..:,, . o r, y /. • �* 1 2 1219 222 02115453 2/12/28 16112 59.00 3/009 l ,.f alp I DSSO MET ANN F60INSIBIR CLERK c RECORDER MELD CO, CO ,A. • a . • P � "4 EX111DI'K ''A" '5 . i li f, . • Pnactt. 41 . +' . A tenet'ef land to the northennt quarter 1021/21 of the `, lY NerthweeG quarter [xNl/1) of Section Thirty-lour ¶34), Township • ti 11. }._ Twelve [121 North, Range Sixty-two 1621 Rest of the 6th P.M.. ( �� . k F County of Weld, State of Coleradn, d..ncrlhed ea follows[ J rir ; ex2 Coaocing at the Northeast Cartier [Of [:erl of Raid Section 34; ', J py, thehea South 89 Degrees SI' Nowt along the North line at eald K:Ai • � �a Section 34e 7,741.40 'nettJ L� tfpc thence South 0 Degrees 07 East 30.00 loot to the true Pole` el �' �.�i 1 • Beginning[ ' • • •1 �' ��'f • thence Sootb tl begtees 07''Eae k, 175.00 feet; , •- k.�( % ,� �: It1 thence South 89 Dfgrear SJ Scat, 60.00 fest, • -F' ;`` • thence North 0 Degrees 07' Wert, !I5 feet, i• Et I• thence Berth 89 Degrees 33' East, 180.00 feet to the True Point '-..'"ii �'ttai '/ _ of beginning.. ' : ft'[' `Z! S PARCEL 12 ii. octs.s 11' . I I* • . All that portion et Section Shirty-four 134), Township Twelve r+�i k 112) North. Range Sixty-two 1611 Nest of the 6th P.n., County of t 't} t 1f Weld, State of Colorado, more particularly described es • l le •} • f follow.: It Beginning at a point South 0 Degrees 07' East, 30 feet from the .�.i ! Section Line between Sections 27 and 34, Township 12 Barth,Range 62 West of the 6th D.M., and 2,691.4feet Nest of the, v., Northeast Corner ter Cori of raid Section 34. measured along the ,,�?f;, r iv Section Line which Point of Neginning is on the Mouth My�3y�1 '{ AIR) right-of-way line of the County Road'. 'i4� +1 • )-3- -113.: thence South 0 Degrees 07' oast, and at right ringlet to the F �y • `., '1 County Read, 125 feet; �' ^K' ' thence South I9 Degree. 53' 'slattern! parallel to the county Reed o-'� tq .. -.. . t y ,i SO feet to a point; C' ri „ thence-North 0 Degrees 07' Meat, 125 feet to a point in the south C .�' •' +• right-of-way line of a•.id County Road; .f r� 9 7 'I. •i l thence North 89 Degrees S3' East. 50 feet along sa:d right^vC-way ' `' line is the Point of Beginning. ' Vdta n• .id • rail $-Pt 1` '•t , C if o3' +.'?_ Ii 7111! kte.,,SL51322 a . t". ftiswi 43(11;&i:j. �r . .3... ill A I. /�::;�t.'f'Y N 1.11 ' di; kW �1 •1 , i - '. 417 .\ti Sias , 1 - ,r "qv fi t• TOTAL P.06 AUG 19 ' 93 15: 03 1 307 547 3709 PR{GE . 006 r ..._, ViIv & i ' t, ipm OFFICE OF PERSONNEL PHONE(303) 356-4000. ExT. 1234. P.O. Box 758, 915 7tNTH STREET GREELEY. COLORA00 80632 wiip ers.cs I M=LE ME MO RANDUM COLORADO WELD COUNTY GOVERNMENT 915 TENTH STREET P.O. BOX 758 GREELEY, COLORADO 80632 (303) 356 - 4000 FAX (303) 352 - 0242 COITIMINTIAL his facsimile is intended only for the individual or entity to which is it addressed and may contain inframation that is privileged, confidential and excerpt fret disclosure under applicable law. If the reader of this facsimile is not the intended recipient nor the employee or agent responsible for delivering the facsimile to the intended recipient, you are hereby notified that any disemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please notify us immediately by telephone and return the original message to us at the above address via the U.S. Postal Service. Thank you. This message consists of page(s) plus this cover sheet. S ENT =Date: (p 1 I / 91-1 Time: I L`: -C-C rg',L Yw• PLEASE DELIVER THE FOLLOWING PAGE(S) TO: �LGlll /.f(.C� 17--e._ COMPANY:FAX NUMBER: ( y Sc 1)/�/n� 3"_6 — ?DC?04 FROM: (Department) ()Wit 40 Ed CONTACT: c V\RSLU( Ext. —7 Special Instructions: ** TX CONFIRMATION REPORT ** AS OF JUN 21 ' 94 14: 09 PAGE . 01 WELD COUNTY GOUT DATE TIME TO/FROM MODE MIN/SEC PGS STATUS 01 6/21 14: 04 307 635 6904 EC--S 04"24 07 OK �� DENNIS G. OR MARJORIE L. ZITEK 1 48499 W C. RD. 736 496 2465 GROVER 0729'CO 8 6 434 / 9 XI9 22 PAY TO THE BB.Ts31oz3 ODDER OF cx- (2,c).-4-2,41 �- $ /Od/� THE FARMER DOLLARS P o sox lossant R =ANK A BURNS wyo is„hi ffvw 3y t l LI t kt i 1_sr1. 10230 6361 a' u Orrnrn too • w • 0 . . .y o w y 2 .Wi9A CO" m *F »vaoz g m m Cur 0-3 CO � at7- c' 330 ti MOW E clli ?1 g y m 'a pmomm A � _ o �s 8 m m" P Be? 472 610 r Via ro � �y c3oocm "m RECEIPT FOR CERTIFIED MAIL oo �1 rnn 333 0 o [LS - ,,w330040 40 ND INSURANCE COVERAGE PROVIDED I m 2 N n r (� H m ? W y NOT FOR INTERNATIONAL MAIL c in c m a [q 1 m, m a d j 0. (See Reverse) m 'T ITT' 2 rn ^O>•1 37`4 "15, a-a o 0 I T, n ^7 GM V rtes tm•7H X a � §'a �• COLORADO DEPT OF REVENUE o Q _ k to m •r.§' m W R'a LIQUOR ENFORCEMENT DIVISION ~ r' CO c ° c cm STATE CAPITOL ANNEX c x' w c m $ 1375 SHERMAN ST 8 Htri 0 m DENVER CO 80203 V 3i 2 m v m °- 6 N N 3 m m m __.S. m m p Certified Fee a o m m o m m Special Delivery Fee a) v O r"OQ m• 3 m 3 Restricted Delivery Fee 0 u p m i (.> a m W .7. 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