HomeMy WebLinkAbout20153377.tiffRESOLUTION
RE: APPROVE RENEWAL APPLICATION FOR 3.2 PERCENT BEER RETAIL ON/OFF
PREMISES LICENSE ISSUED TO HIGHLANDLAKE, INC., DBA HIGHLANDLAKE,
INC., AND AUTHORIZE CHAIR TO SIGN - EXPIRES NOVEMBER 9, 2016
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, Highlandlake, Inc., dba Highlandlake, Inc., has presented to the Board of
County Commissioners of Weld County, Colorado, an application for the renewal of a 3.2 Percent
Beer Retail On/Off Premises License for the sale of fermented malt beverages, containing not
more than 3.2 percent 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 Exhibit 5-H of the Weld County Code, said applicant has paid the
sum of $107.50 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 fermented malt
beverages containing not more than 3.2 percent 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,
outside the corporate limits of any town or city in the County of Weld at the location described as
follows:
16893 County Road 5, Mead, Colorado 80542-9737
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 2015-19 for applicant to sell fermented malt beverages,
containing not more than 3.2 percent 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, 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 November 9, 2016, providing that said
place where the licensee is authorized to sell fermented malt beverages containing not more than
3.2 percent 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, 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.
2015-3377
LC0035
C � 1.50'ly
RENEW 3.2 PERCENT BEER RETAIL ON/OFF PREMISES LICENSE - HIGHLANDLAKE, INC.
PAGE 2
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized
to sign said application.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 19th day of October, A.D., 2015.
BOARD OF COUNTY COMMISSIONERS
W D COUNTY, CC}LORADO
ATTEST.Wd4rdw1J •k
Weld County Clerk to the Board
BY:
uty Clerk
APPROVED AS
Date of signature: 11
arbara Kirkmey r, Chair
Mike Freeman, Pro -Tern
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Sean R Conway
Julie Co `-d
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Steve Moreno
2015-3377
LC0035
THIS LICENSE MUST BE POSTED IN PUBLIC VIEW
DR 8402 (07/01/2012)
STATE OF COLORADO
DEPARTMENT OF REVENUE
LIQUOR ENFORCEMENT DIVISION
1881 Pierce Street, Suite 108
Lakewood, Colorado 80214
HIGHLAND LAKE INC
dba HIGHLAND LAKE INC
16893 WCR 5
MEAD CO 80542-9737
ALCOHOL BEVERAGE LICENSE
Liquor License Number
14273240000
License Expires at Midnight
November 09, 2016
License Type
3.2% BEER ON/OFF PREMISES (COUNTY)
Authorized Beverages
3.2 PERCENT BEER
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 nontransferable
and shall be conspicuously posted in the place above described. This license is only valid
through the expiration date shown above. Any questions concerning this license should be
addressed to: Colorado Liquor Enforcement Division, 1881 Pierce Street, Suite 108, Lakewood,
CO 80214.
In testimony whereof, I have hereunto set my hand. 11/13/2015 sjc
'PicoLc/ 0a,1.6,4
Division Director Executive Director
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FOR A 3.2 PERCENT BEER RETAIL LIQUOR LICENSE (ON/OFF PREMISES)
TO SELL FERMENTED MALT BEVERAGES CONTAINING NOT MORE THAN 3.2% OF ALCOHOL BY WEIGHT
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DR 8400 (Revised 09/01/12)
COLORADO DEPARTMENT OF REVENUE
LIQUOR ENFORCEMENT DIVISION
SUBMIT TO LOCAL LICENSING AUTHORITY
LIQUOR OR 3.2 BEER LICENSE
RENEWAL APPLICATION
HIGHLAND LAKE INC
PO BOX 652
MEAD CO 80542
RECEIVED
SEP 2 3 2015
WELD COUNTY
COMMISSIONERS
Fees Due
Renewal Fee
Storage Permit $100 x
$117.50
Optional Premise $100 x
Related Resort $75 x
¢
Amount Due/Paid 'y // SQ-
Make check payable to. Colorado Department of Revenue.
The State may convert your check to a one-time electronic
banking transaction. Your bank account may be debited as early
as the same day received by the State. If converted, your check
will not be returned. If your check is rejected due to insufficient or
uncollected funds, the Department may collect the payment
amount directly from your banking account electronically.
