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Home My WebLink About20141684.tiffRESOLUTION RE: APPROVAL OF RENEWAL APPLICATION FOR 3.2 PERCENT BEER RETAIL LICENSE ISSUED TO CIRCLE K STORES, INC., DBA CIRCLE K STORE #2709846 AND AUTHORIZE CHAIR TO SIGN - EXPIRES MAY 29, 2015 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, Circle K Stores, Inc., dba Circle K Store #2709846, presented to the Board of County Commissioners of Weld County, Colorado, an application for the renewal of a 3.2 Percent Beer Retail License for the sale of fermented malt beverages, containing not more than 3.2 percent of alcohol by weight, 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 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: 10963 West I-25 Access Road, Longmont, Colorado 80501 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 2014-13 for applicant to sell fermented malt beverages, containing not more than 3.2 percent of alcohol by weight, 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 29, 2015, 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, 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. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said application. IPLIAALL 1/4_,Y,e-:h K, I -7/7-4H Cc,...506K40 A_pPI. gtow 2014-1684 LC0013 RENEW 3.2 PERCENT BEER RETAIL LICENSE - CIRCLE K STORE #2709846 PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 9th day of June, A.D., 2014. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: f JCS. Weld County Clerk to the Boar BY Depu t Clerk to the Board APD AST RM: ty Attorney Mike Freey, Acting Chair, Pro-Tem Date of signature: 7-02-N EXCUSED Douglas Rademacher, Chair n P. Conway William F. Garciaplc 2014-1684 LC0013 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 CIRCLE K STORES INC dba CIRCLE K STORE#2709846 10963 W 1-25 ACCESS RD LONGMONT CO 80504 ALCOHOL BEVERAGE LICENSE Liquor License Number 21650890120 License Expires at Midnight May 29, 2015 License Type 3.2% BEER 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. 6/17/2014 SJC Division Director Executive Director C 1-4 in ct x W V)) :=1 V x H L J� J�� rr�� JJ� �JaM�� JJ� JJ� JJ� JJ� J� J�i� JM? Ll Ls) Le) '�1 tL) ci)) IL) tL C) L;1 �l License Fee $107.50 F ge At. ti Q O z O tos gag O Q W N Z W U J Ire 0 J �Q F W et z O O z 0 0 0 Ltd 0 G N FOR A 3.2 PERCENT BEER RETAIL LIQUOR LICENSE 0 O U O 4.4 z H O 0 z zx H� X 14 O� Ct C H TO SELL FERMENTED O 4) • .(:-1 4-4 b 4J a ci 4.4 (ter v v 0O 4.0 O (4154 oral cu 1-4 O 4.4 4-4 «i 1 4J 42 r) U) H C O O -a ci U) 4.4 Q 4J v "O 0 rc a) O w c v a, n c U c 4J a .5 ci ci .. y ci 4.4 v 4J pat ci c 4) 4.4 CJ 3-4 ci L G be U U) 4) be V ci ..d 4-4 v a) OJ U) 0 U) C 4, C ci U Cs U O ci U 3-4 4J Cid M C O en 45 ci (a ci C r. C ci -5 0 O 4J 4J 4J 4-4 ci a ci a 0 4u 4, .5 4D 4J aa Oid a '-4 t-° 0 ci 0 U ci v a, U 4J .5 C 00 (94 1.. C U 0 0 C I-25 Access 9-1 4J b a 4-1 cd a) C U) 'a 0 4J U) 4) C U V) a) Lfc C`1 . I 6.0 c ci C c N aa Pt w r- aJ U 0 C O ▪ U) C 4-4 a 4) • ci U a 4, ci 4-4 ct U ci fJ 4, 1-1 ci a) C U 4, U) -a (J) . rl U) 4) rU) CJ U -d U U) ci (/)- 4J cTs ci aJ U) •ry V 0 ci 0 U 'O Cn U c .