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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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970528.tiff
RESOLUTION RE: APPROVAL OF RENEWAL REQUEST FOR 3.2% BEER LICENSE ISSUED TO MYRTLE G. JORDAN, DBA P & M RECREATION - EXPIRES MAY 27, 1998 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 only, 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 only, 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 97-06 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 Chair 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, 1998, 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. ,Sol fkM 970528 LC0010 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 10th day of March, A.D., 1997. BOARD OF COUNTY COMMISSIONERS WELD QOUNTY, COLORADO Weld County Deputy Clerk • the Board APPAS T j ORM: my Att Dale K. all fcy4 Barbara J. Kirkmeyer E./ !.4_E/Akc c L EXCUSED DATE OF SIGNING (AYE) W. H. Webster 970528 LC0010 THIS LICENSE MUST BE POSTED IN PUBLIC VIEW DR 8402110/92) '/gyp STATE OF COLORADO DEPARTMENT OF REVENUE Liquor Enforcement Division 1375 Sherman Street Denver, Colorado 80261 t ALCOHOLIC JORDAN MYRTLE G P&M RECREATION LOT 5&6 BLK3 MAIN ST STONEHAM CO 80754 BEVERAGE LICENSE Account Number Liability Information LICENSE EXPIRES AT MIDNIGHT County City Indust. Type Liability Date 14-04965-0000 03 128 7999 I 052870 MAY 27, 1998 Type Name and Description of License Fee 2123 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, testimony whereof, TOTAL FEES) 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, CO 80261. I have hereunto set my hand. lev//,,,, it AR 1.71997 $ 92.50 under the This license is This license is this license should 1375 Sherman ot Executive Dire tor Division Director A J Q et w N M D .a O co M m cd CCId y 0 F o a w i.4 I E Omri O d0 z Z Ln .. W a �'z 0 0 p4 z H oo z • W 5 W V W H W" 0 Ha c O H 4.' k z 7 o W en o I `' O XPq a A C o E+ x.5pc, m 6'8' W L. — H N In ell ce. 2 OF( m a SD y 0 cu y .O z s a) °.0 .o a> 0 Q..n N- 0 H H co N d o in o a -O > a) a) o y f. F a) {., o O 'O '..0 m 0 m O O CI 0 j a) 10 d C.) 00 l- N en x .y d b cn en 0 as a)c. o G7 F- R •Fa 7 O cd .en O w E;' az () d c o. 0 g o Y 0 T ro C y CID a) a) O 4 cs O a b © V O — .0 a) bH N o 0 m :a) a)O. rn •Y O c U 42 C '5 o E .c o c o z J. C) cis a rn T 0 cs Pe x O; v C) aO 22 t 0 C W U C U '0 C t F • • • 21 DR 8411 (04/95) COLORADO DEPARTMENT OF REVENUE LIQUOR ENFORCEMENT DIVISION 1375 SHERMAN STREET DENVER CO 80261 LIQUOR LICENSING PROCESSING DOCUMENT RETAIL LIQUOR & 3.2% BEER LICENSE FEES Name of Applicant(s) (exactly as it appears on state application) /i%i f -/e 6. Dc1tn 2. Tratl/e,J,N oof�E/stabliissF/�,nent (DBA)eatzien- 3. Address of Premises (as it appears on the application) Lo! 64-4 4U<-3 /I2 z sA State Sal s Tax No City C� r>, OnMa'n Business Phone %36- -2V44 County Ws/6z State eo ZIP Codei7O If applicant has a Beer and Wine, or Malt, Vinous and Spirituous Liquor License, indicate your state • Liquor License Account No. 751—OWar OOQ7 2210-100 (999) ❑ Retail Warehouse Storage Permit 50.00 228(-100 (999) ❑ Request to Change, Alter or Modify Premises 75.00 1980-100 (999) ❑ Addition of Optional Premises to Existing hoteVrestaurant $50.00 x Total Fee 2320-100 (999)❑ Request to Change Corporation or Trade Name ... 25.00 2230.100 (999) ❑ Request to Change Location 100.00 2320-100 (999) ❑ Duplicate License 25.00 2320-100 (999) ❑ Subpoena Testimony Fees 100.00 (use license no. 21-94214) ,SEC7,90M FEE DO NOT WRITE IN THIS SPACE • ALL ANSWERS MUST BE PRINTED IN BLACK INK OR TYPEWRITTEN • APPLICANT MUST CHECK THE APPROPRIATE BOX(ES) • LOCAL LICENSE FEE $ 57%S?, If applicant has a 3.2% Beer Retail license, indicate your • state 3.2% License Account No. 2280-100 (999) ❑ Request to Change, Alter or Modify Premises 75.00 2330-100 (999) ❑ Request to Change Corporate or Trade Name 25.00 2230.100-(999) ❑ Request to Change Location 100.00 2330-100-(999) ❑ Duplicate License 25.00 ittAWISSiNi *aka If applicant has a Hotel/Restaurant liquor license and is registering a new manager, indicate your state Liquor • License Account No. 1970-750 (999) ❑ Manager's Registration 75.00 ON =D ESi ❑ Application Fee for New License $450.00 O