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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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910382.tiff
RESOLUTION RE: APPROVAL OF RENEWAL REQUEST FOR 3.2% BEER LICENSE ISSUED TO LEO K. WARDMAN, DBA LEO'S HUT - EXPIRES JULY 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, Leo K. Wardman, d/b/a Leo's Hut, 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: Route 66, Highway 85, Carr, Colorado 80612 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 91-06 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. 910382 Page 2 RE: 3.22 BEER LICENSE - LEO'S HUT The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 17th day of April, A.D. , 1991. ildifideuet BOARD OF COUNTY COMMISSIONERS ATTEST: WELD COUNTY, COLORADO Weld County Clerk to the Board .'- Adapfiord acy, �/r/m/an Deputy Jerk to the Board Georg" Kennedy, Pro-Tem APPROVED AS TO ORM: _ (/ Q4 t eery at r O �� ,C.2/2,e4 Constance L. Harbert County Attorney C. W. Kirby t-cy//� j! O �%6? W. H. We ster 910382 -... 4_, dam+'^.-C..,l,+ x , ) i r k )b t S ! s ...1 . +e v E A ✓ O r ♦ ' w > tie . ee + �'/ F s. .f'•V Y aw ' , . � fk l a' • � .r7 rn �i •a oS -+Q r'� � • CL `.� i 6r i ccig _ `i P: L � a r -0 r , � . ' ° a ( C � n o a ai „ mv C 1 y i r c▪ o N -0 � � is 0 � � C { � o �' ligI� dA O O N m VU , ,, V rkwy, q [ r ' � : � V1 N-, O � '� �;� .. � 4 w n W Fi o m q m '� ,,:44:1'''',,:•;% /� s oa ":::::\"".::::::::1': wrfl� W CA O � O O ' 0.1Zvloc4 � M .3 :� O ii , ����� �i �1 .1.. � V o �-s W / C_ r'�' "7; q q a) u rx -1 O i Y W m d N 0. � ,1.o , � � C 1> •♦' Wfal 'ygj O ill F i,�iillrk q• O FO. w TS 0 p <: t- n _ a E cl° ° ° C d T (� U , a , U' C a> a) wo A F+ ^^ t` 0 0 I +a m �CC�JJ CC P� .-� eo ed p f r i 0 bA A ` au o q a o —� .us o p Ec W o a ° ° O a g � Dzi '�' n '� ° � c� a U in 3wim I yipq H ° ° v v a, o- o 1 CA t � lir 8a. � .a. W w h a a � w 1 , �9\ (1` i O o m G�+ if7 v cl�l C N `? .�y-�•-+�"), \. U Ion q d 6 ''"• m ' ' F� N a� O U . i W w ga W z O H W ¢ `15 r ti o yy -�.� ry G7 cJ -u O '✓ \4C i ii ct not N W �V"' a • r. pp LL 0 wn _ Y � ro ` > , A OA + 0 0 3 o O „NI In O -, h-� 'b (� �� N ) o •C> a 0E' 6 ,.c') ti ° � ' ` O ' ti04 o o c. c� ° o _ y .-i . S r� .��j � N x o o 4-> C..) N W N < 'O A c) N O O 111;i1;; �i 9-?) -e. g o c. • o ti W .-c I O i J i. w cn ��1 ll r o, q E. .o +° as 0 a) - " �+ E• E J �'i W °' q0 Z, w . t w Gam' 'O F fa]i 4) w !� ' V�• [ 1 f-' , .q r? W O x ��Hj.1 �I � H .v � W1 ,,.. !:14-t",-; . i CO .�� N O GOJ i • O O O ,� 1 1 W cd t, w ' � C ri 0 a 4 y 1 1 i. n 'a o ca rd O "O 1-� O {._ r- „ + � E n I _ H c m ` t‘.......l fir. N y y CL H .O � a / 41------5.2 ----(1 / cd . . O O ca e , �,.. y '� h l l � Ca > q � 1 f� 1����,1 re a ms. a _ �." Lei IJ .� b y " \� w o...4• is � F� t \ i-' t '' \ F >�4�• � r [ 0t e �@ Off C ° I) . da© .0?"( Dom- 0 : rte t t @a1ft Off M WES{LIn Liquor Enforcement Division 1 1375 Sherman Street = 1 1375 Sherman Street Denver, Colorado 80261 WART-IAN LE7 K LEUS HUT RT 65 HWY 95 CARR CO 90612 L : 3)))1 4 c 1:ii, Hcf-4:, Alcoholic Beverage License ::3)))).._ AccouM MRS ® LICENSE EXPIRES AT MIDNIGHT County City Indust. Type Lebiliry Date°{ I 14-09594 03 020 5921 1 071970 JUL 18. 1992 ))---1\ Type Name and Description d License Fee J 3. 