•-1 • hereunto subscribed -o ci V -5 IN TESTIMONY WHEREOF, The Board of County Commissioners ‘77- I 4 cs��''�J GinMJJ GJ'—GngJJJJ NON -TRANSFERABLE. DR 8400 (Revised 09/01/12) COLORADO DEPARTMENT OF REVENUE LIQUOR ENFORCEMENT DIVISION SUBMIT TO LOCAL LICENSING AUTHORITY US .V W LIQUOR OR 3.2 BEER LICENSE RENEWAL APPLICATION N ft N jZ9IRCLE K STORE#2709846 p 001 GATEWAY DRIVE STE 130 o V RVING TX 75063-2640 act i IL2 iO APR t 2 2014 V CLEAR Fees Due Renewal Fee Storage Permit $100 x $117.50 Optional Premise $100 x Related Resort $75 x Amount Due/Paid 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. It converted, your check will not be returned. If your check is rejected due to insuffident or uncollected funds, the Department may collect the payment amount directly from your banking account electronically. WOO %SO PLEASE VERIFY & UPDATE ALL INFORMATION BELOW RETURN TO CITY OR COUNTY LICENSING AUTHORITY BY DUE DATE Licensee Name CIRCLE K STORES INC DBA CIRCLE K STORE#2709846 Liquor License # License Type Sales Tax License # Expiration Date Due Date 21650890120 3.2% Beer Off Premises (county) 21650890120 5/29/2014 4/14/2014 Street Address Phone Number 10963 W 1-25 ACCESS RD LONGMONT CO 80504 (303) 530 0244 Mailing Address 3001 GATEWAY DRIVE STE 130 IRVING TX 75063-2640 • Operating ff14 �iM Manager 1411d 5O1\1 f firth Home Address me Address 23O0 s44 C©tni7 Rd. 313 c- . #- 5 2-617, 17 Collins Phone Number Phone Number 3v3- c,�--cfitii 1. Do you have legal possession of th remises at the street address above? YES ❑ NO CC) ' eO5?1' Is the premises owned or rented? Owned U 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 .tpan licensed financial institutions), officers, directors, managing members, or general partners are materially interested. ❑ YES y�R 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, pa rs or lenders (other than licensed financial institutions) been convicted of a crime? If yes, attach a detailed explanation. ❑ YES NO 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 explanation. ❑ YES ny entity that had an alcohol beverage license denied, suspended or revoked? If yes, attach a detailed 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 li nse, including loans to or from any licensee or interest in a loan to any licensee? If yes, attach a detailed explanation. ❑ YES NO 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 N�� ofof Applicant/Authorized C'-fiG t/Authorized Agent of Business / Title �'� Signature .--'9 ..` fe La Date REPORT & APPROVAL OF CITY OR COUNTY LICENSI �AU , •d�� t The foregoing application has been examined and the premises, business nd 4 �`;�� L-•- = applicant are salt 2014-1684 that such license, if granted, will comply with the provisions of Title 12, Articli S. ORE THIS APPL Uat Local Licensing Authority For a114 County, Colorado a Date JUN 0 9 2014 �JWeld Signature Mike Freeman Title ` � " ", Acting Chair 'rd -'item Attest-CL.Coe XL J Weld County Commissioners Clerk BY:Milk to the A oar Circle K Southwest Region 1199 S. Beltline Rd. 160 Coppell TX, 75019 972-537-5885 To whom it may concern: Effective 02/11/2014 Circle K Stores, Inc. will be moving our support office. The new address is - 1199 S. Beltline Rd Suite 160 Coppell Tx, 75019 Please change any outgoing renewals or license to show the new address. If you have any questions please feel free to reach out to me. Dan Penick 972-537-5936 