HomeMy WebLinkAbout971596.tiff RESOLUTION
RE: APPROVAL OF RENEWAL REQUEST FOR TAVERN LIQUOR LICENSE ISSUED TO
SIPRES LOUNGE, INC., DBA SIPRES LOUNGE - EXPIRES SEPTEMBER 4, 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, Sipres Lounge, Inc., dba Sipres Lounge, presented to the Board of County
Commissioners of Weld County, Colorado, an application for the renewal of a Tavern Liquor
License 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$75.00 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:
1490 Weld County Road 27, Brighton, Colorado 80601
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 97-11 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
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 September 4, 1998, 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.
971596
r,-' : v5o' S/PARES LC0028
RENEW LIQUOR LICENSE - SIPRES LOUNGE
PAGE 2
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 21st day of July, A.D., 1997.
BOARD OF COUNTY COMMISSIONERS
WELD OUNTY, COLORADO
ATTES 4 :14%.
t George . Baxter, Chair
Weld ou ;94Y o t .rd
- Ake Lance L. Hare Pro- m
BY: ,.dt_.171t4a_-Ii7�
D- Irte la yard
ci�� — Dale K. Hall
APPROVED AS TO FORM:
EXCUSED
Barbara J. Kirk e r
y Attor y / (vii
W. H. ebster
971596
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971596
THIS LICENSE MUST BE POSTED IN PUBLIC VIEW
DR 8402 110/9 2)
STATE OF COLORADO
DEPARTMENT OF REVENUE
Liquor Enforcement Division
1375 Sherman Street
Denver,Colorado 80261 ,
SIPRES LOUNGE INC
1490 WCR 27
BRIGHTON CO 80601
.
ALCOHOLIC BEVERAGE LICENSE
Liability Information
Account Number County City Indust. Type Liability Date LICENSE EXPIRES AT MIDNIGHT
03-69427-0000 03 206 5813 C 090595 SEP 04, 1998
Type Name and Description of License Fee
•
2010 TAVERN LIQUOR LICENSE — $ 50.00
MALT, VINOUS, AND
SPIRITUOUS
2190 COUNTY 85 PERCENT OAP FEE $ 425.00
TOTAL FEEIS)I $ 475.00
This license is issued subject to the laws of the State of Colorado and especially under the
provision of Title 12, Articles 46 or 47, CRS 1973. as amended. This license is
• nontransferable 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 Department of Revenue, Liquor Enforcement Division, 1375 Sherman
Street,Denver,CO 80261.
1 •
testimony whereof,I have hereunto set my hand.
M.M.K.
"� C JUL 3 1 1997 147tpt et
Division Director ' Executive Dire for
.....R —
•
971596
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P 387 472 375 8 V a
RECEIPT FOR CERTIFIED MAIL m e v 2 f m 0 'd
NO INSURANCE COVERAGE PROVIDED p'c-* to Q •' yin N NOT FOR INTERNATIONAL MAIL Q m O 'VS (t
(See Reverse) a•° In . iD p .:� m e
Sent to co w m m H ( j
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a o 2 °�' ,m, e m
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-
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a Pc SIPRES LOUNGE, INC. 0 3`�0 ❑ ❑ 1 E
ei DBA SIPRES LOUNGE - _2 o V, - a m
E \ a a ;� <D E
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BRIGHTON, CO 80601E Z m m 2 c Sto
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DR 8400 I1 o)95) License Number License Type '
COLORADO DEPT OF REVENUE LIQUOR OR 3.2 BEER LICENSE 03-69427-0000 1 2010
1375LIQUOR SHERMANCSMENT DIVISION RENEWAL APPLICATION Liability Information
DENVER CO 80261 03 206 5813 C 090595
Business Location
1490 WCR 27
SIPRES LOUNGE INC BRIGHTON CO
1490 WCR 27
BRIGHTON CO 80601 Current License Expires SEP 04 , 1997
PLEASE COPY FOR
YOUR RECORDS
❑ This renewal reflects no changes from the last Application for renewal must be filed with your LOCAL
application. Complete page 2 and file now! LICENSING AUTHORITY at least 45 DAYS PRIOR to the
here are changes from the last application. expiration date of your current license.
