HomeMy WebLinkAbout960085.tiffRESOLUTION
RE: APPROVAL OF RENEWAL REQUEST FOR A TAVERN LIQUOR LICENSE, WITH
EXTENDED HOURS, ISSUED TO LUCKY STAR CORPORATION, DBA LUCKY STAR
BAR AND GRILL - EXPIRES APRIL 18, 1997
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, Lucky Star Corporation, dba Lucky Star Bar and Grill, presented to the Board
of County Commissioners of Weld County, Colorado, an application for the renewal of a Tavern
Liquor License, with extended hours, for the sale of malt, vinous and spirituous liquors for
consumption by the drink on the premises only, and
WHEREAS, pursuant to Weld County Ordinance No. 6, Section II, C., said applicant has
paid the sum of $128.75 to the County of Weld for the renewal of the existing license, and
WHEREAS, said applicant has exhibited a State Liquor License for the sale of malt, vinous
and spirituous liquors for consumption by the drink on the premises only, outside the corporate
limits of any town or city in the County of Weld at the location described as follows:
33131 Highway 85, Lucerne, Colorado 80646-9999
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 96-03 to said applicant to sell malt, vinous and spirituous
liquors for consumption by the drink on the premises only, 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 April 18, 1997, providing that said place where the licensee is
authorized to sell malt, vinous, and spirituous liquors for consumption by the drink on 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.
960085
ee.: so; Luc K.`tar
LC0016
RENEW LIQUOR LICENSE - LUCKY STAR BAR & GRILL
PAGE 2
The above and foregoing Resolution was, on motion duly made and seconded, adopted by
the following vote on the 10th day of January, A.D., 1996.
A r i
ro tt�
Cc1
APP
eputy Clerk tt e Board
AS TO FO
ty Attorn
Dale K. Hall
BOARD OF COUNTY COMMISSIONERS
WEL COUNTY, COLORADO/
arbara J. Kirkmeyer,Chair
Constance L. Harbert
s
960085
LC0016
THIS LICENSE MUST BE POSTED IN PUBLIC VIEW
DR 8402
(10/92)
STATE
DEPARTMENT
ALCOHOLIC
OF COLORADO
OF REVENUE
Liquor Enforcement Division
1375 Sherman Street
Denver, Colorado 80261
LUCKY STAR CORP
LUCKY STAR BAR&GRILL
33131 HWY 85
LUCERNE CO 80646-9999
BEVERAGE LICENSE
Account Number
Liability Information
LICENSE EXPIRES AT MIDNIGHT
County City Indust. Type Liability Date
14-29494-0000
03 206 5813 C 041989
APR 18, 1997
Type
Name and Description of License
Fee
2010
2190
TAVERN LIQUOR LICENSE -
MALT, VINOUS, AND
SPIRITUOUS
COUNTY 85 PERCENT OAP FEE
$ 50.00
$ 276.25
TOTALFEEISI
EXTENDED HOURS
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.
testimony whereof, I have hereuniorei-my hand.
a...f4 C JAN 1 8 1996 Via
Division Director Executive
$ 326.25
under the
This license is
This license is
this license should
1375 Sherman
C'l
Dire for
960085
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DR 8411 (03/94)
COLORADO DEPARTMENT OF REVENUE
LIQUOR ENFORCEMENT DIVISION
1375 SHERMAN STREET
DENVER CO 80261
LIQUOR LICENSING PROCESSING DOCUMENT
RETAIL LIQUOR &
3.2% BEER LICENSE FEES
1. Name
e of Appliiccant(s))'(e[xactly as It appears on state application)
LKe!�y Sitar &xrp.
