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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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910315.tiff
RESOLUTION RE: APPROVAL OF RENEWAL REQUEST FOR TAVERN LIQUOR LICENSE, WITH EXTENDED HOURS, ISSUED TO LUCKY STAR CORPORATION, D/B/A LUCKY STAR BAR AND GRILL - EXPIRES APRIL 18, 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, Lucky Star Corporation, d/b/a Lucky Star Bar and Grill, presented to the Board of County Commissioners of Weld County, Colorado, an application for the renewal of a Tavern Liquor License, with extended hours, 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 $128.75 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: 33131 Highway 85, Lucerne, Colorado 80646-9999 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 91-07 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 April 18, 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. 910315 LC' CAD/4 Page 2 RE: TAVERN LIQUOR LICENSE - LUCKY STAR BAR & GRILL The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 3rd day of April, A.D., 1991. ATTEST: Weld County Clerk to the Board By: Likit Deputy4lerk to the Board APPROV i AS TO FORM: County Attorney BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO EXCUSED Gordon E. Lacy, Chairman 910315 4 4 4 L 4 crn ti Off Co1©i tC O (Kat Off to,® Liquor Enforcement Divon 1375 Sherman Stre Denver, Colorado 801 (,KY STAR CORP OCKY STAR BAREGRILL 10131 HWY 85 LERNE CO 80646-9999 A1toholic Beverage License Ac000M Canty CPy Indust. The LICENSE EXPIRES AT MDreGltr 14-2941 03 206 5813 3 0419>- APR 18. 1992 Typ Neme end Dwaiaion o Lbe,.. Fee T TAVERN LIQUOR LICENSE LT. VINOUS, AND SPIRITUOUS $, $ 50.00 COUNTY 85 PERCENT OAP F - $ 276.25 Tilmu. mon ........ eeOatS 1 URI Ine $ 326.25 This license .£ssued subject to the laws of the State of C( brado and especially under the provisions of Title 12, Articles 46 or 47, CRS 1973, as Mended. This license is non- transferable aidshall be conspicuously posted in the place 1ve described. This license is only valid gh the expiration date shown above ons concerning this license trshould be to the Department of Revenue, Li Enforcement Divison, 1375 Sherman S 'Denver, CO 80261. In testimony atstreof, I have hereunto set my hand. DR 8402 (348) MET APR 0 9 1991 9 Executive Director O1 ICI 00 H DR 8400 (8/89) Colo. Dept. of Revenue Liquor Enforcement Division 1375 Sherman Street Denver, Colorado 80281 866-3741 Liquor or 3.2 Beer License Renewal Application License Number: License Type: Liability Information: Business Location: J . ", (.. Current License Expires: t:;. ..:'rI 't LV/C,❑O iHUY ©OPT 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. r8 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. 1 declare under penalty q/perjury in the second degree that th lication and all attachments are true, correct, and complete tope best of my knowledge. Authorixtfil ignatwa f" - �{- i /7.-; Data 1 ! Ii Business Phone: 303}35/ -?coo Title of Signer (if corporation): �� Sales Tax No /i 91199 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. 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 provisions of Title 12, Articles 46 and 47, C.R.S. THEREFORE THIS APPLICATION IS APPROVED. Local Licensing Authority for: Cc)t a e &n4 -n_ ❑ TOWN/CITY c. COUNTY Signature:�+ V _. Title ''II rytd t rb-i-crn- Ladd '(...m�u-4w eammtssio-Aneics __y7�1}I���1l n4fkng44. JLt1 A /ui2e A n Date 4/e -+l 611 DO NOT DETACH • Do NOT DETACH • Do NOT DETACH • Do NOT btTACH • Do NOT DETACH • Do NOT DETACH • Do NOT DETACH • Do NOT DETACH • Do NOT DETACH LUC' cf+E NAME: USE LICENSE NUMBER FOR ALL REFERENCE LIABILITY INFORMATION RENEWED LICENSE', EXPIRES AFTER -!! COUNTY CITY INDUST. TYPE LIAB. DATE J �a TYPE OF LICENSE ISSUED CASH FUND STATE FEE CITY 85% OAP CO 85% OAP 66-01 (9) 41-9 (9) 45-9 (9) 37.1 (9) 49-1 (9) : t. Til Make check payable to: COLORADO DEPARTMENT OF REVENUE TOTAL AMOUNT DUE N ( a., , • 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. blf Yes ❑ No ,.. 91O41:a DR 8401 (4/90) Attachment It, Liquor/3.2 License Rent "al Application This page must be completed and attached to your signed renewal application form. ire to Include this page with the application may result in your license not being renewed. Trade Name of Establishment _ '. ',' - 1f -,L. State License Number /4/7 — /l / ill 1. Do you have legal posession of the premises for which this application for license is made? YES S. NO ❑ Are the premises owned or rented? `t, i✓:, b 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 YES. 