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IDRL 1Q4 (REV. S/70) <br /> sE OF COLORADO <br /> DEPARTMENT OF REVENUE <br /> APPLICATION FOR A LIQUOR LICENSE <br /> rot$ APPLICATION MUST BE FILED WITH THE COLORADO DEPARTMENT OF REV- <br /> ENUE, STA;• CAPITOL ANNEX BUILDING. 1375 SHERMAN STREET. DENVER. <br /> COLORADO 60406, 47031 M 21741. NO LICENSE WILL BE GRANTED UNTIL THE <br /> AIPLICATION HAS BEEN APPROVED EV TH LOCAL LICENSING AUTHORITY. <br /> EASE Q'O NOT WRITE IN THIS SPACE <br /> " PORTANT: CNEC.K THE APPROPRIATE 110A FOR THE TYPE OF LICENSES'BEING APPLIED FOR. TN/3 IS AN ORIGINAL APPLICATION <br /> ANO A COPY MUST 01 KEPT IN YOWL FILES FOR RIFIRINCE *HEN APPLYING FOR REMITTAL L1CV101t0. <br /> +A•TAIt LIOYON earns LICENSB—Cln <br /> RETAIL LIQUOR STORE LICENSE—County <br /> %MAAR L!C•N••D 0111.10 STORE—Clty <br /> L1011OR UCINSIO DRY*STORE—C•s►n,p <br /> SEER•MINI MINES—C17 <br /> SEER•RINI LICENSE—Cooney <br /> CLUE LICSN11IS <br /> HOTEL S RESTAURANT LIC.i4t —Cirri•County <br /> TAVERN LICENSE--CITY•County <br /> RACE TAACK LICENSE <br /> ARTS LICENSE <br /> $ 177.10 <br /> $ 25.50 <br /> S 177.50 <br /> $ 302.10 <br /> E 151.10 <br /> $ 217.10 <br /> 5 11000 <br /> • 70121 <br /> $ 301.21 <br /> $ 401.2$ <br /> $ 110.00 <br /> rrIN5R V LICENSE 1010.000 BeA4Reseakeggil <br /> WMOLISALI EMIR LICENSE • <br /> M NOLISALI LIOYOR LICENSE 10/0.0!•loom Mt1J <br /> D IrnLLERv LICINBE 1510000 5.144 R+R ANE/ <br /> RECTIFIER LICENSE(210.030 E.rts R.wsr.tl <br /> IMPORTER'S LICENSE <br /> •RERIRY(5EERI LICENSI <br /> PUBLIC TRANSPORTATION LICENSE <br /> f•I.m.,lb.*, tort <br /> •Rear RsquIr.Send <br /> • MIN <br /> • IRSIS <br /> •1061.6 <br /> 'MOM <br /> •IMIi.a <br /> • MOO <br /> • 3•0.0 <br /> Md► S 25.00 <br /> THE UNDERSIGNED HEREBY MAKES APPLICATION FOR STATE LICENSE AS INDICATED ABOVE,t:NDER THE PROVISIONS OF TITLE 12, <br /> ARTICLE 47,CR5 1777.AND FOR THAT PURPOSE MAKES THE FOLLOWING ANSWERS TO THE QUESTIONS CONTAINED IN THIS APPLICA• <br /> TION.EVERYAPPLICASLE: OUESTIOPFRUST SE ANSWERED.ANT FALSE ANSWER OR STATEMENT MADE ST THE APPLICANT CONITI• <br /> TUTEE PERJURY AND THE PERSON MAKING SUCH FALSE STATEMENT SUBJECTS ANY LICENSE ISSUED HEREIN TO REVOCATION. <br /> AK AMINES ES*157 M FERMI RI INK OR 1YPE1/1111E11 <br /> 1. N.,,. .1 P„a...110........ WALD01.5..INC . . . . . <br /> _...._.. 3 . � .. I �1_ .IY.ItLEa.G9LORAO0 <br /> 2 Tn.d. Nam...., WA1.DO'S LOUNGE <br /> social Security N..._523-32—$656 <br /> . twos".No. 666-9991 . <br /> 3. Alwyn M shoe IM be R..r...dl EXACT LOCATION OP PREMISES *UST II GIVIN. Gov. atrast..d member. *Awe pr.s.S4. N pJ_. u M I.car.srd <br /> k I.a.awd in a ewe* r noel dowel who►e it is ■lmP.a.irl. t.110111100117 and n...••6... P.1.01 aI►4 block nu^•b.r a p..t(01:•Seri*..Iwo. Welled Sows: <br /> S. si..t... �.._... ..9 5...PI,R TRCCY.><. I,p1.ISYI l.LE..,.COLORADO <br /> 4 C0„ .►Tom....CITY. OF-LOUISVILLE .... 80027 ctrY .BOULDER <br /> LIP C.a. <br /> M«1«•0 Aar..... .935 PINE .$YREYT, LOUISVILLE, COLORADO <br /> 5. 0.T« M+a t.sd P.ressi•n .E As Prwerees ter _ggrhgek NTT spplKarren ear I.c.•.se it mod.? YES.... <br /> • Are Et. pr.w.I.r ..raw M P..».E►__.'.RENTED I1 wood. from whim% EUGENE 6 GENEVIEVE VECCNIARELLI <br /> 7 I..pp 4. Nt)w.s1.Furs.I Ikeews..t.r1.I. wt•arda.r wr Urgs.d pages M Am4rl..I YES <br /> .C.I...d. <br /> :.,cod. 80027 <br /> S. N.rro sommast1. of soy M The p rn+aa. .r MY of Ike eHia.r.. u.s11s rtd.rs.r&rectors .f.ard appl+cawe(.1 a n a crp.raion). <br /> egse.lreee .l soy .stk uwd.r the age of 4.4.11,44. y.arat... N. ..x. ,... <br /> • Soo fro appfwawr. .• Soy .l riy Imiwws. of my yt eM &/Kars. 64.01,414.,* or d•recl.r, al said a.pl.ca•r G1 it is a .rpra- <br /> Moo)'Nom farm..Iwits.d el a t.I.ny In rev Page./Gars&.r Man •iiv coal .1 a awry§ alww►•.rit which wrist& s.ttsrasoe <br /> .hl.my H seek *We had beset anrnr+hd tar IA.Sac.re1 C.I.r.d.7 II so, soars 11,11 Mra4s Yes ..... w.,x.... - <br /> IJ. <br /> Na. sew- appl;unr. of any of sM panrwa, r any Oka,. Iwiwi. <br /> W bran visaged . limos. eerie this liatua>. tear?... ... .. <br /> Ibt had so ak.N.lrc bow opt lira.00 a..tpewdad w rsrrllyd7 <br /> or stockholder o1 sa4 ap.l.canr(.1 .r s s sor..rat..as.rsr. <br /> Yes <br /> YM <br /> 0 As .ws+..r is ITT, dapla.w Irby tonal Npvua at•a.r. d ...dale <br /> II •r. IPe./ ra• •a.r /KM Gt...tied radar the Start L■gWi Law or <br /> is.. ENT Cod.? YES <br /> WALDO'S. INC. . .. . Poo Uc.r... Nuw•b.r <br /> 92 DO YOU HAVE A COIOEADO STATE SALES TAX ACCOUNT, <br /> .1 to. I. who••. .,11.• IK.n.e •..rod' <br /> 111 <br /> yes di NO Q II YES. GIVE ACCOurf NU i51S <br /> 10-23032 <br />