HomeMy WebLinkAbout20142412.tiffRESOLUTION
RE: APPROVAL OF RENEWAL APPLICATION FOR TAVERN LICENSE FROM
THE FORT 21, LTD., DBA THE FORT 21, AND AUTHORIZE CHAIR TO SIGN -
EXPIRES AUGUST 8, 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, The Fort 21, Ltd., dba The Fort 21, 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, and
WHEREAS, pursuant to Exhibit 5-H of the Weld County Code, said applicant has paid
the sum of $175.00 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:
985 East 18th Street
Greeley, Colorado 80631
WHEREAS, the Licensee shall host "responsible vendor" training every six (6) months
as agreeable to the Colorado Department of Revenue Liquor Enforcement Division, and this
training shall be open to other area licensees. Each employee shall be "responsible vendor"
trained, and the Licensee shall provide documentary evidence that each employee has been
"responsible vendor" trained to the Weld County Sheriff's Office within thirty (30) days of the first
available "responsible vendor" class after hiring. Evidence of such shall be included in the
referral report submitted by the Sheriff's Office at the time of annual renewal.
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 2014-17 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 August 8, 2015, 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.
-4 I OYIte:naL fie'
.,432 obis.alas
CC. SD(KU)Appt -
9/8
2014-2412
LC0034
RENEW LIQUOR LICENSE - THE FORT 21
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 4th day of August, A.D., 2014.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
ATTEST: stet) S< ad4;44.
tK
L
Weld County Clerk to the Board
BY:
D=. ,q y Clerk to th Bo
APP
my Attorney
Date of signature: 8/8 IIg
Wi lam is
Garcia
arbara Kirk ' eyer, P o-Tem
CUSED
an P. Conway
Mike Freem
. Garc
2014-2412
LC0034
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
FORT 21 LTD THE
dba FORT 21 THE
985 E 18TH ST
GREELEY CO 80631
ALCOHOL BEVERAGE LICENSE
Liquor License Number
06278290000
License Expires at Midnight
August 08, 2015
License Type
TAVERN (CO
Authorized Beverages
MALT, VINOUS, AND SPIRITUOUS
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. 8/8/2014 sjc
Division Director Executive Director
Ca�CarnrrarnarnaMM/Jn
tri
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License Fee $175.00
License Number 2014-17
COUNTY OF WELD
A,
STATE OF COLORADO
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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
FORT 21 THE
2501 26TH ST
GREELEY CO 80634-8001
RECEIVED
JUN 242014
WELD COUNTY
COMMISSIONERS
Fees Due
Renewal Fee
Storage Permit $100 x
$500.00
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. If convened, 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
Licensee Name
FORT 21 LTD THE
DBA
FORT 21 THE
Liquor License #
06278290000
License Type
Tavern (county)
Sales Tax License #
06278290000
Expiration Date
8/8/2014
Due Date
6/24/2014
Street Address
Phone Number
985 E 18TH ST GREELEY CO 80631
(970) 352 9910
Mailing Address
2501 26TH ST GREELEY CO 80634-8001
Operating Manager
Net r. LOolf
Date of Birth
Home Address nn,,��
S- cclet ern to LI
e�,S o I W a,tn--l�G-
Phone Number
ciiOCitd43O5
1. Do you have legal possession of the premises at the street address above? J YES ❑ NO
Is the premises owned or rented? LI Owned LI Rented* elf 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 than 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 ® 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 in any entity that had an alcohol beverage license denied, suspended or revoked? If yes, attach a detailed
explanation. LI 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 license, 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 �Name of ApplicanUAlu`thorized Agent of Business
4J Ott 1t,.-� �p1 HC
Title ((�� 1 ++ ��}},,
Oresi eN4 /l/WYIP,V
Signature
Date
REPORT & APPROVAL OF CITY OR COUNTY LICENSING AUTHORITY
The foregoing application has been examined and the premises, business conducted and c.!_ ° `
that such license, if granted, will comply with the provisions of Title 12, Articles 46 and 47, 'f .S:')' -
-'
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Local Licensing Authority For % °
Weld County, Colorado 1$61 �e "'� '� 4 2014
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To: Weld County Board of Commissioners
From: Deputy Lisa Carpenter
Date: June 30, 2014
RE: The Fort 21, LTD, DBA The Fort 21
Dear Commissioners,
I have researched and found one reported call for service at The Fort 21 LTD, DBA The
Fort 21, located at 985 E. 18`h Street, Greeley, CO 80631, for the Calendar year of 2013 to
present day.
The call for service was vandalism to a vehicle that occurred while the vehicle was
parked outside the establishment over the weekend.
I find no grounds for disapproval for the renewal of the liquor license.