Completeand attach page 2 (DR 8401) and if a Exception: Wholesaler, manufacturer, importer, and public
corporation, DR 8177 - Corporate Report of transportation system license renewals do not need Local
Changes; or if a Limited Liability Company (DR Licensing Authority approval and must be returned directly to
8405). Ail other changes of ownership require.a the Colorado Department of Revenue at least 30 days prior to
transfer of ownership application. See your Local the current license expiration date.
Licensing Authority immediately. FAILURE TO FILE THIS RENEWAL AT LEAST 45
D Delivery Permit requested? Retail Liquor Store, DAYS PRIOR TO THE EXPIRATION DATE OF YOUR
Drug Store or 3.2% Beer - Combination On/Off LICENSE MAY RESULT IN YOUR LICENSE NOT
Premises Licenses ONLY. Check the box if you BEING RENEWED.
want the permit to be issued
.. .... ........ ................. ... . . .
OATH OF APPLICANT;:::
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. ,G^` 1
Authorized ure 1 r. Date Bus/inessPhon 3a,3 —
/fl, [r7_S `S jC
Title of i er f torpor ion) 11:11-5 Sales Tax Numbe
t/.1 4. O.?� 2frc27 -Cyod
REPORT AND APPROVAL OF LICENSING AUTHOR .,
The foregoing application has been examined and the premises,business conducted and character o ;�p,yrl,i�k ar Usfactory,
and we do hereby report that such license,if granted,will comply with the provisions of Title 12.A tqc.art 'G�iR. -\
THEREFORE THIS APPLICATION IS APPROVED. j - `�
Local Licensing Authority for �k`r, r te
❑ Town/City r . 6 a'� �r1 rGz i�+vwi!
f0 nt Of Wol i �,�`, 1 Fii
Signs[ l Title tt. Ij►'��,!�i. ��j,
Chair, Board of i�
sip y
A ��/:./ C count y cm.;cc;nnarc ,�/�����)ITT:" ✓ /,�� —A��s
iiiJuT,• -in r, DO NOT DETACH `'=V`�llel�l\r',airt e .a19_01 TACH.
DR 8400 108/95/ LIQUOR OR 3.2 BEER LICENSE 21
COLORADO DEPT OF REVENUE
1375 SHERMAN ST RENEWAL APPLICATION
DENVER CO 80261
Business Name LICENSE NUMBER(Use for all reference) RENEWED LICENSE EXPIRES AFTER
SIPRES LOUNGE INC 03-69427-0000 09-04-98
TYPE OF LICENSE ISSUED CASH FUND I STATE FEE
TAVERN LIQUOR LICENSE - COUNTY 85% OAP
MALT , VINOUS , AND 2320- 100 ( 999 ) 2010-7501999 ) 2190- 100 ( 999 )
SPIRITUOUS ,
$ 25 . 00 $ 25 . 00 $ 425 . 00
SUB-TOTAL $ 475 . 00
ADD $Ea:d0'- fio RENEW RETAIL WAREHOUSE STORAGE PERMIT 2210- 100 ( 999 ) $
TOTAL AMOUNT DUE $
Make check payable to:Colorado Department of Revenue
971596
DR 8401 (07/94)
COLORADO DEPARTMENT OF REVENUE
LIQUOREMANCTREET DIVISION
1375SATTACHMENT TO LIQUOR OR
1375 HERMAN 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 State LicenseN ber
/ jOre. S APun,�,..LtiG Q 3 &9 �()--7- e7
Home Ad/dreC,s/;^ Date of Birth
1.Operating Manager _6 / L 6 i w _ /J l -7 €4, 704 6 -
6Doyo) � �/�p,Qe t (c (.:/e- mad Y,/ Yes No
2. "Do you have gal possessi tee
the premises for which this application for license is made?