Application Fee for Transfer of Ownership 450.00 O Retail Liquor Store License (city) 202.50 ❑ Retail Liquor Store License (county) 287.50 ❑ Liquor Licensed Drugstore (city) 202.50 ❑ Liquor Licensed Drugstore (county) 287.50 O Beer & Wine License (city) 177.50 ❑ Beer & Wine License (county) 262.50 O H & R License O city O county 326.25 O H & R License w/opt Prem ❑ city ❑county326.25 O Club License O city O county 135.00 9 Tavern License O city O county 326.25 O Arts License O city El county 135.00 ❑ Racetrack License ❑ city O county 326.25 ❑ Optional Premises License ❑ city ❑ county 326.25 ❑ Retail Gaming Tavern Lic❑ city ❑ county 326.25 ❑ BWS Special Event Permit each 25.00 ❑ Manager's Registration (hotel & restaurant only) 75.00 ❑ Extended Hours 170.00 ❑ Renewal - attach DR 8404 (application) ❑ Delivery Permit (liquor store/drugstore only) ECTIONE :,≥s ?*1'tt 32ttEER110ENSEEFES ❑ Application Fee for New License $450.00 ❑ Application Fee for Transfer of Ownership 450.00 ❑ Retail 3.2% Beer On Premises - (city) 71.25 ❑ Retail 3.2% Beer On Premises - (county) 92.50 ❑ Retail 3.2% Beer Off Premises - (city) 71.25 ❑ Retail 3.2% Beer Off Premises - (county) 92.50 O Retail 3.2% Beer On/Off Premises - (city) 71.25 Retail 3.2% Beer On/Off Premises - (county) .C 92.50 O 3.2% Beer Special Event Permit each 10.00 ❑ 3.2% Beer On/Off Premises Only Delivery Permit DO NOT WRITE IN THIS SPACE - FOR DEPARTMENT OF REVENUE USE ONLY White Copy - Department of Revenue Canary Copy - Liquor Enforcement Division Pink Copy - Local Authority Goldenrod Copy - Applicant License Number License ype DR 8400 110/951 COLORADO DEPT OF REVENUE LIQUOR ENFORCEMENT DIVISION 1375 SHERMAN ST DENVER CO 80261 LIQUOR OR 3.2 BEER LICENSE RENEWAL APPLICATION 14-04965-0000 2123 Liability Information 03 128 7999 I 052870 ))1.l.111111.11111111111.11111111.11111111.11I1111lallll.11l1 JORDAN MYRTLE G P&M RECREATION BOX 72 STONEHAM CO 80754-0072 This renewal reflects no changes from the last application. Complete page 2 and file now! ❑ There are changes from the last application. Complete and attach page 2 (DR 8401) and if a corporation, DR 8177 - Corporate Report of Changes; or if a Limited Liability Company (DR 8405). All other changes of ownership require a transfer of ownership application. See your Local Licensing Authority immediately. ❑ Delivery Permit requested? Retail Liquor Store, Drug Store or 3.2% Beer - Combination On/Off Premises Licenses ONLY. Check the box if you Business Location LOT 5&6 BLK3 MAIN ST STONEHAM CO Current License Expires MAY 27, 1997 PLEASE COPY FOR YOUR RECORDS Application for renewal must be filed with your LOCAL LICENSING AUTHORITY at least 45 DAYS PRIOR to the expiration date of your current license. 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 at least 30 days prior to the current license expiration date. FAILURE TO FILE THIS RENEWAL AT LEAST 45 DAYS PRIOR TO THE EXPIRATION DATE OF YOUR LICENSE MAY RESULT IN YOUR LICENSE NOT BEING RENEWED. :OATH OF:APPI:ICANT::: I declare under penalty of perjury in the second degree that this application and all attachments are true, correct, and complete to the best of my knowledge. Authoriz d Signatur Airlf ,-.. Date Business Phone a. zs = air. -2IiZ., z Title of Sign corporation) owner Sales Tax Nu..ef T /1/ r, ` € : 4') REPORT AND.:APPROVAL.OF:LICENSING AUTHO �plic00/G The foregoing application has been examined and the premises, business conducted and character of the and we do hereby report that such license, if granted, will comply with the provisions of Title 12, Article THEREFORE THIS APPLICATION IS APPROVED. ' Rd 8bsfactory, sit::: Local Licensing Authority for QQ Town/City fl Coun WELD COUNTY, OLO to / r O'fj( Signatu f -,/ ` G OR E. BAXTER Title CHAIR, BOARD OF Attest w/�Q COUNTY COMMISSIONERS i By: / Picg,Deputy ua ci L I S+sRI TncT-nru nn NrlT nFXArH 970528 DR 8401 (07/94) COLORADO DEPARTMENT OF REVENUE LIQUOR ENFORCEMENT DIVISION 1375 SHERMAN STREET DENVER CO 80261 (303) 866-3741 ATTACHMENT TO LIQUOR OR 3.2 BEER LICENSE RENEWAL 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 Naitje of Establis ment ,Z/1/ / 1", a2 State License Number /4//4/— 017' 96 s" 1. Operating Matta Se/-'dw4er Home Address 194 756 %? ,5Lrr.Mlm6 eD7sy/ Date of Birth { 