Local Licensing Authority Agenda and Packet 2021 04 26

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COLOM'r'=m' Colorado Liquor uquor E pO ament Di ENT OF REVENUE liquor Enforcement Division tam)slxssaor Retail License Application ❑ New License ® New -Concurrent ❑ Transfer of Ownership ❑ State Property Only ❑ Master file • All answers must be printed in black ink or typewritten • Applicant must check the appropriate box(es) • Applicant should obtain a copy of the Colorado Liquor and Beer Code: www.colorado.gowenforcemenNliquor 1. Applicant is applying as Wan ❑ Individual ❑X Limited Liability Company ❑ Association or Other ❑ Corporation ❑ Partnership (includes Limited Liability and Husband and Wife Partnerships) 2. Applicant If an LLC, name er LLC, if partnership, at lead 2 fencers names; d conpoation, name of comoation FEIN Number South Street Market LLC 84-2368518 2a.Tmde Name of Establishment(DDA) Slate Sales Tax Number Business Telephoa South Street Market 94636867 (720) 891-1580 E:Ykb-L�[InicIR4 City Stnte County ZIPCW0 Louisville Boulder Co 80027 4. Mailing Address (Numberand Sheet) Cilya'Town Stele ZIP Cale 556 Lincoln Ave Louisville CO 80027 u D Application Fee for New License $1550-00 ❑ Application Fee for New License wM.mxunent Review_.. - _ _ $1 650-00 ❑ Abdication Fee For Transfer ____ _- _ ___ $1550-00 ❑ Add Optional Premises to H&R_..._siml x Tole ❑ Add Related Faulty to Revd Complar$75 EdX Trial ❑ Add Sidewalk ServiceNea -___- ____-____$7500 ❑ Arts License (city) ___----------_$30R75 ❑ Ads Lxeree(Counly). _____ $308 75 ❑ Beerandv✓nelxerse(cM) $35FM ❑Beo'anc WceLicerae (County) $iv]6] El busy Pub Licenss(City) ____ ________$r500o ❑ Brow Pub License(County) __ ________.$750m ❑ Campus Liquor Complex(City) -_-_- ________$50Rm ❑ Campus[necr Compka(Cminty) _____ Mi ❑ Campus Liquor Compka (Slate) _ _ _ _ _ S50Rm ❑ ClubEcense(Cfty)___ __.__-_______-$30R75 ❑ ClubEcense(CounN) -_-_- ________$30R75 El Ilery Pub License (city) ---_ ________$750m ❑ OisUlary Pub Fceaa(Counly) -___ ________.$r50m O Hotel aril Restaurant License (City) _____. __. S500m ❑ Hotel aril Restaurant License (County) _._________.__________. M in ❑ Hotel aril Restaurant License Wore opt Internees (City) $0010m ❑ Hotel aril Restaurant License vdone opt penrses (County)_...._ $e00 m ❑Lpuox i bed Dnx6lom(City) -_-_- ________. MW ❑ Fquor icensctl Dngsfne(County)_ ____- ____$31250 ❑ bringing & Entertainment -L&E(City). ____- ___-MGM ❑ butlging & Entertainment - L&E (County) ____- ____$5m.00 ❑ Manager Registration H & R ____. ____- ____$7500 ❑ Manager Registration Tawm _.___ ____. ____$7500 ❑ Manager Registration- bridging & Entertainment. ______________$7500 ❑ Manager Registration- Campus Lpuor Complex._________._____$7500 ❑ Frontal Preni Lmmnse(city)----. --_-. ____$500.00 ❑ Optional Preni Ficenv(Caehy)_- ---- ----SSW.00 ❑ Racetrack L oonse(CM) ____- ____- --__$SW.m ❑ Racetrack License (County) ____- ____- ____$5m.00 ❑ Resat Complex License(CMl ____- ___-. ----$50000 ❑ Resat Complex License(CourtY)___- ___-. ----$50000 ❑ Related Faolily-Campus Lpuo Co plor(r]IY)_______________ $160.00 ❑Related Fmidy-Campus Lq"Congl (Cony)___...._____$160.00 ❑ Related Faolily-CMnpus Lgax Com" (Stale)_____... _. ____ $160.00 ❑ Retail Carting Tawas Lionse(City).. ___.. ____MOD 00 ❑ Retail Gaming Tawm License (County) ___.. ____MOD 00 ❑ Retail Liquor Sloe (City)._-________________$227.50 ❑ Retail Liquor Sloe License-Mtlitional (CwnH)________________$31250 ❑ Retail Liquor slae(cay) ----- ----- ---8227.50 ❑ Retail Liquor store (County) ____ ____ ____$31250 ❑ Tworn License (City) ____- ____. ____M 00 ❑ Tworn License (County) ____ ____ _.__MOD00 El Worries Restaurant License (City) ____- --__$750.m El Worries Restaurant L oonse(Criunty)- ___-. ____$750.m Questions? Visit: www.colorado.gov/enforcement/liquor for more information