Are the premises owned or rented:_ If rented,expiration date of lease:
3. Has there been any change in financial interest(new notes,loans,owners,etc.)since the last annual application?If yes,explain in Yes No
detail and attach a listing of all liquor businesses in which these new lenders or owners, (other than licensed financial institutions)are f-1Z.,
materially interested. �Q
4. Since the date of filing of the last annual application,has the applicant,or any of its agents,owners,managers,principals,or lenders Yes No
(other than licensed financial institutions),been convicted of a crime? If yes,attach a detailed explanation. a
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
Yes No
revoked,or had interest in any entity that had an alcoholic beverage license denied,suspended or revoked?If yes,attach a detailed
explanation.
6. Does the applicant,or any of its agents,owners,managers,principals,or lenders(other than licensed financial institutions),have a Yes
No
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.
7. Sole owners or husband-wife partnerships answer this question.Since the date of filing of the last annual license application: Yes No
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
IX
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: 1
(a) Are there,or have there been.any I I ny general partners added to,or deleted from the partnership? If yes,this license must be N
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.
9. Corporate applicants must answer this question.Since the date of filing of the last annual license application: es No
(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.
(c) Date of filing last annual corporate report with the Colorado Secretary of State: -
•
10. Limited Liability Company applicants must answer this question.Since the date of filing of the last annual license application: Yes
No
(a) Are there,or have there been any managing members added to,or deleted from the company?If yes,complete and attach
No
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:_
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 971596
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 TUESDAY HOURS WEDNESDAY HOU THURSDAY HOURS FRIDAY HOURS SATURDAY HOURS SUNDAY HOURS
From: m. From: m. From: m. From: m. From: m. From: m. From:
m.
To: m. To: m. To: m. To: m. To: m. To: m. To: m.
DR 8177(03/95) CORPORATE APPLICANT
COLORADO DEPARTMENT OF REVENUE INFORMATION AND
LIQUOR ENFORCEMENT DIVISION
1375 ERMAN STREET ROOM 600
DENVER CO 60261 CORPORATE REPORT OF CHANGES
DENVE
(303)866-3741
Liquor and 3.2 Beer License
Submit to Local Authority(Local Authority will submit to State)
DO NOT USE THIS FORM TO REFLECT A CHANGE IN PARTNERSHIP. IF THERE IS A CHANGE IN PARTNERSHIP,USE THE
DR 8404 AND FILE A CHANGE OF OWNERSHIP WITH YOUR LOCAL LICENSING AUTHORITY.
Attach the following,documents to this applicant information:
0 Date Stamped Articles of Incorporation if incorporated less than 2 years.
❑ Certificate of Good Standing dated within the last two years if Corporation is at least two old
❑ Certificate of Authority if a foreign corporation. ,
NOTE:All Officers and Directors of the Applicant/Licensee must fill out a DR 84041(Individual History Record).All stockholders
with a 10%(or more)ownership interest in the Applicant must also fill out a DR 8404-I(Individual History Record).
State Tax Account Number State Li or Licensee Number
Corporate Applicant Name I 63 1/'_9ic2 7�00 �—IX
SIA2l�S �0rfn9� Ixn � • Vl l07 Ie< Telephone Number [�j
Trade Name n A /� 5O3 - —05(6
S i 1� /L�S o u n9 city State ZIP Code
Address
//oi'Licensed Premisesnn �� Ciry /1 r '? /.1cN Co C FQ 6 o i
`i 90 l.t e(1V City 4r State ZIP Code
Mailing Address if different than above
,5A-773 e licensed and-
struc structure,also dentiifylthe Officers/Directors NT OFFICERS
and attachtt D a certificate RS. fof good Istanding, at dtwith n the last two years.ate
Follow instructions in the shaded area above. Attach separate sheet if necessary.CURRE DOB Replaces
Name Home Address
President
OFFICERS / 49a Go -, /J a-�
Treasurer
Secretary Th AP-A.\Ii- G-R eiio I I Z w Pick Iiif- / Replaces
CURRENT DIRECTORS
Name Home Address DOB
LIST ALL STOCKHOLDERS AND PERCENTAGE OF SOCK NOW OWNED Is tehis corporationto If yes,
subject
tltottoey those reporting
requirements of the Securities and Exchange Act of 1934? (Publicly traded) ❑ 'K]
stockholders owning 10% (or more) of the issued stock. If no, list all stockholders.