2. Trade Name o Establishment (DBA)
Lttck Say.,— L34 -r 414 6C'i 11
3. Address of Premises (as ti appears on the application)
33/3/ Hwy ce5
State Sales Tax No
Ale 7q
City
`-G(f erne
State C7
2320-750 (999) SECTION A FEES
Business Phone
6/7o).3s/— get a
County
luelu
DO NOT WRITE IN THIS SPACE
• ALL ANSWERS MUST BE PRINTED IN BLACK INK OR TYPE-
WRITTEN
• APPLICANT MUST CHECK THE APPROPRIATE BOx(ES)
• LOCAL LICENSE FEE S facet Zr
ZIP Code
If applicant has a Beer and Wine, or Malt, Vinous and
Spirituous Liquor License, indicate your state Liquor
• License Account No. /N— 29VQ _.c °O
❑ Retail Warehouse Storage Permit $50.00
❑ Request to Change, Alter or Modify Premises ....75.00
❑ Addition of Optional Premises to Existing
HoteURestaurant $50.00 x Total Fee
❑ Request to Change Corporate or Trade Name ...25.00
❑ Request to Change Location 100.00
❑ Duplicate License 25.00
❑ Subpoena Testimony Fees 100.00
(use license no. 21-94214)
2330-750 (999) SECTION B FEE
If applicant has a 3.2% Beer Retail license, indicate your
• state 3.2% License Account No.
❑ Request to Change, Alter or Modify Premises 75.00
❑ Request to Change Corporate or Trade Name 25.00
❑ Request to Change Location 100.00
❑ Duplicate License 25.00
LIAR I
2300
2310
1940
1940
1950
1950
1960`
1960
1970
1980
1990
2010
2020
2030
2040
1905
2110
1970-750 (999) SECTION C FEES
If applicant has a HoteURestaurant liquor license and is
registering a new manager, Indicate your state Liquor
• License Account No.
❑ Manager's Registration
$75.00
ECTION 0 LIQUOR LICENSE FEES
5 Application Fee for New License $450.00
❑ Application Fee for Transfer of Ownership 450.00
❑ 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
❑ Beer & Wine License (city) 177.50
5 Beer & Wine License (county) 262.50
❑ H & R License ['city ❑ county 326.25
❑ H & R License w/opt Prem ❑ city 5 county 326.25
❑ Club License ❑city ❑ county 135.00
%Tavern License ❑ city tgcounty 326.25
❑ Arts License ❑ city ❑ county 135.00
❑ Racetrack License ❑ city ❑ 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
2300
2310
2121
2121
2122
2122
2123
2123
2170
SECTION E 3.2% BEER LICENSE FEES
❑ 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
❑ Retail 3.2% Beer On/Off Premises - (city) 71.25
❑ Retail 3.2% Beer On/Off Premises - (county) 92.50
❑ 3.2% Beer Special Event Permit each 10.00
DO NOT WRITE IN THIS SPACE - FOR DEPARTMENT OF REVENUE USE ONLY
County
Type
LIABILITYINFORMAT ON
License Issued Through `..
(Expiration Date)
License Account Number.
Fee paid for 3,2% Beet
State
-750 (999)
Cash Fund Now Uwm•
2300-100 yy
199)
2180.10 (999)
qty
2190.100.(999)
-7
0 (999;
paid far Baer, Wine, and Spirituous Liquor
2180-100(999)
White Copy - Department of Revenue Canary Copy . Liquor Enforcement Division
2190.100(999)
Managers Reg
1970-755 (999)
. Ext:Hours county
2'190-100
Pink Copy - Local Authority Golden1oggpyi iitant
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
License Number License Type
14-29494-0000 2010
Liability Information
03 206 5813 C 04,1989
LUCKY STAR
LUCKY STAR
PO BOX 52
LUCERNE CO
CORP
BAR&GRILL
80646-0052
❑ 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.
D 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
33131 HWY 85
LUCERNE CO
Current License Expires APR 18, 1996
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 APPLICANT
I declare under penalty of perjury in the second degree that this application and all attachments are true, correct,
best of my knowledge. -
and complete to the
Authorized S - nature �,,,..7
Date
Business Phone
Title of Signer (if corporation) �Sp e Ta Npmb$r. ��
rrf}
v
REPORT AND APPROVAL OF LICENSINrF4l
The foregoing application has been examined and the premises, business conducted and cha Char o 4he applicant are satisfactory,
and we do hereby report that such license, if granted, will comply with the provisions of Titl r2, Ar c s 46 and 47, C.R.S.
THEREFORE THIS APPLICATION IS APPROVED. ?* t_
to
Local Licensing Authority for
Town/Coy
Weld County, Colorado ,\Con
TAttttest
Sign re 'Title
J , ,12/eiti
' Chair, Weld County
Board of Commissioners.-.
By.
Deputy Cerk to Board
—DO-NOTUETACH
,• kS rr T.
