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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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20142771
RESOLUTION RE: GRANT COUNTY DANCE HALL LICENSE NUMBER 380 ISSUED SIPRES LOUNGE, INC., DBA SIPRES LOUNGE, AND AUTHORIZE CHAIR TO SIGN - EXPIRES DECEMBER 31 , 2014, AT 12:00 MIDNIGHT 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 the Board of County Commissioners with an application for a County Dance License to hold public dances at the location described as follows: 1490 County Road 27 Brighton, Colorado 80603 WHEREAS, said applicant has paid to Weld County the sum of TWENTY-FIVE AND NO/100 DOLLARS ($25.00) for said Weld County Dance Hall License, and WHEREAS, having examined said application, the Board deems it appropriate to grant a Weld County Dance Hall License to Sipres Lounge, Inc. , dba Sipres Lounge, and WHEREAS, said license shall be issued upon the express condition and agreement that the public dances will be conducted in strict conformity to all laws of the State of Colorado, and any violation thereof shall be cause for revocation of the license. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that Dance Hall License Number 380 be, and hereby is, granted to Sipres Lounge, Inc. , dba Sipres Lounge, to conduct dances at the hereinabove described location. BE IT FURTHER RESOLVED by the Board that said License shall be in effect through 12:00 o'clock midnight, December 31 , 2014, conditional upon the applicant conducting all dances in strict conformity to all laws of the State of Colorado. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said License. C C '15 ( 1&H') A'PP' 9/9a 2014-2771 LC0028 DANCE HALL LICENSE - SIPRES LOUNGE PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 10th day of September, A.D., 2014. BOARD OF COUNTY COMMISSIONERS C� t� WELD COUNTY,( COLORADO G ATTEST: S �� `°� �`�XR-4 DbG 9 las ademach r Chair Board Weld County Clerk to the oa d , • rbara Kirkmey r, Pro-Tem BY. ueiuty Cler to th B rd l ., !!6! :' _ ean P. Conway . . -f; EDASTeTS* Mike Freeman o Attorney Wi iam . Garcia Date of signature: G Il 1p 2014-2771 LC0028 WELD COUNTY APPLICATION FOR LICENSE TO CONDUCT PUBLIC DANCE OR DAN, 1 / DATE: L/y'� License fee of$25.00, payable to Weld County Clerk to the Board,P.O.Box 758,Greeley,lication Is hereby r a license to conduct a public dColorado ance hall,booth booth0632,ior ays b ony e wherre two oed and r more public dances are hede ld,for the calendar year 2014, or portion thereof. The undersigned hereby makes application for a County Dance Hall License, under the provisions of Chapter 12,Article VI, of the Weld County Code,and Title 12,Article 18,C.R.S., and for that purpose makes the following answers to the questions contained in this application. Eve uestion must be answered. Any false answer or statement made by the applicant constitutes perjury and the person making such statements subjects any license issued herein to revocation. 1. List the name and address of applicant. (If application is by a partnership,give names and address of all partners. If application is by a corporation, give names and address of all officers.) NAME ADDRESS r es /s/�• i - �1 y /%le t'gd/!7itic' (a ?U6 0S /yid 2.i[-y/7 ��l�o �// /Clc� ri /4/f c, WHO ev�,v7 e%N Sege x/ L.EMAIL ADDRESS: 2. Trade Name (If any) Telephone No. S / ,Qes L Uagf -SS g/ 3. List EXACT date(s) dances will be held Lt • 4. ADDRESS OF PLACE TO HAVE LICENSE: (Do not use legal description,please use street address.) "e- g.laic rZ a a M:\CTB\LIQUORVAr 2014-2771 5. Are these premises now licensed under the State Liquor or Beer Code? If answer is"Yes", to whom is the license issued? Yes ( ✓) A4.eivi h�ighrCu6 cSt4vRNNnI4 CtnekitA4No( ) 6. Do you have legal possession of the premises for which this application Is made, either by deed, lease, or written permission of owner? Yes ( t/) No ( ) 7. Has a license been Issued previously? Yes ( VI No ( ) STATE OF COLORADO ) ss COUNTY OF WELD I hereby acknowledge that I have read the above and foregoing application and the answers made thereto are true to my own knowledge. Signature re�Applilcanean M:\CTB VJQUOR\DAN CE\AppForm2014.doc Revised 4/28/2014 oRECEIPT DATE 9- S�o?a/y NO. 87 733 12 • - m REC VED FROM ♦ �� �, a 0 0 ADORE' 0 m 8 o o FOR S . 4 a - m — OdQ OW PAID CASH �� 0-3 tig tali CHECK t./ $ // EJ — BY C MONEY ORDER RECEIPT DATE 9. 1 O20/y No. 8 7 7 3 4 E v J U v co RECEIVED FROM �Syx� n, , _ _Q lC • : m° m ADDRESS / o mow 2 a &n ihtaltCp.Ei W zu�u/i- ��dp'�-- -o .x m FOR C�nf g1 .�1bnr_ &Sicy,nn a O °' 0 O d C7 HOW PAID 4 f`� CASH #o�O V 5/ `T at MONEY CHECK S i 1 0-7.5 BY {i((.(/f ORDER /! .t�. •�.� jti "iii�, - .1 I lti . 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O Agent • Print your name and addnsinn the reverse O Addressee so that we can return the'c�td to you. tee ed4 led C�gte of��/Delivery • Attach this card to the back of the mailpiece, (01D. �I�'�� 9!/' or on the front if space permits. II b dell406 address had'f 1? ❑Yes 1. Article Addressed to-. : if YES.enter delivery add -• . ❑No I ' K I.\ . Ode: 4naLy ssp /d Pict £R 17 �yp.__.�3. p� d h.i.G�4,#ra.y,, CO 8©(0O3 Is bernnasmaiiled. ages ma r O Regisle _— alum Receipt for Merchandise O insured Mali O C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. ArticleNumber 7004 2890 0003 5708 9745 (rrarsrer from senlce Jibe° .. PS form 3811,February 2004 Domestic Return Receipt 102505-02-M-1540
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