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Home My WebLink About910128.tiffRESOLUTION RE: APPROVAL OF RENEWAL REQUEST FOR 3.2% BEER LICENSE ISSUED TO LILLIAN GOOCH, DBA CROW VALLEY CAFE - EXPIRES FEBRUARY 23, 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, Lillian Gooch, d/b/a Crow Valley Cafe, 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: 37967 Highway 14, Briggsdale, Colorado 80611-0026 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 91-03 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. 910128 Page 2 RE: RENEWAL 3.2% BEER LICENSE - LILLIAN GOOCH The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 13th day of February, A.D., 1991. ATTEST: Weld County Clerk to By: C Z'S/C /1-7/ Deputy Clerk to APPROVED AS TQ FORM: the Board !d' the Board County Attorney BOARD OF COUNTYACOMMISSIONERS WELD COUNTY RAD Gordo George Kennedy, Pro-Tem Constance bert C. W. Kirby 7 MiiL) �p W. er 910128 DR 8400 (8/89) Colo. Dept. of Revenue Liquor Enforcement Division 1375 Sherman Street Denver, Colorado 80261 866-3741 Liquor or 3.2 Beer License Renewal Application License Number: --. 4 14•-_._ License Type: J. Liability Information: Business Location: Current License Expires: ..), t .I ©u u l/COO MMTl ©Opp 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. ❑ 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.) e, correct, and complete to the best of my knowledge. I declare under penally of perjury in the second degree that this?pplication and aII attgQhments are Authorized Signature: ,-•::7d 554 f! ,.`�i - Date: � -3-- 1? Business Phone: �C -33-1 Title of Signer (if cor{r$ration): ;7;7 Sales Tax No. U fii /72 yy ATTACHED DR 8401 MUST BE COMPLETED (ALL 3 C0PIEs9 • SIGN THE FORM • ENCLOSE TOTAL AMOUNT DUE • SUBMIT FORM TO LOCAL (CITY/COUNTY) UCENSING AUTHORITY FOR APPROVAL • CHECK WITH LOCAL AUTHORITY FOR AMOUNT OF LOCAL FEES. SUBMIT THE STATE COPY AND LOCAL (CITY/COUNTY) AUTHORITY COPY TO YOUR LOCAL (CITY/COUNTY) L 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. expretion. 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, wilt comply with the provisions of Title 12, Articles 46 and 47, C.R.S. THEREFORE THIS APPLICATION IS APPROVED. Local Licensing Authority for: I ElTOWN/CITY D COUNTY Signature: Title Attest: - - "� ., .--.. Date DO NOT DETACH • Do NOT DETACH • DO NOT DETACH • Do NOT DETACH • Do NOT DETACH • Do NOT DETACH • Do NOT DETACH • Do NOT DETACH • Do NOT DETACH NAME: USE LICENSE NUMBER FOR ALL REFERENCE LIABILITY INFORMATION RENEWED LICENSE iT, EXPIRES AFTER COUNTY CITY INDUST. TYPE LIAB. DATE 7 n t.t-/ l4? -.41-,/i1 a' H X13 2l. 541.1 1 '1 C;'4•�_. -'_-'-?' ft9: 1' 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) .. r L .. °H.. ..., I L r - .. , I-: ( -; 1 1 1 _ , ,_, . , C, _' , • ,�• rM r Make check payable to: COLORADO DEPARTMENT OF REVENUE TOTAL AMOUNT DUE 1I► • EXTENDED HOURS —Applies only to Hotel and Restaurant, Beer and Wine, Club, Tavem, Extended hovUrr99? and Arts licenses. If desired, check "yes" and enclose Total Amount Due PLUS $170.00. ❑ Yes EYNo I_ C©©© 910128 DR 8401 (4/90) Attachment Liquor/3.2 License Rent -'gal Application This page must be completed and attached to your signed renewal application form. ire to Indude this page with the application may result In your license not being renewed. Trade Name of Establishment ,. State License Number 1. Do you have legal posession of the premises for ich this applicatidn for license is made? YES [A'' -NO ❑ Are the premises owned or rented? f' /t re 1J If rented, effective and expiration date of lease: ._' — /40— , .7.i 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 K --- 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❑ NO - If answer is yes," explain in detail and attach. 