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? YES If answer is ayes; explain in detail and attach. NO NO El 3. Has the applicant, or any of the partners, or officers, directors or stockholders of said applicant (ii a corporation) or manager, ever: (a) been denied an alcoholic beverage license? YES (b) had an alcoholic beverage license suspended or revoked? YES (c) had interest in any entity that had an alcoholic beverage license suspended or revoked? YES If answer is "yes" to any of the above questions, explain in detail and attach. U NO0 NO❑�'' NO E. 4. Does or did applicant, or any of the partners, or officers, directors or stockholders of said applicant (if a corporation), have a direct YES _-_ "' • NO Q or indirect i fl ereStifl otl'lefColeradelltibdritedsejMCludelban5t0'drfrOm"an9ik.enaee, to interest irrd luanku sly Iicei%Stc)' "_ '-' . 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. Name Address Interest Type and Amount i 6. List on a separate sheet the names and addresses of all liquor businesses in which any of the persons in question No. 5 are materially interested. 7. Operating Manager ,' '/F1 c 7 e.': H`� f 4N'tW- Address /� 710 3/4 it me- t tz z/ , Co Date of Birth 8. If applicant is a partnership (except husband and wife , fist all general partners. Use separate sheet if necesiarY. Name Address I 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: ti karen_ho Date Incorporated: O/%//9 7 � (b) Principal place of business is: 4,,C4-,Efi/ I ucc. /G ,floury 'y (' OLt7• (c) Date of filing last annual corporate report to the Cob. Secretary of State: sgAcs- %O (d) Name of each officer listed below: I President „-; .- _ 1 , , „ a p,' kc 4-k A--, r 4x a> None Add[�ss._ ..,.. _.__�..,¢ ____._..,_. , D - 'To )4-ti/t Cif/%l77/7, CoG• Date of Birth , Vice-Pres. ,,1L.���� yy ,// f„ % st:' hJI ivory'/ Home ,�Address ,, f!� 79 _ 4, t �v� VI ••09C/A do Daate 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'/Trustees of Corporation Name Address Date of Birth Name I Address 91-03"5 '6'ate oTBifthA vW�s DPSBIB20 DESCAiPTION OF MESSAGE IN IN -BA 3T Message : Reply to your message of 04/01/91 16:53 : Over the past year there have been a few calls to the Lucky sta4 : but no liquor violations. Dave Malcom Received from : PCJLTN01-MAIN Received : 04/01/91 17:11 Sent : 04/01/91 17:11 Select an option and type it below; then press ENTER. 3 Send 8 Reply 9 File 10 Delete PF1=Help PF7= 4B PS Form 3800, June 1985 2= 3= 4=Main Menu 5= 8= 9= 10= 11= P 556 983 130 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL (See Reverse) .,i1Ch1 . rat CuKPORATION 33131 I{IC1VAY 85 LUCERNE, Co 80546-9999 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 03ti 0 3 CO J 0 0 re n n wG ntr, w n) \7 F K n nxrx n o co ;u o C3 it 4. K 0 Z ❑ ❑ ❑ 6=Fast Path 12=Quit WgC.go5oeow m G jr D :0, ... O C o; 5' g 38. C7 y CD m 00 0 S J C M 0 '�' a OHFi O�O m m O m m m m CD O -w fi 5 N ' 8' 33 0 CD O — O F m M a < m m M 8 - m m M O -O01 P 556 983 124 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL (See Reverse) Colorado Dept. of Revenue Liquor Enforcement Div. 1375 Sherman Street Denver, CO 80261 S Form 3800, June 1985 Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt sho,wing.. to whom and Date Delivered : ,. , ,..1 _, .,_ Return Receipt showing,tp writ Date, and Address of Delivery ) TOTAL Patti a& Ur ,...5.d 1.„/„ Postmark orDate. • :i �=a :-• -• •3J sf 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 Mst we can return this card to you. • Attach this form to the front of the mailpiece, or on the beck if space does not permit. • Write "Return Receipt Requested" on the mailpiece next to the article number. 3. Article Addressed to: Colorado Dept. of Revenue Liquor Enforcement Div. 1375 Sherman Street Denver, CO 80261 I also wish to receive the following services (for an extra fee): 1. ❑ Addressee's Address 2. ❑ Restricted Delivery Consult postmaster for fee. 4a. Article Numbe 4b. S Type ❑ Regi tered ❑ Insured ❑ Certified ❑ COD ❑ Express Mail ❑ Return Receipt for Merchandise 7. Date of Delivery 5. -Signature (Addressee) 8. Signature (Agent) APR 08 'Al 8. Addressee's Address (Only if requested and fee is paid) PsFomn3811JKAWINKAL 1120 -:r O R TF� I�RN RECEIPT
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