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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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951835.tiff
RESOLUTION RE: APPROVAL OF RENEWAL REQUEST FOR 3.2% BEER LICENSE ISSUED TO L. JENSEN, DBA HIGHLANDLAKE, INC. - EXPIRES NOVEMBER 9, 1996 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., 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: 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 95-12 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 November 9, 1996, 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. 951835 �C! ; So; //i9hland litKt, /ne. LC0035 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 21st day of August, A.D., 1995. BOARD OF COUNTY COMMISSIONERS Vrct..__I,D COUNTY, COL RADO -/I Sj Couptr Clerk to the Board • I, ip. U eputy Cler'' o the Board AP DAS, TO FOR7 ourf£y Attorreyy Dale K. Hall, Chairman Fxr:l ISFn Barbara,J.(irkmeyer, Prp-Tem George E. axter ;<(-74Ltii-oe-, Constance L. Harbert 1 t/ ,I l)% W. H. Webster 951835 LC0035 THIS LICENSE MUST BE POSTED IN PUBLIC VIEW DR 84021101921 /___{, STATE DEPARTMENT ALCOHOLIC OF COLORADO OF REVENUE Liquor Enforcement Division 1375 Sherman Street Denver, 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, 1996 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 TOTALFEE(SI 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. nontransferable and shall be conspicuously posted in the place above described. only valid through the expiration date shown above. Questions concerning be addressed to the Department of Revenue, Liquor Enforcement Division. Street, Denver, CO 80261. testimonywhereof, I have hereunto set my hand. / ye / r AUG 2 9 1999 Division Director Executive $ 92.50 under the This license is This license is this license should 1375 Sherman Director 951835 nq: S q Rn L ri ♦ t rr! r /r w 951835 1896.... NON -TRANSFERABLE LICENSE EXPIRES 1 DR 8400 (8/89) Cob. Dept. of Revenue Liquor Enforcement Division 1375 Sherman Street Denver, Colorado 80261 866-3741 Liquor or 3.2 Beer License Renewal Application ); 1. '?lrl• A License Number: License Type: Liability Information: ! 2 Li1<.J 5 Business Location: 1 T'. L, w L. u ... Current Ucense Expires: ©TIY/©Oo MM C©©fV YOUR PROMPT ATTENTION IS REQUIRED. FAILURE TO COMPLETE THIS FORM ACCURATELY AND PROMPTLY MAY RESULT IN YOUR LICENSE NOT BEING RENEWED: • FILL OUT THIS FORK COMPLETELY AND. CHECK APPROPRIATE. BOX BELOW. $.This renewal reflects no changes from last application 0 Thera are changes from last application. (Report changes onion DR 8176 -"Report of Changes - Liquor and 32 Beer Licenses" and attach that, form to this renewal application) ..„-F����}"...��`'S.. ^Y�`L �#iE�'.v't::!'.°E ti'"";•x.k1: �4:, a" ,.. akb�r,.V^t�sz�-r.,ewns.,. vu�.,. e,. -. I declare under penally of perjury in the second degree that this application and all attachments are true, co Authorized Signature: Title of Signer corporation* ., • SIGN THE FORM • ENCLOSE TOTAL AMOUNT DUE • SUBMIT FORM TO LOCAL (CITY/COUNTY) LICENSING AUTHORITY FOR APPROVAL • CHECK WT H LOCAL AUTHORITY FOR AMOUNT OF LOCAL FEES. and complete to the best of my knowledge. Date: Sale Tax No. Business Phone: cyf .} .J-. . COPIES) 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 public transportation system license renewals drr not need Local Licensing -Authority approval and must be returned directly to the Colorado Department of Revenue ne later than 30 days; • rior to license exxpiratiioon .�2,. ::eNn.,�ne,Dyg . .• ,., dvtrOr"+ .+Y„k.., "8'.