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Home My WebLink About920811.tiffRESOLUTION RE: APPROVAL OF RENEWAL REQUEST FOR 3.2% BEER LICENSE ISSUED TO L. JENSEN, DBA HIGHLANDLAKE, INC. - EXPIRES NOVEMBER 9, 1993 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, d/b/a 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, Colorado 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 92-12 to said applicant to sell 3.2% fermented malt beverages for consumption on and off the premises, only at retail at said location and 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, 1993, 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. 920811 1. aPo3s APP, 5° 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 10th day of August, A.D., 1992. ATTEST: Weld County Clerk to the Board BY: BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO Deputyalerk to the Board Constance L. Harbert, Pro-Tem APPROVED AS TO/FORM: County Attorney EXCUSED C. W. Kirby Gord* 6 W. H. Webster 920811 E MUST BE POSTED IN PUBLIC VIEW DR 8402 III/91) STATE OF DEPARTMENT Liquor Enforcement 1375 Denver, COLORADO OF REVENUE Division Sherman Street Colorado 80261 ALCOHOLIC 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 03 206 5941 3 111087 NOV 09, 1993 Type Name and Description of License Fee J 3.2 PERCENT BEER RETAIL LICENSE COUNTY 85 PERCENT OAP FEE $ 50.00 $ 42.50 TOTAL This license is issued subject to the laws of the State of Colorado provision of Title 12, Articles 46 or 47, CRS 1973, as nontransferable and shall be conspicuously posted in the place above only valid through the expiration date shown above. Questions concerning be addressed to the Department of Revenue, Liquor Enforcement Street, Denver, CO 80261. testimony whereof, I have hereunto set my hand. - cL,,,4 G MET AUG 2 0 1992__��- Division Director FEEISI and especially amended. described. Division, $ 92.50 under the This license is This license is this license should 1375 Sherman Director Executive 920811 Li L J IJ LI LI 0 V J 7_ h 0 A z CO O THIS LICENSE EXPIRES t o y._ I , DR 8400 (8/89) Cob. D5pt. of Revenue Liquor Enforcement Division 1375 Sherman Street Denver, Colorado 80261 866-3741 Liquor or 32 Beer License Renevr►lln HIGHLAMDLAKE. INC L JENSEN 515 KIMBARK ST LONGMONT CO 30501-357r- ' License Number: 14-'27324- License Type: J Liability Information: 03 20t, 5941 111087 Business Location: 17029' WELD CNTY RD 5 PLATTEVILLEE CO Current License Expires: NOV 09.1992 InICOURilITY G©pal YOUR PROMPT ATTENTION IS REQUIRED. FAILURE TOCOMPLETETHISF NhiACCURATELY AND PROMPTLY MAY RESULT IN YOUR IICOMSE NOT BEING RENEWED. • FILL OUT THIS FORM COMPLETELY AND CHECK APPROPRIATE BOX BELOW. K This renewal reflects no changes from last application. D There we changes from last application. (Report thengis on form DR 8176 •'Report of Changes - Liquor and 3.2 Beer Licenses' and attach dell form to this renewal application.) • SKIN THE FORM • ENCLOSETOTALAMOURFDUE , • SUBMIT FORM TOtOCALICITY/COUNTY) LICENSRIGAUTHORNTFO$APPROVAL • AUTHORITYCNECKRAi11LOCALFOR AMOUNT OF LOCAL FEES. true, correct, and complete to the beet of my knowledge. Authorized Signature: '197of -t E.' (4 -6,11. -Len- /----"' Date: 57 q.2.. Business Phone: S 15- ?AV Title of Signer (If co ratlon): Ur --1fgnX-.6A-i:.. °.x -I nt - Sales Tax No. ! / ".27 2 5'. ATTACHEDOR.8401 MUST BE COMPLETED (ALL 3CoPIES) SUBMIT THE STATE COPY AND LOCAL (CItY/COLI90Ff) AUTHORITY COPY TO YOUR LOCAL (CITY/COUNTY) UMPIRING AUTHORITY NO LATER THA$ 45 DAYS BEFORE YOUR LICENSE. EXPIRES. EXCEPTION: Wholesaler, manufacturer, importer, andipublic t anaportadon.OYstem license renewals do not need Local Licensing Authority. al and must be returned directly to the r • • De lartment of Revenue no later than 3O . '. to ftoenae ex •'ration. The foregoing application has been examined and Ihe premises, busies Conducted and character of the applicant ere satisfac- tory, and we do hereby report that such license, ft panted, will comply with the provisions of Title 12, Articles 46 and 47, C.R.S. THEREFORE THIS APPLICAT IS APPROVED; Local Licensing Authority for r` Wed Coutet�i, Colorado ■ TOViITY ,;,.,, I COUNTY Signature: ¢?s / / Title Charrrnan Pro—tem, Weld CountYE<`Bdard of Commissioner Date Attest: �J) ,��,f' . B;' `"iL`-"•'fic eputy Cleric to Board1r 08/10/92 Do NirtEMCH • &Mot 4aracry Alpo nbFAsrAof • Do nor OEIACH • Do car DETACH • DO NOT DETACH • Do NOT DETACH • DO NOT DETACH • Do NOT DETACH +f' 7, ,.. '•"""!€''."nT'~Xk '`��a_'i--->rs z PLATTEVI'CLE CO +..;A... '1H,.. -.. ,? icc•+; •."x^"—", NAME: USE UCENBE NUMBER FOR ALL 'RTEFERENCE ., RENEWED LICENSE EXF.4REa AFTER. COUNty CITY . TYPE La: DATE HIGHLANDIAKE INC 14-27324 03 206 59413 111087 11-09-93 TYPE OF LICENSE ISSUED CASH FUND. STATE FEE CITY a5% OAP COBS% OAP eSSi (9) 41.9 (9).. .45.9 (9) 37-1 : (•1) 49.1 (9) 3.4 PERCENT BEER RETAIL LICENSE (3) 11 1'25.00 $ 25.00 £ 42.50 Make check payable to: COLORADO DEPARTMENT OE REVENUE . TOTAL AMOUNT DUE 0 $ 92. 