2. Do you have legal possession of the premises for which this application for license is made? If rented, expiration date of lease: Yes No ig-1 U Are the premises owned or rented: -01A-Wed- 3. Has there been any change in financial interest (new notes, loans, owners, etc.) since the last annual application? If yes, explain in detail and attach a listing of all liquor businesses in which these new lenders or owners. (other than licensed financial institutions) are materially interested. Yes No ❑ 4. Since the date of filing of the last annual application, has the applicant, or any of its agents, owners, managers, principals, or lenders (other than licensed financial institutions), been convicted of a crime? If yes, attach a detailed explanation. Yes No 5. Since the date of filing of the last annual application, has the applicant, or any of its agents, owners, managers, principals, or lenders (other than licensed financial institutions), been denied an alcoholic beverage license, had an alcoholic beverage license suspended or revoked, or had interest in any entity that had an alcoholic beverage license denied, suspended or revoked? If yes, attach a detailed explanation. Yes No kA 6. Does the applicant, or any of its agents, owners, managers. principals, or lenders (other than licensed financial institutions), have a direct 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 yes, attach a detailed explanation. Yes No 7. Sole owners or husband -wife partnerships answer this question. Since the date of filing of the last annual license application: Has ownership changed in whole or in part, from a sole owner to any other person, partnership, corporation, or limited liability company other than the licensee listed on your state liquor license? If yes, this license must be transferred to the new owner and may not be renewed. Contact your Local Authority immediately. Yes No 8 Partnership applicants must answer this question. Since the date of filing of the last annual license application: (a) Are there, or have there been any general partners added to, or deleted from the partnership? If yes, this license must be transferred to the new partnership and may not be renewed. Contact your Local Authority immediately. (b) Are there, or have there been any limited partners with a 10% or more interest, added or deleted from the partnership? If yes, this license must be transferred to the new partnership and may not be renewed. Contact your Local Authority immediately. Yes No 9. Corporate applicants must answer this question. Since the date of filing of the last annual license application: (a) Are there, or have there been any officers or directors added to, or deleted from the corporation? If yes, complete and attach DR 8177 and submit to your Local Authority immediately. (b) Are there, or have there been any stockholders with 10% or more of the issued stock, added to, or deleted from the corporation? If yes, complete and attach DR 8177 and submit to your Local Authority immediately. the Colorado Secretary of State: Yes No (c) Date of filing last annual corporate report with 10. Limited Liability Company applicants must answer this question. Since the date of filing of the last annual license application: (a) Are there, or have there been any managing members added to, or deleted from the company? If yes, complete and attach DR 8405 and submit to your Local Authority immediately. (b) Are there, or have there been any members with 10% or more membership interest, added to, or deleted from the company? If yes, complete and attach DR 8405 and submit to your Local Authority immediately. the Colorado Secretary of State: Yes No (c) Date of filing last annual LLCO report with 11. Bed and Breakfast applicants must answer this question and certify compliance with 12-47-118.5 C.R.S., to the state licensing authority by initialing the following listed questions: That it has no more than 20 sleeping rooms, and That it provides at least 1 meal per day at no charge other than for overnight lodging, and That it does not sell alcoholic beverages by the drink or in sealed containers, and That it shall not serve alcoholic beverages for more than 4 hours In any one day, as follows. MONDAY HOURS From: m. To: m. TUESDAY