°- '4 `"° ;. The fi tory,: THE Loaf ATTACHED DR 8401 MUST BE COMPLETED (ALL 3 asbeen examined and the premises, business conducted and character of the applicant are satisfac- rt that such license, if granted, will comply with the provisions of Title 12, Articles 46 and 47, C.R.S. tTION IS APPROVED or 1 - D TOWN/CITY ;:k t COUNTY Title Chair Board a NOT 'DEYACH • Do NOT DETACH • Do NOT DETACH • Do NOT DETACH • Do NOT DETACH • DO Nor- DETACH • Do NOT DETACH 8tls ssnor r / L o' C IzT kb- -5 - --- ,. PL.4T1EJ1LLL CO NAME: USE LICENSE NUMBER FOR ALL REFERENCE LIABILITY INFORMATION RENEWED LICENSE . - EXPIRES AFTER - COUNTY CITY INDUST. TYPE LIAR DATE ,,E�,tlLA'1U.LAR t- i.�,L a'Cz Pt -2 w»tide L s vti 2,J' 5'941 C lliuc7 TYPE OF LICENSE ISSUED CASH FUND STATE FEE CITY 85% OAP CO 85% OAP -01 (g) 41.9 (9) 45-9 (9) ` 37-1 (9) 49-1 (9) 4.C.raki 3Ls.s LTAIL -. ^ (L,N.rJi"i= z5..0� 25�c.. .t 4C•.:1+.+.. Make check payable to: ENAaspttNT COLORADO DEPARTMENT OF REVENUE TOTAL AMOUNT DUE 0 - ? t . 5 J EXTENDED'HOURS — Applies only to Hotel and Restaurant Beer : and Wine, Club; Tavern, Extended hours? and Arts Ilbenses. If desired, check yes" and enclose Total Amount Due PLUS $170.00. O Yes Pf+ No 9951835 Y DR8401 (07/94)b 1 �'. COLORADO DEPARTMENT OF REVENUE LIQUOR ENFORCEMENT DIVIErON } 1375 SHERMAN- STREET ,,y ". AtTACHMEN'1 TO LIQUOR OR DENVER CO mat cif V (303)866-3741. 3.2'BEER,LIC"ENSUE RENEWAL.APPLICATION This page must be completed and`attached tt your signed renewal application form. Failure to include this pager,,wiithttheappiication may result'in your license not:being renewed. Trade Name of: Establishment'. - , ;; (�� h./crs7�1wke 1-7C Manager Stale License Number - fll -lz' 1. Operating ' Mt, -RN) E "Ser.m5ew HomeAddress :, ' _ , t,7,v4q: e 5- f'GATTlvfLt�',C'O , Date -of Birth, 2 Do you have legal possession of'the premises'for which this applicationtfor license, is made3 Are the premises owned or rented: - (>I//44 -e--,,4 If rented, expiration, date of lease: Yes No y v 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 air liquor businessesin 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 Y,,,_.,(other. than fieegsed,.tiparqeiaLinstitufl-Qans, bear_y,con,,, r ,ofampl�rtae?J.f.,ygs, attacttt detailed„explat?atioa-%—-,...,F.>,.rio.r:.__..,,, „- Yes .,.,„_: No . 5 Since the date of filing of the last annual application has the applicant, or any of its agents wners, managers, principals, or lenders PI (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 hadan alcoholic beverage license denied; suspended or revoked?.1f yes, attach a detailed I explanation. ..,, , ,.p i Yes � No �` • y f 0 y'I ..... / 6 . Does the applicant, or any of its agents, owners, managers, principal"stor 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 queifion, 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 license9 If, yes, this license must be transferred'to the new owner and may not be renewed. Contact your,Loca.l Authority immediately. Yes No 154 8. Partnership applicants mustanswer this question., Since the date of filing of the last annual license application: (a) Are there, or have there bsen any general partners added to, or deleted from the partnership? If yes, this license mustbe transferred to the partnershi and m�a,y� not be renewed. Contact your Local Authority immediately. ' (b) Are there or hav here bee nyimited partners with a 10 % or more interest, added or deleted from the, partnership? If yes, this license must be tr sferred the new partnership and may not be renewed. Contact your Local Authority immediately. C• Yes No ("fit] �-r• I-pf !Y / /,�Y1' 9Corporate applicants. Must ans ` /this clues, on. Since the5;dateoffilingo/the last annual license