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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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940227.tiff
RESOLUTION RE: APPROVAL OF RENEWAL REQUEST FOR 3.2% BEER LICENSE ISSUED TO MYRTLE G. JORDAN, DBA P&M RECREATION - EXPIRES MAY 27, 1995 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, Myrtle G. Jordan, dba P&M Recreation, 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 by the drink on the premises and/or in sealed containers not for consumption at the place where sold, 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 by the drink on the premises and/or in sealed containers not for consumption at the place where sold, outside the corporate limits of any town or city in the County of Weld at the location described as follows: Lots 5 and 6, Block 3, Main Street, Stoneham, Colorado 80754 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 94-06 to said applicant to sell 3.2% fermented malt beverages for consumption by the drink on the premises only and/or in sealed containers not for consumption at the place where sold, only at retail at said location; and the Board 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 May 27, 1995, providing that said place where the licensee is authorized to sell 3.2% fermented malt beverages for consumption by the drink on the premises only and/or in sealed containers not for consumption at the place where sold, 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. 940227 1. oin/n at: so; Ai" RENEW 3.2% BEER LICENSE - P&M RECREATION PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 23rd day of February, A.D., 1994. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: Weld County Clerk to the Board BY: eirQ'/ eput to Boat APPROVED AS TO FORM: 2/1d PW W. H. Webster, Chakrman onstance L. Harbert Coun "'" ` orney EXCUSED DATE OF SIGNING (AYE) Barbara J. Kirkmeyer 940227 THI LICENSE MUST BE POSTED IN PUBLIC VIEW DR 84021101821 • STATE OF COLORADO DEPARTMENT OF REVENUE Liquor Enforcement Division 1375 Sherman Street Denver, Colorado 80261 ALCOHOLIC JORDAN MYRTLE 0 P&M RECREATION LOT 5&6 BLK3 MAIM ST STONEHAM CO 80754 • BEVERAGE LICENSE Act)ount Number Liability Information LICENSE EXPIRES AT MIDNIGHT County City Indust. Type Liability Oats 14-04965-0000 03 128 7999 I 052870 MAY 27, 1995 Tyke Noma and Omer apt ion of Lianas Fee 2123 2190 3.2 PERCENT BEER RETAIL LICENSE (ON/OFF PREMISES) 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. nontraalny enable and shall be conspicuously posted in the place above described only valid through the expiration date shown above. Questions concerning be adds ssed to the Department of Revenue, Liquor Enforcement Division, Street, Denver, CO 80261. testimony whereof. I have hereunto set my hand. MAR 021994 Division Director Executive $ 92.50 under the This license is This license is this license should 1375 Sherman Dire for 940227 SOLD HERE W m ONLY 3.2% O y 0 D. I l az m � 02 8O E7 Via O >-+ 2 OE 48 E. !r a a b y It'll 1 I" qa 0 I O a7 •1 0 a U2 W o of O U „e a. enS s OO b ti U O*8`•4 dl 0 IS S2 3U 4.o a n yt 64 irl o m N• .O b i3'0 m 11 it a ,r a.yr .. W .72 O O N DR 8400 (8/89) Cob. Dept. of Revenue Liquor Enforcement Division t3T5 Sherman 8eeet.. . Denver, Colorado 90261 866-3741 Liquo1 or 3.2 Beer License Renewal,Apiicati6'n JORDAN MYRTLE PEmRECREATION 2GX 72' STONEHAr' CO 30754-0072 License Number: 14-04965-000 License Type: 2123 Liability Information: 03 126 7999 I 052970 Business Location: LOT.5&6 9LK3 MAIN St ST0NEHAM CO Current License Expires: MAY :27r 1994 ©L7V/©OUHfY COPY YOUR PROMPT ATTENTION IS REQUIRED. FAILURE TO COMPLETE THIS FORM ACCURATELY"' AND PROMPTLY MAY RESULT IN YOUR LICENSE NOT BEING RENEWED. • FILL OUT THIS FORMCOMPLETELY 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 3.2Beer Licenses' and attach that form to this renewal application.) • • SIGN THE FORM .. ENCL4ISE