dpenick@circlek.com Rafaela Martinez From: Sent: To: Subject: Janet Lundquist Monday, May 05, 2014 1:00 PM Rafaela Martinez RE: Circle K Store #2709846 Liquor License Renewal This is an existing location. Public Works doesn't have any comments at this time. Janet Lundquist Traffic Engineer 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: Monday, May 05, 2014 12:46 PM To: Dan Joseph; Deb Adamson; Bethany Salzman; Frank Piacentino; Lisa Carpenter; Mark Mellon; Janet Lundquist; Roy Rudisill; Brad Yatabe; Bob Choate Subject: Circle K Store #2709846 Liquor License Renewal Hello, In accordance with the 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: May 19, 2014 ESTABLISHMENT: Current License Expires: File Location: Thank you, Circle K Stores Inc, DBA Circle K Store # 2709846 May 29, 2014 L00013 Rafaela Martinez From: Sent: To: Subject: No concerns from OEM Roy Rudisill Monday, May 05, 2014 1:27 PM Rafaela Martinez; Dan Joseph; Deb Adamson; Bethany Salzman; Frank Piacentino; Lisa Carpenter; Mark Mellon; Janet Lundquist; Brad Yatabe; Bob Choate RE: Circle K Store #2709846 Liquor License Renewal Roy Rudisill Director, Office of Emergency Management 1150 O Street Greeley, Co. 80632 970-304-6540 970-381-0417 C 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: Monday, May 05, 2014 12:46 PM To: Dan Joseph; Deb Adamson; Bethany Salzman; Frank Piacentino; Lisa Carpenter; Mark Mellon; Janet Lundquist; Roy Rudisill; Brad Yatabe; Bob Choate Subject: Circle K Store #2709846 Liquor License Renewal Hello, In accordance with the 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: May 19, 2014 ESTABLISHMENT: Current License Expires: File Location: Thank you, Circle K Stores Inc, DBA Circle K Store # 2709846 May 29, 2014 L00013 1 WELD COUNTY SHERIFF'S OFFICE Community Resource Office LIQUOR ENFORCEMENT WORKSHEET 1950 O'Street Greeley, Colorado 80631 Voice (970) 356-4015 • Fax (970) 304-6467 Z Inspection Report Li Incident Report CR#: June Trade Name- / a/ e x 7.c. le It 2 ?'- g -v(v Cr [1. Licensee Name. /'I Gl/ !� nncident 5z,./.4Z zD ,4:5,,,,i License # I Tye Date o` Report ! I Address:ip,'j.,ii, 6,0 Person Ccntaclec i City, stale. zip. L 0_,L6 „,6, ,n1 C`, v5p Tekpbcne R 3C 3 % OS ? f No WA es State Liquor Ucense Posted >< Mena er Registered State Sales Tax License Posted sC License in Control of Premises K , County Liquor License Posted K Trade Name Properly Registered x Federal Form 11 ' Call (800) 398-2822 Premises Physical Control ate Food Service Ucense Posted ,C Acceptable Dispensing System Minor Warning Sign Posted Off Premise Storage Licensed X Meals and Snacks Available Onl Permitted Items Sold Cleanliness Adequate X.. Alcohol From Permitted Source Books & Invoices Available X Discuss Sales of Liquor to Minors Alcohol Beverage Stock Acceptable Discuss Sales to Intoxicated Persons ❑Warning (Follow -Up Inspection Licensee! Representative Signature Date Vidiation j Dale: lime. Subject: ' DOB: Hgt I NI: Eyes Hair. Clotting: DL /IN Stale: Address: City: Stale: Zip Evidence: Yes NO RAW Phone fi: Summons #: Court Date: Photos. Yes NO Narrative: L r c e.t5e '!G ZZ - 04 M� rSue,_, itv ail, r( alfce5 el/w/t/ la 49V 5,' ?