application: (a) --'Are there, or have there been any officerel or directors added to aor dpiled from the corporation?' If yes complete and attach DR 8177 and submit to your Local Authority immediately _ Yes ""'"'�' No -(b) tPe"there," b"'hr "avethere`b4e"en rant' sto'ct₹h'oldeg wnh ttit rift die dfiti is` Ct stco added-io; brribIS'ted'fffiffittie cb?rporaUon?" If yes, complete and attach DR 8177 and submit to your Local Authority immediately. (c) Date of filing last annual corporate report with the Colorado Secretary of State: F 10. Limited Liability Comptny appl ants must answer this question. Since the date of filing of the last annual license application: (a) Are there, or have here bee any managingl'members added to, or deleted from the company? If yes, complete and attach DR 8405 and subit to your Local'Authgraty 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. (c) Date of filing last annual LLCO report with the Colorado Secretary of State: f — 3.— .1 3 Yes No f 11. Bed and Breakfast applicants must answer ,this .question andcertify 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; perday 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. /?4 35- �+ n DATE: AUGUST 11, 1995 TO: ROSEMARY LOPER, RECORDS FROM: OFFICE OF WELD COUNTY CLERK TO THE BOARD SUBJECT: LIQUOR LICENSE CHECKS Please run a records check on the following establishment for any incident reports associated with its address. This information will be used by the Board of County Commissioners in considering renewal of liquor license. PLEASE RESPOND NO LATER THAN AUGUST 18, 1995. Thank you. ESTABLISHMENT: L. JENSEN, dba HIGHLANDLAKE, INC. 17029 WELD COUNTY ROAD 5 PLATTEVILLE, CO 80651 INCLUSIVE DATES: AUGUST 1994, through AUGUST 1995 BY: Shelly K. Miller, Deputy Call 356-4000, ext. 4226 WHEN COMPLETED, OR IF QUESTIONS. No violations/incidents or},regor BY: C INCIDENT REPORTS (PLEASE LIST OR ATTACH) BY: k:\shells\pligcheck 95835 n lets; amtCs m De MEMORANDUM 1,-.71D CM ;TY TO: Board of County Commissioners August-14,-1:9nr. e: 27 From: Keith A. Schuett, Current Planner II SUBJECT: Liquor license renewal LC - 0035 CLER i TO THE EGAD) L. Jensen dba Highland lake, Inc. 17029 Weld County Road 5 Platteville, Colorado Part of the Southwest %, Southwest' , of Sec. 4, & pad of the Northwest Y, Northwest %, of sec. 9, Township 3 North, Range 68 West of the 6th P.M., Weld County, Colorado The property is a Legal nonconforming use NACU -141 and Special Use Permit 876 and can continue as long as the use is not expanded or changed. 9510x35 n P 3 b 7r 7 2 i00 7 R'ECEIPT FOR'CERTellED MAIL NO INSURANCE: COVERAGEPROVIDED NOT FOR INTERNATIONAL MAIL (See Reverse) L JENSEN DBA HIGHLAND LAKE, INC. 17029 WCR 5 PLATTEVILLE, CO 80651 PS Form 3800, June 7985 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 Postmark or Date S ',r? r.3 seat June 1985 F1 HIGHLANDLAKE, INC. 05-70 MARY E. JENSEN 17029 COUNTY RD 5 535-4283 PLATTEVILLE, CO 80651 PAY TO THE ORDER OF _ eloc 11/ -y , 76, 0-1 ST/ Oy �--- �� United Bank FOR United Bank of Longmont • National Association (303)716-7240 •635 Coffman Street • Longmont, CO 80501 a 19 1-91 c- 1200 82-122/1070 ' 2, 57> DOLLARS P '1387'472 Ft82 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL (Setettfigtverse1 . _. COLORADO DEPT OF RIEVENUfE LIQUOR ENFORCEMENT DIVI'S�IiOiN STATE CAPITOL ANNEX 1t3r715*SIriERMAN ST DENVER CO 80203 Speciale Delivery Fee Restricted Delivery Fee Return Receipt showing ta whomandDate Delivered Return Receipt showing to whom, Date. and Address of Delivery TOTAL Postage and Fees S Postmark or Date Etat et,.
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