TOTAL AMOUNT DUE SUBMIT CORM TO LOCAL (CITY/COUNTY) LICENSING AUTHORITY FOR APPROVAL CHECK WITH LOCAL AUTHORITY FOR AMOUNT OF LOCAL FEES. and all attachments are true, correct, and complete tD the best of my knowledge. Authorized Signature: y / i Date. --141 Business Phone: Title of Signer (If corp�oratyion1 r Sales Tax No. / 7 ..0 / ci Li ATTACHED DR 8401 MUST BE COMPLETED (ALL 3 COPIES) 'Y AND LOCAL (CITY/COUNTY) AUTHORITY COPY TO YOUR LOCAL (CITY/COUNTY) LICENSING AUTHOR! NO LATER THAN 45 DAYS BEFORE YOUR LICENSE EXPIRES. EXCEPTION: Wholesaler, manufacturer, importer, and public transportation system license renewals de not need Local Licensing Authority *land must be returned .': - to the Colorado r : , : em of Revenue no later than 30 .. - to licensee' lion. The foregoing tory, and we do THEREFORE tHi Local Licensing AutheiSeek i:x/ ,21 Weld County, Colorado , ❑ TdWN/CITY KX. COUNTY Signature: ..,:� _-.. Title 8hw.irtnetn, Weld County Board of Commissioners Attest: jai, '�/ % f7 6v • e�„ r sp�o Date Ox/23/9/i y L Deputy ( ark to soars o such TION IS i SS the premises, business conducted and character of the applicant are satisfac- se, if granted, will comply with the provisions of Title 12, Articles 46 and 47, C.R.S. tDVED. DO NOT DET.$N/• Db Mn OETAC I • DO NOT DETACH •-Do NOT DETACH • DD NOT DETACH • DO NOT DETACH • DO NOT DETACH • CO NOT DETACH • Do NOT DETACH STONEHAM Cr NAME: USE LICENSE NUMBER INFORMATION RENEWED LICENSE EXPIRES AFTER dry city INDUST. TYPE , I4Aa DATE r'f:M RECREATION- 14-04965-000 03 128 7999 I 052870 05-27-95 TYPE OF LICENSE ISSUED CASH FUND STATE FEE CITY 85% OAP CO 85% OAP 6641 (9) 414 (9) 45-9 (9) 371 (9) 49.1 (s) 3.2 PERCENT SEER RETAIL LICENSE (QN/OFF PREmISES) `s 25.00 $ 25.00 b 42.50 Make check payable to: COLORADO DEPARTMENT OP REVENUE TOTAL AMOUNT DUE * 3 9, . 5 : EXTENDED HOURS —Applies only to Hotel and Restaurant, Beer and Wine, Lplub, Tavern, Extended hours? and Arts licenses. If desired, check "yes" and enclose Total Amount Due PLUS $170.00. El Yes Fl Na #911-Ott .OOIO 940227 DR 8401 (4190) Attachment Liquor/3.2 License Re al Application This page must be completed and attached to yoursigned renewal application form. Failure to include this page with the applIcatlon may result In your license not being renewed. Trade Name of Establishment P4- 1 Ieuet12-tiler , State License— Dee / s. `i Y Co 1. Do you have legal posession of the premises for ' this application for license is made? YESIS1 NO ❑ Are the premises owned or rented? -. If reined, effective and,expkatidn date of lease: 2. (a) Has the Wolcott or anyof the partners or officer& (stockhorfors or*actor gf aaid-applicent (if a corporation) ever been YES ❑ NO convicted of a crime? If answer is yes,' explarilgt(Sill end yiY4efi. (b) Have persons lending assistance or financial support to the appicafit or manager, orenlos, ever been convicted ofacrane? YES No,® If answer is yes,' explain in detail and attach. 3. Has the applicant, or any of the partners, or officers, Erectors or stockholders of said applicant (if a corporation) or manager, ever: (a) been denied an alcoholic beverage license? YES ❑ NOLI (b) had an alcoholic beverage license suspended or revoked? YES ❑ NO; (c) had interest in any entity that had an alcoholic beverage license suspended or. revoked?.. ------ ." ' YES❑ NOW. If answer is yes' to any of the above questions, explain in detail and attach. 4.-,Quet 4t 64-"I k nIjr anY arq [E,g[ o ic_Ers directors o[ stadraoklers of p fl corP9t U w 1Myta tecl....