PLEASE VERIFY & UPDATE ALL INFORMATION BELOW
RETURN TO CITY OR COUNTY LICENSING AUTHORITY BY DUE DATE
DBA
HIGHLAND LAKE INC
Licensee Name
HIGHLAND LAKE INC
Liquor License #
14273240000
License Type
3.2% Beer On/Off Premises (county)
Sales Tax License #
14273240000
Expiration Date
11/9/2015
Due Date
9/25/2015
Street Address
16893 WCR 5 MEAD CO 80542-9737
Phone Number
(303) 776 4366
Mailinn Address
PO BOX 652 MEAD CO 80542
Operating Manager.
t-+4z1-Jre,veeJent5Pid
Date of Birth
Home Address'/• ` / �1
eie,- /�, P-> r�5A, VI— 16/IX1t' ,117— e11rr_.,f5c�
Phone Number
?ci -Se7- 7-4f/A:5
1. Do you have legal possession of the premises at the street address above? "YES ❑ NO
Is the premises owned or rented? ®"Owned ❑ Rented* *If rented, expiration date of lease
2. Since the date of filing of the last annual application, has there been any change in financial interest (new notes, loans, owners, etc.)
or organizational structure (addition or deletion of officers, directors, managing members or general partners)? If yes, explain in detail
and attach a listing of all liquor businesses in which these new lenders, owners (other th licensed financial institutions), officers,
directors, managing members, or general partners are materially interested. ❑ YES (��NO
NOTE TO CORPORATION, LIMITED LIABILITY COMPANY AND PARTNERSHIP APPLICANTS: If you have added or deleted any
officers, directors, managing members, general partners or persons with 10% or more interest in your business, you must complete
and return immediately to your Local Licensing Authority, Form DR 8177: Corporation, Limited Liability Company or Partnership
Report of Changes, along with all supporting documentation and fees.
3. Since the date of filing of the last annual application, has the applicant or any of its agents, owners, managers, partners or lenders
(other than licensed financial institutions) been convicted of a crime? If yes, attach a detailed explanation. ❑ YES ErNO
4. Since the date of filing of the last annual application, has the applicant or any of its agents, owners, managers, partners or lenders
(other than licensed financial institutions) been denied an alcohol beverage license, had an alcohol beverage license suspended or
revoked, or had interest in afry entity that had an alcohol beverage license denied, suspended or revoked? If yes, attach a detailed
explanation. ❑ YES NO
5. Does the applicant or any of its agents, owners, managers, partners or lenders (other than licensed financial institutions) have a direct
or indirect interest in any other Colorado liquor lice e, including loans to or from any licensee or interest in a loan to any licensee? If
yes, attach a detailed explanation. u YES 5NC
6. SOLE PROPRIETORSHIPS, HUSBAND -WIFE PARTNERSHIPS AND PARTNERS IN GENERAL PARTNERSHIPS: Each person
must complete and sign the DR 4679: Affidavit — Restriction on Public Benefits (available online or by calling 303-205-2300) and
attach a copy of their driver's license, state -issued ID or valid passport.
AFFIRMATION & CONSENT
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.
Type or Print Name of Applicant/Authorized Agent of Business
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Title /
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Signature
Date
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REPORT & PP OVAL OF CITY OR COUNTY LICENSING A j� 11'/L
The foregoing appl' ation has been examined and the premises, business con ed - . c f applicant are satisfactory, and we do hereby report
that such license, if granted, will comply with the provisions of Title 12, Article • anTH ORE THIS APPLICATION IS APPROVED.
Local Licensing Authority For 36 t ,__,
Weld County, Colorado
93....r OCT 1 9 ;:...
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arbara Kirkmey6r
Title Chair, B�
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BY 194e5
Rafaela Martinez
From:
Sent:
To:
Subject:
Janet Lundquist
Monday, October 05, 2015 9:59 AM
Rafaela Martinez
RE: Liquor License Renewal - Highland Lake, Inc.
This is an existing location. Public Works doesn't have any comments at this time.
Janet Lundquist
Support Services Manager
Weld County Public Works Dept.