Respectfully Submitted
Deputy Lisa Carpenter
Community Resource Officer
Weld County Sheriff's Office
1950 "O" Street
Greeley, CO 80631
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
Inspection Report
Incident Report
CR1t:
WTrade Name: --nu r_ r j 7 I. LT O
c„,2�J
Licensee Name: 11
License #1 Type - rm C4' Nr
Date of Report / Incident:'"� _
Address: (; S i- IS {c. S j
Person Contacted l 1 1
City, Slate, Zip. 6r,e e-{ , c,c, VOL _3/
Telephone # �� - s''..)I S t V
Yes No NIA
es
State Liquor License Posted
✓
Manager Registered
✓
State Sales Tax License Posted
✓
License in Control of Premises
County Liquor License Posted
✓
Trade Name Property Registered
—,
Federal Form 11* Call (800) 398-2822
''
Premises Physical Control Adequate
IV
Food Service License Posted
✓
Acceptable Dispensing System
'/
Minor Warning Sign Posted '
d
Off Premise Storage Licensed
✓
Meals and Snacks Available
Only Permitted Items Sold
Cleanliness Adequate
fr---
Alcohol From Permitted Source IL. --
Books & invoices Available
✓
Discuss Sales of Liquor to Minors
Alcohol Beverage Stock Acceptable
✓
Discuss Sales to Intoxicated Persons
-✓
LIWarning OFoliow-Up Inspection
Licensee / Representative Signature
Violation:
II Date: Time.
I
Subject:
DOH:
Hgt.
I WO:
Eyes. Hair:
Clothing:
DL 1ID#.
Stale:
Address.
City:
State:
Zip:
Evidence: Yes
NO
HMI Phone #:
Summons #:
Court Date:
Photon: Yes
NO
Narrative:
#: tot') I S s, Date:
Memorandum
TO: Rafaela Martinez
FROM: Dan Joseph
SUBJECT: Liquor license inquiry
DATE: July 9, 2014
CC: Debra Adamson
In response to your request, Environmental Health Services has reviewed the Retail Food Service
Establishment file for The Fort 21, LTD, located at 985 18`h Street, in Greeley, 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 tco.weld.co.us or by phone at 970-304-6415 extension 2206.
Thank you.
Dan Joseph
Environmental Specialist III
MEMORANDUM
a: Rafaela Martinez, Deputy Clerk to the Board July 8, 2014
From: Bethany Pascoe, Zoning Compliance Officer, Dept. of Planning Services
Subject: LC0034
Review of the following liquor license renewal by the Department of Planning Services shows the following:
Situs Information:
06-27829-0000
The Fort 21, Ltd.
dba: The Fort 21
985 East 18th Street
Greeley, CO 80631-6135
Mailing Address:
The Fort 21 LTD
2501 26th St
Greeley, CO 80634
Zone District: I-1 (Industrial -1)
This use is allowed through a Nonconforming Use (NCU-199).
No violations are occurring on the property at this time.
SERVICE, TEAMWORK, INTEGRITY, QUALITY
Rafaela Martinez
From:
Sent:
To:
Subject:
Janet Lundquist
Wednesday, June 25, 2014 10:20 AM
Rafaela Martinez
RE: The Fort 21 LTD
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: Wednesday, June 25, 2014 8:39 AM
To: Dan Joseph; Deb Adamson; Bethany Salzman; Frank Piacentino; Lisa Carpenter; Mark Mellon; Janet Lundquist; Roy
Rudisill; Bob Choate
Subject: The Fort 21 LTD
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: July 9, 2014
ESTABLISHMENT:
Current License Expires:
File Location:
Thank you,
Rafaela .4. Martinez
The Fort 21
August 8, 2014
LC0034
1
Rafaela Martinez
From:
Sent:
To:
Subject:
No concerns for OEM
Roy Rudisill
Monday, June 30, 2014 3:15 PM
Rafaela Martinez; Dan Joseph; Deb Adamson; Bethany Salzman; Frank Piacentino; Lisa
Carpenter; Mark Mellon; Janet Lundquist; Bob Choate
RE: The Fort 21 LTD
Roy Rudisill
Director
Office of Emergency Management
1150 O Street
970-304-6540
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: Wednesday, June 25, 2014 8:39 AM
To: Dan Joseph; Deb Adamson; Bethany Salzman; Frank Piacentino; Lisa Carpenter; Mark Mellon; Janet Lundquist; Roy
Rudisill; Bob Choate
Subject: The Fort 21 LTD
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: July 9, 2014
ESTABLISHMENT:
Current License Expires:
File Location:
Thank you,
Rafaela ✓I. Martinez
Deputy Clerk to the Board
The Fort 21
August 8, 2014
LC0034
1
THE FORT LTD
985 E 18TH ST
GREELEY CO 80631-6135
Pay to the / 1. []1�,Y`� O
Order of �
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Envelope' elddFAtiswxmyyak.
0415722399
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U.S. Postal Service„
CERTIFIED MAIL.tn RECEIPT
(Domestic Mail Only; No Insurance Coverage Provided)
Postage
Certified Fee
Return Receipt Fee
(Endorsement Required)
Restricted Delivery Fee
(Endorsement Required)
Total Postage & Fees
Sent
Postmark
Here
Sheet, Apt. No.; Po0 t ��
or PO Nallo 1
City. State, ZIP+4
S
PS Form 3800. June 2002
•
See Reverse for Instructions
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.
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
1. Article Addressed to:
J2.6 -aft. (ibtfe
-PJ j 7s' -t .2J , LTD
ZSOI 2.h ;4 .
Grp, Co S'oo44
COMPLETE THIS SECTION O/. CL
3. Service Type
.,C Cabbed Mall ❑ Express Mall
O Registered O Return Receipt for Merchandise
O insured Man O C.O.D.
4. Restricted Delivery? (Extra Fee)
❑ Yes
2. Article Number
(bane from service label)
PS Form 3811, February 2004
7004 2890 0003 5708 9714
Domestic Return Receipt 10PEesO¢#NSW
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