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-. '-..■ mote • 51.11 OF COLORADO al . :.. ..... ei..0177..,, Ni •.--•' • ,-• .
<br /> -. OiPARTMINT or t/Nish! .. • .
<br /> '��'"'�s r van tall f�wOt
<br /> AM 1kIMTMiiw MON
<br /> I Moog twooduaton Q//ici'>i ACTION y-
<br /> (GET APPROVAL if LAICAL mums_ T�MOM 1)_ _ / if -0/ 5"..7
<br /> 1.LAWS ktSTAUKAhV NM .�
<br /> •: ,r INC
<br /> 4400 4041 NAM 51 tit
<br /> ,Ex Lout V ILIA CC 1bC27 41_•7-..d0._ •
<br /> • �►o. ---_-�.. r__ �_ .. —_ —._ -� ----_--.`
<br /> . IFY THAT THERE as NO CHANGES To MY ORIGINAL APPLICATION LOCAL UCENSING AUTH•PTY COPY
<br /> • :PT CHANGE Of MANAGER,TRADE NAME OR CORPORATE STRUCTURE. ---- -- . _—____ _
<br /> Ire
<br /> -. _ _
<br /> , .=-. .
<br /> aMOsAARtM /I-- . 0.- -
<br /> (F THERE S A ' W .
<br /> DO NOT USE THIS FORM.USE AN ORIGINAL APPUCAT1ON.)
<br /> „"p____ MAMAOER'S NAM!-. .rs�/lr i--Cof.1/Jt4 I..- -.- ---- MAKE CHECK OR MOtdT
<br /> INSTRUCTIONS IF APPLICANT IS A CORPORATION,flit,IN REVERSE SIDE. ORDER PAYAMI! TO THE
<br /> • THE MINER$! , COLORADO DEPONENT
<br /> MEW TRADE NUM— - - - . -- ----- OF REVENUE.
<br /> • -.�WAL AF UCATNON POI LIQUOR ucadb$)FOR THE YEM ENOM10 DECEMBER 31-- —j �_ - TOTAL PAYS)
<br /> .scows rwHii qir . - Iss1 F1 , --..= . . .. - —:=L Ad1SNl 07 G41 9012 3 .141112 1914 $ 225.Uti '
<br /> 'E _ . . .__.. ._..- -_—'_NAME A-46--DE-SC-
<br /> ND DESCRIPTION Of LICENSE -_ •-- -----_ - .----. .�.- - -. . .- --.
<br /> tiCk0o IiiiPtk, nhG kjCt.GK -4.i;ENSt (hOT1:&.. kCS,T.1 - _ . . I ZS.0‘11 .
<br /> • c.ATl:hl;EO i URS I.1C hSi:_ _, .- _ _ _. . , •• 2004 iU
<br /> •rnito.+iwg rHfiia+M M M*rood semi odioewIttiged by isederielwob red arch rooesber of p.rtw..ships acrd by corporoli.m)(If opplicaKao is for
<br /> .'errs Work Wort storm of bs Nisi...nonce. .. . . ._ -. . - . .. •• -- - _. _• -- )
<br /> .....r. of COLORADO -. .-- . _• _ -- - - -
<br /> .
<br /> . _. . _ . . .. ,,Wee.by Iwo flirt drily wtww,II fa,hlnn.ff,depot,and eon list fro is the rp fiicOM ab.ra
<br /> • .4.of Math.is _ _ . _. .f the aster*wood corp.ntioe.Prot he has rood Irk orliksol opp{icotior sod
<br /> • •In kn.ryp cont.."*woof,.ed Pas d ninon*ad*imp tb.rolo rot her*on Inn of hie swot kMrvIdga..od I*woo M trwf.rws to on
<br /> .need' -by'-rho DEPARTMENT Of REVENUE IN CONNECTION THEREWITH.
<br /> ,,•,;eel ' >w/041;4, 10IdPOIIME INDIVIDUALS AND ALL MEMBERS Of MII[M M OR PRES. 00 SECY.
<br /> • •,1 ,---- Of CORP.MUST SIGN NEW r�0-i - s) i�,'.,,r�, 1
<br /> • - .••' So. _ .--- ---.-- -DAY -- -_- - --_-. �,I0 .),�1. .}. ..., __...._• r4
<br /> - „1241 , 9 t1 NorARS - C. MN ��•S i i3 } ]CM�R full
<br /> • C l M1 'E�!lrra.•- : .-e-.4_ 1.r _,_/ �neti n' .. 'r _
<br /> ?r
<br /> '.-.. ..,.N'r,�, -- BY �� � (PRlstoINT Oft ,r•• ��rJfJrC1R..... .'" -.
<br /> REPORT AND APPROVAL OF LOCAL UCE1111119 AvTIIORI '•,,,,.,,era,Ire,,
<br /> 1,w.►r OACTUMIti,WNOUS t+,rrrolIRR1 MO RAA*OADS OMSIGAao n«ll SICTION,
<br /> 'C
<br /> n.I applhow Otl.w hes he exaeseeed aid the pnewiwe Ioelohool.d wed we do report that the proposed proadros wil comply with the prori-
<br /> 4M.75.ART.2,CRS.ILO as awr.wdod,rotating so thx 1kewse,old wit do further state that the chorOder of rho opplicoet is smiebdory
<br /> ,•,Jr such Woos.,if granted,will moo the roo.000blo rips.inwreots of the,i., hbarhood owl the d.eires of the iwhobltants.
<br /> .r rOR1 TNrtS APPLICATION IS HEREBY APPROVED.
<br /> :u AT THIS DAY OF ,A.D. 19 .
<br /> ▪ r OF TOWN,CITY OR COUNTY)
<br /> BY,
<br /> (MAYOR OR 00*MAM Of'DASD Oe Cou►rrr COhooliS 0 Sets Cl ONO Trts1 Or ucIMSJIG AUTnor+TV I
<br /> ATTEST,
<br /> fCWII OR UUCiMWA. OR Ors**O lCll HAVMet3 it*OPOCIAt SEAL OP MI UCafraMMO AUMO.rfY y
<br /> „remises ore located within o town or city,the oboes approval should be signed by the mayor and clerk:if In a county.then by she choirmae
<br /> -Guard or county ro+*m+Htone,..,.'d*h,. Atilt•n the howl rr ., ,r i.nnnee of .--11`r,..• .. t . I... r! ' .,AI—, 'V .. ,•-I +•h-, „r'. ,r
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