Name Home Address DOB %of Stock Now Owned
CURRENT STOCKHOLDERS. /d.0�
Mai)/ D. S/P�cs /'f9oZ 7
Registered Agent
Address For Service
OATH OF APPLICANT
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.
4... Title II Date p >
Auttwnz S ature po '/d /
The foregoing changes have been received and examined by the Local
REPORT OF LOCAL LIC RITY Licensing Authority.
/,}) _„
Local Licensing Authority For /' s-i N. e County ❑ Tovm/Ciry CD
CD
ELD COUN y 1C 0 If t' 1 I"i Title GEORGE E. BAXTER, CHAIR Date
Signal re st r WELD COUNTY BOARD OF COMMISSIONEFS 07/21/97 N
f /I Date
If DEPUTY 07/21/97
/ , y,� 'PTO BOARD BY qq
NOTE: Local authors g� n Corporations, ease submit all copies-to.4t.iquor Enforcement Division.
An acknowledgm _ efurned to the local authority.
DR 8404-I (02/94)
COLORADO DEPARTMENT OF REVENUE
LIQUOR ENFORCEMENT DIVISION
1375 SHERMAN STREET
DENVER CO 80261
INDIVIDUAL HISTORY RECORD
To be completed by each individual applicant,all general partners of a partnership,all limited partners owning 10%(or more)of a
partnership;all officers and directors of a corporation,all stockholders of a corporation owning 10%(or more)of the stock of such
corporation; all limited liability company MANAGING members,or other limited liability company members with a 10%(or more)
ownership interest in such company and all managers of a Hotel and Restaurant license.
NOTICE:This individual history record provides basic information which is necessary for the licensing authorities investigation.ALL questions
must be answered in their entirety.EVERY answer you give will be checked for its truthfulness.A deliberate falsehood will jeopardize the
application as such falsehood within itself constitutes evidence regarding the character of the applicant.
1.Name of Business Date Social Security Number(s)
Business Lou /ge_ . .I_ (0//37/97
2.Your Full Name(last,first,middle) 3.Also Known As(maiden name/nickname,etc.)
�e/9.1Ai/ L RA/GEL,NE 52PREz , £v/vv6-cc ,
4.Mailing Address(if different from residence) Home Telephone
/32A5 ? ,1 M de. ,ivi. . -- `{oa-a9-z- 753,`
5.Residence Address(street and number,city, tale.ZIP)
/3205 "rolls/d' am 2)44/Ve- r4/A/74 it/t 63/. - 3
6.Date o irth/ Place of Birth I 7.U.S.Citizen?�f
— (/� eelf / , CC N`�� Yes No
If Naturalized,state where When Name of U.S.D tricttrict Cowl
Naturalization Certificate Number Date of Certificate If an Men,Give Alien's Registration Card Number Permanent Residence Card Number
8.Height Weight Hair Color Eye Color Sex Rai e 9.Do You Have a current Driver's License?If yes,give number,8 state
51 I" /35 &DLidigroLbAi F /// /L Y1Yes nNo
10. a e of Present Eroo�pppyer /�� \ 11.Type of Business or Employment
U f1 aihmei715 CA SZi msu kde. ( $$t'olA__---;9 L 3. r v,cc,s
Ra4�
12. ddress of siness Where Employed(street number,city,state,ZIP) Business Telephone
rile7,2 S .29 Y4 sf O4444/L_/16 62 -131 .0)o)—„915 l55.;
13.Present Position
14.Marital Status 15.Name of Spouse(include mapi en name if applicable)
MAR cc1> .e0/a i^Cle jce,-0 / L , --te.