5 0 EXTENDED HOURS — Ap es only to Hotel and Restaurant, Beer and Wine, Club, Tavern Extended _ieurs9 and Arts license$. If desired. check "yes" and'enclose Total Amount Due PLUS Wolin 0 Yes ANo .. OIL/ Alta - curs -h ) 920811 R 540) (4/90) Attachment toquor/3•.2 License RenewoApplication This page must be completed and attached to your signed renewal application form. Failure to include this page with the application may result In your license not being renewed. Trade Name of Establishment '" High iand Lg4e Zsiz. State License Number 89-„z o 1. Do you have legal posession of the premises for which this application for license is made? YES -K 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 YEsO No rg convicted of a crime? If answer is yes,' explain in detail and attach (b) Have persons lending assistance or financial SUPPOrt to the applcant, or manager, or employees, ever been convicted of a crime? YES NON( 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 (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. ■ ❑ ❑ NO [1 NO NO, ,� 4. Does or dd applicant, or any of the partners, or officers, directors or stockhoders of said 'ant if arcorpor ,.. have, a direct /:— . YES Iii NOR ---erindiredffimteresi.tirery. ... . .m...._ 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,ban to, or equity ownershipin,,the b sines9or whichlhis license is requested, State the namet ind addresses and the amount and source of such financial' interest (f.e:, bank, relatives; friends, previous owners, etc.), expressed in dollars or other items of value, such as inventory, furniture or equipment. Use, arati if necessary. Name Address Intgegi 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. 7. Operating Manager - Address Date of Birth 8. If applicant is a partnership (except husband and wife), list all general partners. Use separate sheet if necessary. Name AdrTress Date of girth Name Address ,.W. Date of Birth 9. If the applicant is a torpor on, answerihe fol wing: ..— (a) Corporati'ty! is orga edunder }hetlatv3o�the State of: C 0/0 e 4el0 Date Incortlrated• 4T- .73---- 8'.5- (b) Principal pace of bu iness ia^ - I+F',4h / e nd. 1-a/pc.. (c) Date of MITT last ann I corporate re to the Colo. Secretary of State: 'i- f1 9 / / A (d) Name of e'jch officer listed Sow: t N President - _...._ _ _ (�... r *- %T j �„ � "Da of Birth _ _ � .may,. o t''�, iV t b it7trpv .ti;"�► r Vice- Home Address Date of Birth Treasurer '` Levu ren c. c ' ens lb Home Address 4/03 df 4rs-h A/-, L nq„„a,. c Date of Birth t -e6- Address Date of Birth (e) List all stockholders,5% or over, (if a public corporation) including actual owner or pledgee. (Use separ a sheet if necessary) Name '7ntry 9 7-ensen Address os 'loaf t'dp s- PLerrren//,c ercent of Stock Id°r0 Date of Birth 3 -G -/S — of Stock Date of Birth Name ` Address Percent of Stock Date of Birth (f) Name of all Directorsyfrustees of Corporation Name '7'Ynnry 4" 7 -ens -en Address /7l q le 171l`"r 0-111-tv/A, CD. Date of Birth I -6—a-- r M Tens en Address D f Birth 4'0J hers/? Dr, Le n4-7170-n-/-GD-ii-tit HIGHLANDLAKE, INC. 05-70 MARY E. JENSEN 17029 COUNTY RD 5 535-4283 PLATTEVILLE. CO 80651 PAY TO THE ORDER OF ete,rl 7>ch O fl' z'-4 se United Bank United Bank of Longmont • National Association JJ�� (3300j3)�7767240.535 Coltman Street • Longmont, CO 60601 y��,�� FOR J /a1 ' '!-7(,�CLCGXc( `�' ' `�_ : -5"-- 19 7.2- $ 1070 82-122/1070 cre DOLLARS PLANO 1990 HIGHLANDLAKE, INC. 05-70 MARY E. JENSEN 17029 COUNTY RD 5 535-4283 PLATTEVILLE, CO 80651 AiA _ 19z $ PAY TO THE ORDER OF United Bank United Bank of Longmont • National Association (303) 775-7240 • 635 Coffman Street • Longmont. CO 80501 C NA9LANO ,9W 1069 82-122/1070 91:7 LL ;RS 920811 DPSBIB20 DESCRIPTION OF MESSAGE IN IN -BASKET Message : Reply to your message of 08/07/92 09:33 SKM, I have researched the records for Highland Lake and find : no liquor violations over the past year. Lt. K. Fliethman Received from : PCJLTN02-MAIN Received : 08/07/92 14:51 Sent : 08/07/92 14:51 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= PF7= 8= 9= 10= 11= 4B 6=Fast Path 12=Quit O -O01 920811 F 387 472 667 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 STREET DENVER CO 80203 PS Form 3800, June 1985 Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt showing to whom and Dale Delivered Return Receipt showing to whom. Date and Address of Delivery TOTAL Postage and Fees S Postmark or Date LoZ lap 'L LSE wind Sd e6y) amieuolS '9 )aasswppy) aimeu6!S '9 ar Vnrn 9 [=1 W H r O CCs7 � trio »� D XI En 7d o N d 0 LLtl . LT] O a a O HIt1a m z r z ro % o r n H a IsJ CI wHt 2tZ+70 .9. 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