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Home My WebLink About930767.tiffRESOLUTION RE: APPROVAL OF RENEWAL REQUEST FOR 3.2% BEER LICENSE ISSUED TO L. JENSEN, DBA HIGHLANDLAKE, INC. - EXPIRES NOVEMBER 9, 1994 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, L. Jensen, dba Highlandlake, Inc., 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: 17029 Weld County Road 5, Platteville, CO 80651 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 93-12 to said applicant to sell 3.2% fermented malt beverages for consumption on and off the premises, 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 November 9, 1994, 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. 930767 L c.003-S' ei : f3P/-2L SD RENEW 3.2% BEER LICENSE - HIGHLANDLAKE, INC PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 28th day of July, A.D., 1993. Aid4'fl Weld County Clerk to the Board ATTEST: BY: APPRO3 E AS TO FORM: ountty Attorney BOARD OF COUNTY COMMISSIONERS WE J COUNTY, COLORADO Constance L. .arbert, hairman W. Webs _ r, P-Tem`d�� ci e . Baxter Dale K. Hall arbara J. Kirkmey 930767 THIS LICENSE MUST BE POSTED IN PUBLIC VIEW OR S402110/92I 7 STATE DEPARTMENT ALCOHOLIC OF Liquor Enforcement 1375 Denver, COLORADO OF REVENUE Division Sherman Street Colorado 80261 HIGHLANDLAKE INC 17029 WELD CNTY RD 5 PLATTEVILLE CO 80651 BEVERAGE LICENSE Account Number Liability Information LICENSE EXPIRES AT MIDNIGHT County City Indust. Type Liability Date 14-27324-0000 03 206 5941 C 111087 NOV 09, 1994 Type Name and Description of License Fee 2123 r 2190 3.2 PERCENT BEER RETAIL LICENSE (ON/OFF PREMISES) COUNTY 85 PERCENT OAP FEE $ 50.00 $ 42.50 This license is issued provision of Title nontransferable only valid through be addressed to Street, Denver, CO imony whereof, Lt.ici TOTAL FEEISI subject to the laws of the State of Colorado and especially 12, Articles 46 or 47, CRS 1973. as amended and shall be conspicuously posted in the place above described. the expiration date shown above. Questions concerning the Department of Revenue, Liquor Enforcement Division, 80261. I have hereunto set my hand. SL AUG 0 41993 �lt/ n Executive $ 92.50 under the This license is This license is this license should 1375 Sherman C1( Dire Dire for Division Director 930767 DR 84001aof 4.2 Beer License Colo.Dept.Ent.Dt Revenue Liquor or Liquor Sherman %M DWieion 1375 Sherman $Meet Denver, Colorado 80261 Renewal Application 8863741 7,4LANDIJY,= I^iC L 519 .r,IYii44< $1 l2NaH^N' CP RI1501-5573 License Number: 14 7]x24 '1n r: License Type: 3I 7? Liability Information: • 03 70.,1 5941 C 11.1tH7 Business Location: 17029 WI!) C".TY =,r nLATT;:V 1L C:7 Current License Expires: N3Y"'3,s 1993 ©0 7%GOO Min 'Y ©OP?' YOUR PROMPT ATTENTION IS REQUIRED. FAILURE To COMPLETE THIS PORN 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 faith to this renewal application.) • SIGN THE FORM • ENCLOSETOTALAMOUNT DUE • SUBMIT FORM TO LOCAL EITYICOUNT0 LICENSING AUTHORITY FOR APPROVAL • CHECK WITH LOCAL AUTHORITY FOR AMOUNT OF LOCAL FEES. I declare under penalty of perjury in the second degree that this application and an afatchrnents are true, correct and complete to the best of my knowledge. Authorized Signature: fill c 9�s.-��y Date: Business Phone: s- � � Title of Signer (If corporation): --63-x % ter, i.L.-„ Sales Tax No. /9 s% 7 i:•?S‘ ATTACHED DR 8401 MUST BE COMPLETED (ALL 3 COPIEd) 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 pubic transportation system.license renewals do not need Local Licensing Authority royal and must be returned directly to the Colorado • ,.= riment of Revenue no later than r da 8 ; for to license ex • ation The foregoing application tory, and we do herebqyy r THEREFORE THIS,/4P Local Licensing Authority for: '.. .` ... `t(�" ,rWeld County, Colorado • TOWN/CITY ® COUNTY Signature: -' d ('7..:(c , Title Chairman Pro—tem, raid Minty Board of Commissioners jr �j Attest P. / / k { sr�' !IK T� BY ,/ OOLLtc Th.,t .._ Date 07/28/93 .. . Uenutr CJark to Boar IS 'nod and the premises, business conducted and character of the applicant are satisfac-. Inseiff Qranted, will comply with the provisions of Title 1Z Articles 46 and 47, C.R.S. VE TRI°1tW*VH AD5lrfleilL Dflea ADH. • Do NOT DETACH • Do NOT DETACH • Do NOT DETACH • Do NOT DETACH • DO NOT DETACH • Do NOT DETACH kTrr'VTL CI NAME: USE LICENSE NUMBER FOR ALL REFERENCE LIABILITY INFORMATION COUNTY CITY INDUST. TYPE LIAS. DATE RENEWED LICENSE' EXPIRES AFTER NIOHL9.4 1,,1,:<C L !4-77324-OOD 03 206 Z.11 C 111087 13-09-96 TYPE OF LICENSE ISSUED CASH FUND Wel(9) STATE FEE '1 41-9 (9) 459 (9) CITY 85% OAP 37-1 (5) CO 85% OAP 49.1 (9) ., LICHMSF t _ N/",i c PEI Ss:'g,). 25. 0O ?5.00 $, 42 , 4 Make cheek payable to: COLORADO DEPARTMENT OF REVENUE C!' rC:C TOTAL AMOUNT DUE t» t 02.