2 PERCENT BEER RETAIL LICENSE $ 50.00 I C7UNTY 85 PERCENT 7AP FEE $ 42.50 I TOTAL FENS) $ 9 2.5 0 This license is issued subject to the laws of the State of Colorado and especially under the provisions of Title 12, Articles 46 or 47, CRS 1973, as amended. This license is non b)))) - transferable and shall be conspicuously posted in the place above described This license is only valid through the expiration date shown above. Questions concerning this license should be addressed to the Depantnent of Revenue, Liquor Enforcement Divison, 1375 Sherman Street,Denver,CO 80261.Ill ' DO Ci. In testimony whereof,I have hereunto set my hand. (7 rcr'A c zk I ici Division Director Executive Director APR 2 91991 . _ - ' )\-- I on 8602 (3-BB) _ DR 8400(8/89) Colo.Dept.of Revenue Liquor or 3.2 Beer License Liquor Enforcement Division 1375 Sherman Street } License Number: Denver,Colorado 80261 Renewal Application License Type: • 866-3741 • Liability Information: Business Location: Current License Expires: • YOUR PROMPT ATTENTION IS REQUIRED.FAILURE TO COMPLETE THIS FORM ACCURATELY • SIGN THE FORM AND PROMPTLY MAY RESULT IN YOUR LICENSE NOT BEING RENEWED. • ENCLOSE TOTAL AMOUNT DUE • Fp.OUT THIS FORM COMPLETELY AND CHECK APPROPRIATE BOX BELOW. • SUBMIT FORM TO LOCAL(CITY/COUNTY) This renewal reflects no changes from last application. LICENSING AUTHORITY FOR APPROVAL n There are changes from last application.(Report changes on form DR 8176-"Report of • CHECK WITH LOCAL AUTHORITY FOR AMOUNT Changes-Liquor and 3.2 Beer Licenses"and attach that form to this renewal application.) OF LOCAL FEES. I declare under penalty o/perjury in the second degree that this application and all attachments are true,correct,and complete to the best of my knowledge. Authorized Signature: Date: Business Phone: "30 �9T 2323 Title of Signer(if corporation): Sales Tax No. ATTACHED OR 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 95 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. REPORT AROAPPROVAL OF LOCAL LICENSING AUTHORITY 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: ❑ TOWN/CITY ❑ COUNTY Signature: l11 • �'1��"'�^q `I�����'��Z�I� , • Title _ • Attest: Date DO NOT DETACH•DO NOT DETACH•DO NOT DETACH•DO NOT DETACH•.D0 NOT DETACH•DO NOT DETACH•DO NOT DETACH•DO NOT DETACH• DO NOT DETACH - 0 C NAME: USE LICENSE NUMBER LIABILITY INFORMATION O MI FOR ALL REFERENCE COUNTY CITY IND RENEWED LICENSE 0UBT. TYPE LIAR.DATE EXPIRES AFTER • W • TYPE OF LICENSE ISSUED CASH FUND STATE FEE CITY 85%OAP CO 85%OAP CO m 66-01 (9) _. 41-9 (9) 45-9 (9) 37-1 (9) 49.1 (9) 21 r . 0 • z rn m m Make check payable to: TOTAL AMOUNT DUES- COLORADO DEPARTMENT OF REVENUE EXTENDED HOURS—Applies only to Hotel and Restaurant,Beer and Wine,Club,Tavern, Extended.hours? D and Arts licenses. If desired,check"yes"and enclose Total Amount Due PLUS$170.00. ❑ Yes X No r • • 91O31; DR 8401 Attachment to l iuor/3.2 License Renew; Application 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 State License Number 1. Do you have legal posession of the premises for which this application for license is made? YES❑ 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❑ NO 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 Of a corporationlor manager,ever: (a) been denied an alcoholic beverage license? YES❑ NO r (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❑ N0 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 or indirect interest in any other Colorado liquor-license(include loans-to or from any licensee,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 