// Lit( /2✓ 5,1/ /i<7 C/ft 7/ % 7i- eci Deputy: /-‘;‘fl�l #: 14% %'1/ Date: MEMORANDUM To: Rafaela Martinez, Clerk to the Board From: Bethany Pascoe, Zoning Compliance Officer II Date: May 9, 2014 Subject: Liquor License Referral ((LC0013)) Review of the following liquor license renewal by the Department of Planning Services shows the following: 21-65089-0120 Circle K Stores, Inc. Dba: Circle K Store # 2709846 10963 1-25 Access Road Longmont, CO 80504 Mailing Address: Circle K Store #2709846 1199 S Beltline Rd Coppell, TX 75019 Zone District: C-3 This use is allowed through the zone district and the Site Plan Review (SPR-241) Permit. No violations are occurring on the property at this time. SERVICE, TEAMWORK, INTEGRITY, QUALITY Memorandum TO: Rafaela Martinez FROM: Dan Joseph SUBJECT: Liquor license inquiry DATE: May 22, 2014 CC: Cindy Salazar; Debra Adamson In response to your request, Environmental Health Services has reviewed the Retail Food Service Establishment file for Circle K Store #2709846, located at 10963 I-25 Frontage Road, in Longmont, 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 Ill 230 - Circle K Stores Inc. Check No: 10028525 N CO co co Inv Number Inv Date Description Discount Amount Payment Amount 000709401 04/07/14 SW -2709846 10963 W1-25 FRONT RECEIVED MAY 0 5 2.111 WELD COUNTY COMMISSIONERS 0.00 117 50 O m `o N o m c O U 2 0 00) 'O Y CO N 01 a1 O m 5 o_ O Ma RECEIPT DATE 5/6111 RECEIVED FROM C,U xh K5kete..6 CMG. ADDRESS 1 %0w-ui1VDJ t-56/100 $ 117.50 FOR /O9Lt W. T Art/IA } , tangivi it N 87554 - _ HOW PAID CASH CHECK ` ) l7 50 MONEY ORpER % Lint'. 1.-ques-b /tt.n olaklL kk I 009F5a5" 117.50 04/08/14 2112130 - STATE OF COLORADO 0.00 117.50 230 - Circle K Stores Inc. Check No: 10028519 Inv Number ? Inv Date Description Discount Amount Payment Amount 000109403 04/07/14 SW -2709846 10963 WI -25 FRONT RECEIVED MAY 0 5 2011 WELD COUNTY COMMISSIONER. 000 10750 0 O -0 (J O O m co0 -0 Y m CDaO2 (21 RECEIPT DATE 515/I'7 RECEIVED FROM CIIIGn. K i LL4 cPAC-. ADDRESS `HIIQ hi nzinQd find QyuQn 'f S0%oo $ /07.50 FOR 109tn3 W.7" QLpcie QA, itnrytnn-- NO 87555 HOW PAID CASH d Eck /07 SO noNEr f'.j Ua R.dax. �Of.2261y, ., BY LL¢X.Ct_- . 04/08/14 2118036 - WELD COUNTY CO 107.50 0.00 107.50 8715 2810 6550 3 re} l AND RETAIN THIS COPY BEFORE AFFIXING TO THE PACKAGE. NO POUCH NEEDED. l tf� C A L Lae rn u-) 7004 2890 U.S. Postal Service,. CERTIFIED MAIL RECEIPT (Domestic Mall Only; No Insurance Coverage Provided) Postage Certified Fee Return Receipt Fee (Endorsement Required) Restricted Delivery Fee (Endorsement Required) Total Postage & Fees Sent To Wm. -fun 4-tudaaN- Ethat Postmark Here Street. Apt. No.; I orPOBoxNa 0963.1.3...0 - (Lea 80494 City. State. Z/Pt4 a`r �'1 r 1.N1'1T 1 limmein L Cn 8t. 5o • 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 mailplece, or on the front if space permits. 1. Article Addressed to: Ak1TN : —PI m --kluazeic CUt, kt, K. e'tsa, ant, . - 270984 (o ►09)03 UJ.z-zs skeczs%ka0.d ton3n ank, Co ‘o 6041 D. Is delivery address different from item 1? O Yes If YES, enter delivery address below: O No 3. Service Type Jo Certified Mall O Registered O Insured Mail ❑ Express Mall ❑ Return Receipt for Merchandise O C.O.D. 2. Article Number Monster from service Isbell _ 7004 2890 0003 5709 0529 PS Form 3811, February 2004 Domestic Ran Receipt 102595-024.41540 Hello