P.O. Box 758, Greeley, CO 80632
Tele-970.356.4000 ext 3726
Fax- 970.304.6497
Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for
the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise
protected from disclosure. If you have received this communication in error, please immediately notify sender by return
e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the
contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited.
From: Rafaela Martinez
Sent: Thursday, October 01, 2015 4:11 PM
To: Dan Joseph; Bethany Pascoe; Tom Parko Jr.; Lisa Carpenter; Janet Lundquist; Roy Rudisill; Bob Choate; Frank Haug
Subject: Liquor License Renewal - Highland Lake, Inc.
Hello!
In accordance with the procedure for processing New and Renewal Liquor License Applications, please review all records
on the following document for any associated reports/incidents 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 the
Applicant's Liquor License
PLEASE RESPOND NO LATER THAN: October 15, 2015
Applicant: Highland Lake, Inc.
File Location: LC0035
Thank you!
Rafaela .4. Martinez
Deputy Clerk to the Board 2015-3377
1
MEMORANDUM
To: Rafaela Martinez, Deputy Clerk to the Board October 6, 2015
From: Bethany Pascoe, Zoning Compliance Officer, Dept. of Planning Services
Subject: LC0035
Review of the following liquor license renewal by the Department of Planning Services shows the following:
License Number:
14-27324-0000
Applicant:
Highlandlake, Inc
dba Highlandlake, Inc.
16893 CR 5
PO Box 652
Mead, CO 80542
Zone District: A (Agricultural)
This use has existed prior to zoning and a Nonconforming Use File (NCU-141), has been set up by the
Department of Planning Services. Any expansion or remodel may require updated zoning permits.
The Department of Planning Services is not aware of any violations occurring on the property at this time.
SERVICE, TEAMWORK, INTEGRITY, QUALITY
Memorandum
TO: Rafaela Martinez
FROM: Dan Joseph
SUBJECT: Liquor license inquiry
DATE: 10/16/15
CC: Cindy Salazar; Debra Adamson
RECEIVED
OCT 162015
WELD COUNTY
COMMISSIONERS
In response to your request, Environmental Health Services has reviewed the Retail Food Service
Establishment file for Highland Lake, located at 16893 CR 5, in Mead, Colorado. At this time,
there are no problems or concerns regarding this establishment.
Should you have any questions regarding this matter, please contact me via e-mail at
djoseph@co.weld.co.us or by phone at 970-304-6415 extension 2206.
Thank you.
Dan Joseph
Environmental Specialist III
WELD COUNTY SHERIFF'S OFFICE
Community Resource Office
Li tur R ENFORCEMENT WORKSHEET
1950 &Street
Greeley, Colorado 80631
Voice (970) 356-4015 • Fax (970) 304-6467
Inspection Report
Incident Report
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License Trade Name
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Licensee Name:
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License # / Type: 3 2 3 r
Date of Report/ Incident
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State Liquor License Posted
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State Sales Tax License Posted
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License in Control of Premises
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County Liquor License Posted
y
Trade Name Properly Registered
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Federal Form 11 * Call (800) 398-2822
Premises Physical Control Adequate
X
Food Service license Posted
Acceptable Dispensing System
x
Minor Warning Sign Posted
x
Off Premise Storage Licensed
X
Meals and Snacks Available '
x
Only Permitted Items Sold
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Cleanliness Adequate
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Alcohol From Permitted Source I
X
Books & Invoices Available
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Discuss Sales of Liquor to Minors
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City:
State:
Zip:
Evidence: Yes
NO
HAN Phone it
Summons It:
Court Date:
Phot s: Yes
NO
Narrative:
4,/,,n/i/r?z/y
Deputy: /1 /'
Date:
8?15 2810 6918
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CERTIFIED MAILTM RECEIPT
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Postage
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Return Receipt Fee
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Restricted Delivery Fee
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Total Postage & Fees
SENDER: COMPLETE THIS SECTION
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
• Print your name and address on the reverse
so that we can return the card to you.
• Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
fhihland Last, inc.-
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3. Service Type
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❑ Insured Mail
❑ Priority Mail Express-
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❑ Collect on Delivery
4. Restricted Delivery? (Extra Fee) 0 Yes
2. Article Number
(Transfer from service label)
7004 2890 0003 5709 1069
PS Form 3811, July 2013
Domestic Return Receipt
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