-;0 EXTENDED HOURS —Applies only to Hotel and Restaurant, Beer and Wine, Club, Tavern, and Arts licenses. If desired, check "yes" and enclose Total Amount Due PLUS $170.00. Extended hours? ❑Yes /KNo 930767 fleet Attachment tciiquor/3.2 License Rene° Application s This page must be completed and attached to your signed renewal application form. 1 i. ' Slurs to Include this page with the application may result in your license not Ming renewed. Trade Name of Establishment UJ4 / a'ill 44e l' -.7.1? State License Number # 9,- 1a.., 1. Do you h legal posession of the premises for which this application for license is. made? YESX NO Are the premises owned or rented? 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,' explainin detail and attach. -. (b) Have persons lending assistance or financial support to the applicant, or manager, or enpbyees, ever been convicted of a crime? YES If answer is yes,' explain in detail and attach. -' Q ■ NO tg NO X 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),lisd interest in any entity that had an alcoholic beverage license suspended or revoked? YES ❑ NO X 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 ap ant (if a corporation), have a direct YES J] NO X,. or indirect interest in any other Colorado awr license (Meltehoans to oriromany Ncfaitse` !idera in;loanrto aryIcensee! If answer is 'yes,' explain in detail and attach. 5. Idefibfy iliia persons irmsar corpotations who nt vfr will have a financial interest, evidenced either by a loan to, or equity ownersh1p ia,ihe bukirfessffir whictipis license is requested. State the names and addresses and the amount and source of such financial interest (i.e., bar*, relal�ives, friends, previous ovw, etc.), expressed irtiofars or other items of value, such as inventory, furniture or equipment. Useiseyarate sheet rf!ratessary. Name Address Interest Type and Amount 6; List on a separate sheet the names and addresses of al liquor businesses in with any of the persons in question No. 5 are materially interested. 7. Operating Manager - . Address • Date of Birth 8. If applicant is a partnership (except husband and wife), 1st all general partners: Use separate sheet if necessary. Name Address Date of Birth Name Address Date of Birth 9. If the applicant iidycorpotationavanswer the following: (a) Corporation is organizefunder the laws of the State of: C O/6 r q do Date Incorporated: isi — ,z,i 2,- (b) Principal Mice of buskins is: (c) Date of fiino last ann corporate r'epgrt to the Colo. Secretary of State: Qn r . a /q q I of e h officer 1 below: Id,)�t ,Name "so'�.-= y. Dat of h Cjf. ; d/L ::,. 3'y�--+„. f`•.. .- �,aC-'�-.,.« f a✓'Y G,,... J"rrnsca ,m' W.r.-_,, le„4 r„......_.,,_,. y4.�..-s...,.,.x>�'..,._-�-..., h4 jt 'eiJ. :PL4'If<el /yam', ...._ , %f_. Y Home Address 'Date of Birth Treasurer - LOW n-yeeor S;:• T-rtng,ra Home Address cir /1Zt, bar/. St Laiirmer t- Date of Birth %-ia- of Birth Secretary Home Address le) List all stockholders,5% or over, Cif a public corporation) including actual owner or pledgee. (Use separate sheet if necessary) Name - Iliary L' 3":1'Ms,<P Address /7Ufy ,o -JA- 131e/n-rj/i Percent of Stock in% Date of Birth 3— /.. ,, Address Percent of Stock .'Date of Birth Name Address Percent of Stock Date of Birth (f) Name of all Directore/Trustees of Corporation Name -}71)'Yi a r7 E' 3.CeriS en Address /7 1,9I /°? 44 a- /PLq rr'r v�%/r c a Date f Birth $p , cs— Ga. r-fun"_M' l4 TY ✓I<✓H Address • -5-16— /(i-1,ther LI St Lcn- ,rennji ei Date of BirthI- (- -JJr �rlc�r DPSBIB20 DESCRIPTION OF MESSAGE IN IN -BASKET Message : Reply to your message of 07/26/93 16:37 : NO RECORD FOUND IN OUR SYSTEM Received from : PCJOFM02-MAIN Received : 07/27/93 16:11 Sent : 07/27/93 16:11 Select an option and type it below; then press ENTER. 3 Send 8 Reply 9 File 10 Delete PF1=Help 2= 3= 4=Main Menu 5= 6=Fast Path PF7= 8= 9= 10= 11= 12=Quit ===> P 387 472 591 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL (See Reverse) COLORADO DEPT OF REVENUE LIQUOR ENFORCEMENT DIVISION STATE CAPITOL ANNEX 1375 SHERMAN ST DENVER CO 80203 PS Form 3800, June 1985 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 $ Pos}�^ark or Date • 7 -Si) -93 N 0 1 C> v 03 m 930767 r. K a r- N Z Co V o i [ ] tt1 oXI VI >> o k o, o z ro z S. 3 '21 1. z o X Col a my o r N CA 3 y i W H 2 M 22 k H M C7 C�1 -c C/1 O o Q❑ g 3 28 I ❑ ❑ ❑ gig 3. i a a9T� m4. a m n m n yy Zt a A t J C m m 3E mm Fm �3goc333 :+ ]om 3 �mmm n J m W 31 9 33 m d a p 33"'.ml 03.0a, N C "»OmmQ0 Er estav- • s' Dip m O co 01 3 P 387 472 611 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL (See Reverse) L. JENSEN DBA HIGHLANDLAKE, INC. 17029 WCR 5 PLATTEVILLE, CO 80651 C 8 E 8 N Return Receipt showing to whom and Date Delivered Return Receipt showing to whom. Date, and Address of Delivery Postmark or Date 931)767 Hello