H
DR 8400 (08)951
COLORADO
SHERMAN ST
OF REVENUE
137
utr.vtn Vu Ducal
Business Name
LUCKY STAR BAR&GRILL
LICENSE NUMBER (use for a H reference)
14-29494-0000
RENEWED LICENSE EXPIRES AFTER
04-18-97
TYPE OF LICENSE ISSUED
TAVERN LIQUOR LICENSE -
MALT, VINOUS, AND
SPIRITUOUS
CASH FUND
2320-100(999)
$ 25.00
STATE FEE
2010-750(999)
$ 25.00
COUNTY 85% OAP
2190-100(999)
$ 276.25
nr_
LIQUOR OR 3.2 BEER LICENSE
RENEWAL APPLICATION
21
ADD $50.00 TO RENEW
JUD IUIHL.
ADD $170.00 FOR EXTENDED HOURS 2190-100(999)
RETAIL WAREHOUSE STORAGE PERMIT 2210-100(999)
TOTAL AMOUNT DUE
Make check payable to: Colorado Department of Revenue
Levo/6
•
$12LL.00
$ •
960085
ATTACHMENT TO LIQUOR OR
DR 8401 (07/94)
COLORADO DEPARTMENT OF REVENUE
LIQUOR ENFORCEMENT DIVISION
1375 SHERMAN STREET
DENVER CO 80261
(303) 866-3741
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 Name of Establishment < 1 ) t_ ^ I ‘'6O--i' L i
C/71`,il
State �icense'Number
1 LT
L� `�7/Date
1. Operating Manager
A4 414Mo u b Tc--40,(/14N
Home Address
33131 4-I Au/- 8s- as sz 1-u «-,,,e 8"°‘v6
of Birth
2. Do you have legal possession of the premises for which this application for license is made?
Are the premises owned or rented: If rented, expiration date of lease:fg _
Yes
No
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 whi h these new lenders or owners, (other than licensed financial institutions) are
materially interested. Coe I e --_e.
Yes
x
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 tiling 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
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
Li _
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. CO 7 ! .4 tld-Ch at ,
iv
(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.
(c) Date of filing last annual corporate report with the Colorado Secretary of State:
Yes
X
No
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.
(c) Date of -filing last annual LLCO report with the Colorado Secretary of State:
Yes
No
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.
960085
to
._'C'U*j1I7(03/95) Itt = :
• COLORADO DEPARTMENT OF REVENUE
LIQUOR ENFORCEMENT DIVISION
1375 SHERMAN STREET ROOM 600
DENVER CO t-
(303)866a74MtLD Coo TY':
C0MM> 13 i;'1'+cor,
CORPORATE APPLICANT
INFORMATION AND
CORPORATE REPORT OF CHANGES
Liquor and 3.2 Beer License
ACKNOWLEDGED
DEC 211995
sw
1995 DEC 28 Pti Submit to Local Authority (Local Authority will submit to State)
DO NOT USE THIS FORM O'1RCEFLECT A CHANGE IN PARTNERSHIP. IF THERE IS A CHANGE IN PARTNERSHIP, USE THE
DR 8404 ANDtfr)L ,rCHANGE OF OWNERSHIP WITH YOUR LOCAL LICENSING AUTHORITY.
Attach
[]
C
■
r •!lumens to this applicant information
Date Stamped=Arai es of Incorporaton4f incorporated less than 2 years
Certificate..of Standing dated within the last two years if Corporation
Certificate;of Authority if a foreign corporation.
Is at least two
old
NOTE'. All Officersandoirectors of the Applicant/Licensee must fill outa p9-64944 (Individual Historyfecord). All stockholders
with a 10%;(or-more) ownership interest in the Applicant must also fill outa DR 8404-I (Individual History Record).
Corporate Applicant Name p
L,IJcKK1 STAR\ carp•
State Tax Account Number
11/42.gWe/
State Liquor License Number
14-29494-.0000
Trade Name
LrtckI -ttiL, B�k6rill
Telephone Number
(9fW) 351 go0O
Address of Licensed Premises
3331 FIi(,wa/ g; , La
City
L(LCA 't e—
State
c o
ZIP Code
�5On�/6
Mailing Address if different than above
Pc eopt 52-
City
L.-ttcc'�nt
State
co
ZIP Code
E�6 rl(�
ALL APPLICANTS MUST LIST CURRENT OFFICERS AND DIRECTORS. If currently licensed and this is a change of corporate
structure, also identify the Officers/Directors replaced and attach a certificate of good standing, dated within the last two years.