16.Spouse's Date of Birth Spouse's Place of Birth
� ll A/ 7X
17.Spouse's residence address,if different than yours(street and number,city.state,ZIP)
18.Spyyo tse's Present Empl9yer , Occupation
19.Address of S ouse's Present Employ
/ZO57 6/04il Ceit 7t. igGvd. fgf/L tie tir NE Zi)o 4
20. List the name(s) of all relatives working in or having a financial interest in the liquor industry.
NAME OF RELATIVE RELATIONSHIP TO YOU POSITION HELD NAME OF EMPLOYER LOCATION OF EMPLOYER
•
e • ' ix
21.Do you now,or have you ever held a State of Colorado Liquor or Beer License,or loaned money,furniture,fixtures,equipment or inventory,to any Colorado Liquor or Beer
Licensee?If yes,answer in detail
❑ Yes N. No 971596
Cr1NTIN11Fn ON RFVFRSF SIDF
DR 8404-1(2/94) Page 2
22.Have you ever been convicted of a crime,or received a suspended sentence,deferred sentence,or forfeited bail for any offense in criminal or military court?(Do not include traffic
violations,unless they resulted in suspension or revocation of your driver's license,or you were convicted of driving under the influence of drugs or alcoholic beverages.)If yes,
explain in detail.
I Yes IX No
23.Have you ever received a violation notice,suspension or revocation for a liquor law violation,or been denied a liquor or beer license anywhere in the U.S.?If yes,explain in detail.
li Yes No
24.Military Service(branch) From To Serial Number Type of Discharge
25.
List all addresses where you have lived for the past five years. (Attach separate sheet if necessary)
STREET AND NUMBER CITY,STATE,ZIP FROM TO
1132 0 5 (9re) Ls CiCIL LIM A NA , C E_ _ (,8>2- 3 7/04z. 4e5e1 r
/.20 'Tv also t1/4-3 , Cif 9:237i . 741i oz .
I
26.List all former employers or businesses engaged in within the last five years. (Attach separate sheet if necessary.)
t' NAME OF
F/EMPPPLL,rO`YER ADDRESS(STREET, NU[M�BER,CITY,STATE,ZIP) POSITION HELD FROM TKO
4
PEwvi G>iy✓Ederal(2ej{Lnr'tkii &'c7/Ica7CiiziALJ/_2vGuvice P '1I93 `21Y`
� �� mess.
ess 11�9 z 3�3
J. . _ .Pe nil _ _ .._ S\A`f'hCr�c�LvlgL tir/4 A As5euat
27.What is your relationship to the applicant?(sole owner,partner,corporate officer,director,stockholder,member or manager)
/90/477 JC — , ),I-e,yK /e,r,�
28.If stockholder,number of shares owned beneficially or of record Percent of outstanding stock owned
29. If partner,state whether ❑ General ❑ Limited Percent of Partnership Owned If Limited Liability Company(percent owned)
30.Total amount you will invest in this business,including notes,loans,cash,services or equipment,and operating capital.(Reg.46-106.1 and Reg.47-107.1)
Amount$
—31
Identify the sources of all funds you will invest in this business as listed in 30 above. List all bank names,
account numbers and the amount derived from such source. Also identify all persons authorized to sign on,
or who are part owners of said account. (Attach copies of all your notes or loans used in or for this business.)
Amounts Sources - Account Numbers Names on accounts or person who can
sign on this account
$
$_ 971596-.-
$
Oath of Applicant
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.
Autho sionatdFe": ' i / Title Date
LIQUORBEER RENEWAL REVIEW FORM
Date: June 19, 1997
TO: {DEPUTY} I\onrzso r s
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: JUNE 26, 1997
ESTABLISHMENT: SIPRES LOUNGE, INC.
DBA SIPRES LOUNGE
1490 WCR 27
BRIGHTON, CO 80601
Current license expires: SEPTEMBER 4, 1997
********************************************************************************
No concerns ( G D7/6-97
Deputy's Initials
The Sheriffs Office had a concern and the deputy has mutually worked
with the licensee to corfect 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 of the date and time of the
Board of Commissioner's renewal hearing.
971596
{ MEMORANDUM
WHa TO: Board of County Commissioners June 20, 1997
COLORADO From: Julie Chester, Zoning Compliance Officer
SUBJECT: Liquor license renewal LC - LC0028
Review of the following liquor license renewal by the Department of Planning shows the
following:
Sipres Lounge, Inc. License #LC0028
1490 WCR 27
Brighton, CO 80601
Zone district: Agricultural
The use is allowed through NCU-00080 and existed prior to zoning.
There are no violations occurring on the property at this time.
971596
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