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 (b) had an alcoholic beverage license suspended or revoked? YES ❑ NO — (c) had interest in any entity that had an alcoholic beverage license suspended or revoked? YES ❑ NO []— If answer is 'yes" to any of the above questions, explain in detail and attach. 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 �} indirect -interest any otherteloradotiquor,licaast1inckidA bass from any licensee, .oc.interestin.a oan,te.anyJicensee)?.-___----..,..,_.. —. or -in -tau 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 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. �P 7. Opera�in onager % �:. %-� .. Lz� d G� Address -� ,ra/ 0.c4/�ze hG// Date of Birth //, . 8, -if applicant is a partnership (except husband and wife), list all general partners. eparate shy 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: Date Incorporated: (b) Principal place of business is: (c) Date of filing last annual corporate report to the Colo. Secretary of State: (dl Name of each officer listed below: President Home Address Date of Birth 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'/trustees of Corporation Name Address Date of Birth Name pq 910123 Address Date of Birth P ES 983 C 47 Colorado Dept. of Revenue Liquor Enforcement Div. 1375 Sherman Street Denver, CO 80261 E c 0. o. 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 that we can return this card to you. • Attach this form to the front of the mailpiece, or on back if space does not permit. • Wr:te "Return Receipt Requested" on the mailpiece the article number. 3. Atticle Addressed to: Colorado Dep't. of Revenue Liquor Enforcement DiO# • n 1375 Sherman Street t Denver, CO 80261 Fee. the next to I alcn w'sh to receive the_.✓' f feet.' "•2 1j_ZE55s ^a.trPe Consult postmaster for tee. 4a. Article Numbe I 4b. Service Type L Registered El Insured 4 ❑ COD ail L Return Receipt for Merchandise E 5. Signature (Addressee) tT 6. Signature (Agent) :=L)1 7. Date of Delivery 99,1 8. Addressee's Address (Only if requested and fee is paid) �.4 Om PS Form 3:11, October 1990 DOMESTIC RETURN RECEIPT *US.0.0:1990-27M 1990-273-861 ess I 4 L- �t off C o Ilor ; Flo} D e l to I I w j off Menus Liquor Enforcement Division 1375 Sherman Street Denver, Colorado 80261 GOOCH LILLIAN CROW VALLEY CAFE SEC20 T8 R62W ORIGGSDALE CO 80611 AMENDED Alcoholic Beverage License Account SASS.::::: ` CoCunH City Indust. Twe Liability LICENSE EXPIRES AT YDISGHT 14-21464-0001 03 206 5411 1 022482 ` FEB 23, 1992 Type None and Desaipton of License Fee J 3.2 PERCENT RETAIL ≥EER LICENSE $ 50.00 COUNTY 85 PERCENT OAP FEE $ 42.50 TOTAL FEES) $ 92.50 This license is issued subject to the laws of the State of Colorado and especially under the provisions of',litle 12, Articles 46 or 47, CRS 1973, as amended. This license is non- transferable arr±shall be conspicuously posted in the place above described. This license is only valid threxgh the expiration date shown above. Questions concerning this license should be addressed to the Department of Revenue, Liquor Enforcement Divison, 1375 Sherman Street,;Penver, CO 80261. In testimony whereof, I have hereunto set my hand. • 6?"- aVei Division Director DR 8402 (3-88FEB 2 6 1991 Executive Director 91012 y `4Z"i" G W W O I 0 v, CC W w CO R N (V) >- Z 0 COLORADO faitt mEmORAIMU To LC0004 FILE Dme February 26, 1991 Carol Harding, Deputy Clerk to the Board From submcr. Name Change on Renewal On this date, I spoke to Ginger at the Colorado Revenue Department regarding the license renewal for Lillian Gooch, dba Crow Valley Cafe. An amended license will be forwarded by the State and, in the meantime, Ms. Gooch may operate under the one just issued in the name of Lillian Meads. Hello