Follow instructions in the shaded area above. Attach separate sheet if necessary.
CURRENT CORPORATE OFFI Rs Name
Home Address
DOB
Replaces
glzi/351ICHAEL
Secretary
CURRENT DIRECTORS Name
Home Address
DOB
Replaces
"4n
LIST ALL STOCKHOLDERS AND PERCENTAGE OF STOCK NOW OWNED Is this corporation sublect to the reporting
requirements of the Securities and Exchange Act of 1934? (Publicly traded) ❑ Yes i J No If yes, list only those
stockholders owning 10% (or more) of the issued stock. If no, list all stockholders.
CURRENT STOCKHOLDERS Name
Home Address
DOB
% of Stock Now Owned
72/1 ✓GLnkiv.
l7og1 `Gr co��o.�� aG-r.,ta
fizz/ iJ
Agent -
Address For Service
ATH OF APPLICANT
F
J
it declare under penalty
of my knowledge.
ti'
of perjury in the second degree a icahan and all attachments are,true, correct, and complete to the best
ek
Authorized Signature
(y[ry` �.�--
/u^Cf
Title ?St Q p
1 `L t
Date 31 / 3/ L 6
� t foregoing changeshave^lfeentecelve�rz
-REPORT OF LOCAL f egmstNGrAN ` *w , � g Authority.
xamined by the Local
Local Licensing Authority For
1 & wl/t rYiO
County ❑ Town/City
Signature '�a+t (:t'^ e� • IRMAN , WELD COUNTY BOARD
�seej :vOP -`,COMMISSIONERS ..
Date
.-. 09/13/95
/
Attest l t . `'rr r c .,r
rz 4 th(24
Date
09/13/95
i" $Oa5
NOTE: Local authority, for all changes tri torf}btations, please submit all copies to the Liquor Enforaseo}l�ipo.
Ara cknowledgment will be returned to the local authority. `v�VvOOaa77
DATE: 01/04/96
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. This information will be used by the
Board of County Commissioners in considering renewal of liquor license.
Please respond no later than January 5. 1996. (Sorry for the short notice!)
Thank you.
ESTABLISHMENT:
Lucky Star Corporation
dba Lucky Star Bar & Grill
33131 Highway 85
Lucerne. CO 80646
INCLUSIVE DATES: 02/06/95 - 01/04/96
BY: LIN DODGE. Deputy
Call 356-4000, ext. 4226 WHEN COMPLETED, OR IF QUESTIONS.
No violations on record.
VIOLATIONS: (PLEASE LIST )
Date
BY: Date:
960085
01/08/98 10:32 FAX
At,t4‘14
MSc
MEMORANDUM
TO: Board of County Commissioners
From: Keith A Schuett, Current =fanner I!
SUBJECT: Liquor license renewal LC - 0016
January 8, 1996
Lucky Star Corporation
dba, Lucky Star Bar and Grill
33131 Highway 85
Lucerne, Colorado 80545-0052
Pt. E2 SE4 sec.18, T5N, R65W
(080318000007)
The use is a permitted use in the C-3 (Commercial) Zone District of Weld County, Colorado
JAN 8 '85 10:25
PAGE.001
960085
PAY
LUCKY STAR CORPORATION GENERAL ACCOUNT EATON
U.S. HIGHWAY 85 �r`�-. c -O4
/5
P.O. BOX 52 _ EATON BANK
LUCERNE, CO 80646-0052 EATON, COLORADO
970-351-8000
/
TO THE ORDER OF r%
�! , DATE
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P 387 472 037
RECEIPT FOR CERTIFIED MAIL
NO INSURANCE COVERAGE PROVIDED
NOT FOR INTERNATIONAL MAIL
(See Reverse)
LUCKY STAR CORPORATION
DBA LUCKY STAR BAR & GRILL
33131 HWY 85
LUCERNE, CO 80646-9999
1
PS Form 3800, June 1985
Certified Fee
Special Delivery Fee
Restricted Delivery Fee
Return Receipt showing
to whom end Date Delivered
Return Receipt showing to whom.
Date, and Address of Delivery
TOTAL Postage and Fees
Postmark or Date
onal services.
❑ Addressee's Address
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