HOURS From: m. To: m. WEDNESDAY HOURS From: m. To: m. THURSDAY HOURS From: m. To: m. FRIDAY HOURS From: m. To: m. SATURDAY HOURS From: m. To: m. SUNDAY HOURS From: m. To: m. i A /In/ O LIQUOR/BEER RENEWAL REVIEW FORM Date: March 5, 1997 TO: Deputy Carleton FROM: Kim Fliethman SUBJECT: Liquor License Check In accordance with the new procedure for Liquor and/or beer license checks, please review all records on the following establishment for any associated reports during the last year and return your report to the Weld County Clerk to the Board's Office within two weeks. Your report will be used by the Board of County Commissioners in considering renewal of the liquor and/or beer license. PLEASE RESPOND NO LATER THAN: MARCH 17, 1997 ESTABLISHMENT: MYRTLE G. JORDAN DBA P & M RECREATION LOTS 5 AND 6, BLOCK 3, MAIN STREET P.O. BOX 72 STONEHAM, CO 80754 Current license expires: MAY 27, 1997 ****************************************************************************** No concerns Deputy's Initials The Sheriffs Office had a concern and the deputy has mutually worked with the licensee to correct the concern. (Complete Attached Worksheet) Unresolved concerns exist requiring a Probable Cause Hearing scheduled by the Board of County Commissioners. (Complete Attached Worksheet) ****************************************************************************** Please notify at Extension Board of Commissioner's renewal hearing. of the date and time of the Liquor/Beer License Worksheet The following concerns are noted: The Licensee and the Sheriffs Office have collectively agreed to implement the following to correct concerns noted above: (A time line and corrective action should be listed for each concern) Establishment Owner, Please Print Date Establishment Signature Deputy's Signature Use another sheet of paper or attach separate proposal to this packet if needed. Attach copies of all reports associated with this establishment for the last year. Both the Deputy and the Owner of the establishment will be required to attend the Liquor Hearing to testify to the above agreement. MEMORANDUM TO: Shelly K. Miller, Deputy Clerk to the Board March 4, 1997 COLORADO From: Julie Chester, Zoning Compliance Officer SUBJECT: Liquor License #LC0010 Review of the following liquor license renewal by the Department of Planning Services shows the following: Myrtle G. Jordan DBA P & M Recreation Lots 5 & 6, Block 3, Main Street P.O. Box 72 Stoneham, CO 80754 Zone District: Agricultural This use is allowed through a Nonconforming use NCU-00211. There are no violations occurring at this time. SERVICE, TEAMWORK, INTEGRITY, QUALITY MYRTLE P. O. BOX72 STONEIIAM, Co 80754 fm National Bank rSNrting. p001 o1osa-.A4 P 387 472 350 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL ee Reverse Sent to Sti MYRTLE G. JORDAN P t DBA P&M RECREATION BOX 72 Po STONEHAM, CO 80754-007 Co SPt Restricted Delivery Fee Return Receipt showing to whom and Date Delivered Return Receipt showing to whom. Date, and Address 01 Delivery TOTAL Postage and Fees S Postmark or Date 3--3/-97 'solAoS Atom" uwntsy Onion goy noA>lu.yy m r m m5 a « m o $ 0 P 0 m ymI, 8 m 0 m t 0 O -C m o.. ¢V 2 • s 3 cmom , ❑ ❑ m roil O V ' N 0 m«m O to c 5 IS m5 :E sm $$si $' I N N. m o am z 0 4 o .E2 z 0 oW t iR ° O'V O E �o Si 0 ' as a $is : 4 J M N= C y d s o�z ..-:- 0 cc > m O m '4 -4 °Ctm`shm- 0 �om� g zy w7r����pYs !gcu W6 ar9 iffe oil Q of y••• • • • ci n m a LoPls oswna S14 uo POWIduwo SS3tl00Y MMUS anoA •I 82-90(1070 n O V co o 14 9 rcN E ≥ 1 z ii—.g2Im� Q m mg cc O Z w n co «� `m 150 O m am .0 E m 'OJINOS ldpoay unafraid eultrn Jo{ nail Nasal PS Form 3800, June 7985 P 387 472 385 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL (See Reverse) Ser Str Colorado Dept. Of Revenue Liquor Enforcement Div. P`1375 Sherman Street ac Denver, CO 80261 CE 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 Postmark or Date E 8 U a O 'go L c' a y m Z �F M § m m8 m cc ❑ m C 0 Q m 1 d O m X z5 a N Q till R 0 m C > a 2¢ 0 o 8 m ., o 0 d $ E `o E(.15 e £ a 1a d oat c 1g N A CO .6fie o H c3Eo a ¢_ o0yV w AoNa o J n > o Q M m O J v- 0 Q Ed 8 LOPI* OWSAYJ 0Ep uO pSlatdwoo SSRuGay Nsn13H moot op a) CC cr O1 0 C a co ❑
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