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 I 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 Address I Date of Birth 8. If applicant is a partnership(except husband and wife), list all general partners.Use separate sheet if necessary. _ -Alrne —Address mate of Bi EF • 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: _ - -.. (d) Name of each officer listed below: -. - - rPresident 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) rName Address Percent of Stock 1 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 _. - -- — — Address p �y Date of Birth • Name 910382 F Address Date of Birth Name P 556 983 129 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL (See Reverse) Colorado Dep't. of Revenue Liquor Enforcement Div. 1375 Sherman Street Denver, CO 80261 Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt showing to whom and Date Delivered N m Return Receipand Address ss of D to whom, Date,and Address of Delivery d j TOTAL Postage and Fees S g Postmark or Date OD E 0 LL in a. SENDER: receive the • Complete items 1 and/or 2 for additional services. following services (for I also wish to rece iv extra • Complete items 3, and 4a & b. • hint your name and address on the reverse of this form so fee): that we can return this card to you. 1, ❑ Addressee's Address • Attach this form to the front of the mailpiece, or on the beck if space does not permit. 2. ❑ Restricted Delivery • Write "Return Receipt Requested" on xht t(niiileiyt to Consult postmaster for fee. the article number. •e V 3. Article Addressed tic: 4 Article Number •- V 55(o qg3- Colorado Dept. of Revenue 519g1 4b. Service Type Liquor Enforcement Diklq 2 ❑ Registered ❑ Insured 1375 Sherman St et ified ❑ COD Denver, CO 802Q sa Mail ❑ Return Receipt for tut* Merchandise REV EN Li F 0 I �7. Date of Delivery 5.-Signature (Addressee) 8. Addressee's Address(Only if requested and fee is paid) 5. Signature (Agent) PS Form 3811, October 1990 ou.s.GPO:1990-2734PM DOMESTIC RETURN RECOPY Wa dxit • 910382 P 556 983 131 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL (See Reverse) Leo K. Wardman Leo's Hut Route 66, Highway 85 Carr, CO 80612 Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt showing to wham and Date Delivered m Return Receipt showing to whom. Date.and Address of Delivery a C TOTAL Postage and Fees S o Postmark or Date OD N) E _LL N a SENDER: • Complete items 1 and/or 2 for additional services. I also wish to receive the • Complete items 3, and 4a & b. following services (for an extra • Print your name and address on the reverse of this form so fee): Nat we can return this card to you. • Attach this form to the front of the mailpiece, or on the 1 ❑ Addressee's Address back if space does not permit. • Write "Return Receipt Requested" on the mailpiece next to 2• ❑ Restricted Delivery 111e article number. Consult postmaster for fee. 3. Article Addressed to: 4a.Article_Number Y SA q51.3_-13-(1 Leo K. Wardman 4b. Service Type Leo's Hut ElRegistered ElInsured Route 66, Highway 85 Certified El COD Carr, CO 80612 ❑ Express Mail ❑ Return Receipt for Merchandise 7. Date of Delivery 6.-Signature (Addressee) 8. Addressee's Address(Only if requested �7//�nr � J and fee is paid) 8.Si tura (Agent) PS Form 3811, October 1990 *U.S.GPO:1860-273861 DOMESTIC RETURN RECEIPT S12/ 910380
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