—_„YEaD ttio44 or indirect interest in any other Colorado liquor tense (include bads to or jrord, any ten$ee, or 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 loan to, or equity dwnership 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., ba$c/eiahves, friends, previous owners, etc.), expressed in dollars or other items of value, such as inventory, funttwe or equipment. Use separate sheet if necessary.' Name Address Interest Type and Amount 6. List on a separate sheet the names and addresses ofallgquor businesses in which any of the persons in question No. 5 are materially interested. ting 7. A la rf iG.w6-, Lk:TAOn s s IJs04 (A Stan. ha_ni es_ et) . Birth Date ,of 1-5 i0 appatent is a partnership (except husband and wife), list all general partners. Use separate sheet 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 fling last annual corporate report to the Cob. Secretary of State: _.. (d) Name of each officer listed below: Presidentr--- .-.--._,r_ ��..,.. ._, .., ....:__.: motile' Mare5f,.. _F_.�-, :..,�,,. _x_,r...�. .._..... ....�:... 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 Directorsyrrustees of Corporation Name Address Date of Birth Name Address Date of Birth I MYRTLE G. JORDAN GALEN B. WHITE Box 72 Stoneham, Co 80754\^` //O'� 9 OR TO OF (4 f ` J ^^G A^' / / / ,J�� , , p $ �iS s IJ PAY TO OF '1 Y(/Q/ /i"'✓1° �//j'Q/'!i+'wv�� nA.N) .a..�] �pX/L�U"� / I DOLLARS EQUITABLE SAVINGS & LOAN ASSOCIATION P.O. Box 1726, Storing, Colorado 80751 FOR duty 1,1467.n44.2. P4 -M Re raihm• P 387 472 516 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL (See Reverse) Ln I sent to ROLORADO DEPT OF REVENUE LIQUOR ENFORCEMENT DIVISION STATE CAPITOL ANNEX 1375 SHERMAN ST DENVER CO 80203 PS Form 3800, June 1985 Certrlied 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 a—‘72 <71-9E/ a,. /5^ „q/ 315 82470013070 o?y^7irpt...�.. $ - a > c a • a) O d 0 a ≥ 1'• 0 m 0 w O m w w d O 2 0 ` N y - ▪ E 3 0 < ¢ o h 0, ❑ 2� 0c [7 N m 3 cO _ C Z 'V 0 5 0 0 reverse of this form so mailpiece, or on the 0 e mailpiece next c 0 r C a `0 a a) o w CD ¢ C a m a) E 0 0 2 10 ° o0 ❑❑❑ a — > m l— d U « 0 = N m d 0 ¢ U w o ma) EEEE fox ° E 0 EEO`ooc t cda "'� EEa d_ T U r a; a) U O EEEOw m" 3 12 W UUa`WQcYi3 �Q • O F -I zcn 1 E+14 2 2 1.44 Ca O 1 Q F o 14 cn n 0 z m O 41 G G. FX [7 U 14,0 2 C4 041 14 <^z- OI-+Fan W U .7 co i q C 0) in C N la to to as 10 a. w C) ESTIC RETURN O O 0) O P LL 940227 In In P 387 472 522 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL (See Reverse) Sent to MYRTLE G. JORDAN DBA P&M RECREATION BOX 72 STONEHAM, CO 80754 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 5 -(7-9g o w K 'el • m a ≥ w \o d y ° ° 2 0 o N N 2 ° - EL 'j r H C a m N ° 5 ❑ ❑ N 3 y ) o N ° Z w w U m --o- O 0 CO E .C m o c c v w 0 U Vi • N d• o u a is .E G) ° ° U E N U U n m 73 o (• 12E C '- o a a • ' • c w.- 0 a° T° u, N ° m C.l 0, 2= a ▪ aarvwE o a c m c a a 20,0y,--.5 CL 2 ° (j (v) 01 l+ C U 88888,1,'“w ..0=8.w.; «."7cE,0 «E .O .t J C.C U cr C 3 °' 'c W000wCt a, 06•0150° • a DOE 0. DOMESTIC RETURN RECEIPT . Article Addressed o Ln t - H o co a W O O 0 h U U . in4 U 5. Signature (Addres 940227 DATE: FEBRUARY 15, 1994 TO: GREELEY/WELD COMMUNICATIONS CENTER FROM: OFFICE OF WELD COUNTY CLERK TO THE BOARD SUBJECT: LIQUOR LICENSE CHECKS Please run a records check on the following establishment. This information will be used by the Board of County Commissioners in considering renewal of liquor license. Please respond no later than 02/22/94. Thank you. ESTABLISHMENT: MYRTLE G. JORDAN, dba P&M RECREATION LOT 5 AND 6, BLOCK 3, MAIN STREET STONEHAM, CO 80754-0072 INCLUSIVE DATES: 03/01/93 through 02/15/94 BY: Shelly K. Miller, Deputy Call 356-4000, ext. 4226 WHEN COMPLETED, OR IF QUESTIONS. * * * * No violations on record. VIOLATIONS: (PLEASE LIST ) BY: C CAPri BY: 940'7.2.7 6k1(*1 Mee mEmoRAnDum To Keith A. Schuett, Current Planner From Board of County Commissioners Dem. February 16, 1994 Liquor license renewal Sobpct: Myrtle G. Jordan, dba P&M Recreation, located on Main Street, Stoneham, Colorado 80754-0072. The property is described as Lots 5 and 6, Block 3, Main Street, Stoneham, Colorado, is a legal non -conforming use (NCU-211) in the Agricultural zone district of Weld County. 94022.7
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