City Council Agenda and Packet 1981 09 01

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AI IX 0rie cTATI OP COLORADO 1111F"Parselo atta+t DEPARTMENT OP REVENUE IW$1 L IOUOf i'ENFORCEMENT DIVISION E64741 r •ATI: . L(OsluR ISSUANCE 10EWE Of LICENSE: MINER: APPLICATION FOR A SPECIAL EVENTS PERMIT INSTRUCTIONS: This application,and all applicable fees and attachments must FIRST 91 FILED WITH AND APPROVED iY THE LOCAL LICEN`INQ AUTHORITY NOT LESS THAN THIRTY DAYS PRIOR TO THE EVENT.Then malt the completed and approved application to Colorado Department of Revenue. LIQUOR ENFORCEMENT DIVISION.State Capital MOIL 1375 Showmen Street$9291, ' to arrive no Later that TEN(10)DAYS PRIOR TO THE DATE Of THE EVENT. What type of permit we you applying for? - �•�.• �,. ®FERMEWTED MALT BEVERAGE(3.2 seer Only) (State License Fee-S10.00 per day)' 0 MALT.VINOUS AND SPIRITUOUS LIQUOR(State License Fee-S25.00 per dory)* Your local licensing authority will indicate the amount of their licence fn. The undersigned hereby Rakes application for a state license as Indicated above.under the provisions of Title 12,Article 4$,CRS 1973 as 1 .Irnended,and for that purpose makes the following answers to the questions contained in this application. Every applicable question must be answered.Any Wu answer or statement made by the applicant herein or in an attachment hereto constitutes perjury end the person making such false statements subjects any license issued herein to relocation. I ALL ANSWERS M u r SE PRIret'a°IN aL 1CK INK OR TYP:WRITTEIE 1 1 NAME OP APPLICANT. CO$PORATION OR ORGANIZATION 2.TRADE NAME 11i any): TELEPHONE NO. •F V NT MANAG R Same as Above ome 651-3776 Work441-3 - 3 ADDRESS OP PLACE TO HA E r MPORAOY PERMIT: (Elect location of pra'tt4oe mat be puree.One room asp number,whM peseilaie.It save to be I.tanaad Is ItNeted In•term or rural d•strkt whore It is imposalbta ro Nve strNt and nume•r,SAM let and Weer nunrer•of part of set•ton whorl.located MOOR be eaten. Attach dierarnla "IRS r mnafllnw.mLfl5owl •Nut'02.1!.INyt•'4r1 1555 East South Boulder Road 4.MAtLINO ADORE • (Street and numbed: CITY ON TOWN. II►COOS: P. a 30 738 - :BOULDt. • 813306 COUNTY. t •( I... STATE: •' Bain reir..!._'•• Colorado t• Ara(Yonne trw�It�11�MW Laird under tlw EtNu Liquor of aver Cad•l If enewar.t"YES".so whom is the I.ornsr lowed? :��IIa i • gawkier Valle Pow *.Jour t = ' • e. • • rw Pva l pal..-in . the e'lm4Ws tOr whiets the aOnnutiat It made.a trite•4Y OP Ifua Ef r tAtt.eh LICE a,. i/ a I V.11"«c �4101•In. 7.TA•Sx A4T daW fp, •Perkatlon is wine made for permit.Ire*Rehr Illi for mare thee two suceaasire data.wet addlnenM selocathh(s)) F ROM fieti►" ' I :81 (H,,,4:00 P.M. TO(Dole): 9/7/81 Maur):5:00 P.M• ''►►►fIt►III PROM(Dees►: (hour): To(plea): Down- s.Is aeolr•ant sfowsisvuen InearPHated under the Simi of t7111 SUN far puroaaes eta laths,trate►nai,Dat►IOtk,aetitgal,or mitten'nature,n t to.ueea.rtlary Olin:Of l•ft a raMilarly el+rterod eranth,Itr/ee,or thaow"et a nation/1 ergenissehon w setrsty oraenizen for oath esurp+asa.besets n•n*rafIt In nawwe:OF Is It•rIllgta•r fig 1101A1Mt7►t•ela emitietatiapea L Vag •NO If-escr.•1Mairt: S.t►the aeerKonf Ia an areanl••tian IeMOrparetad lit Stela Re»Per••nan.pwuele,v'(••onarafrt)twrooaes,answer(a).(bland ICI.ASts I;afly Ot••Cartit1uv d I.) O•eanlsad weir the Iona of IPla Suss N. Den: lbs.Pf•rllat tws.naa•Is condur:tad et: Carney: Colorado 11/13/1978 Louisville Boulder It).C•rnoteta tt►r 71∎1** ing in d s•t1; TITLE• NAME: ADM ADORE' : SIOTN • . PRelIDiNT f • . . . . .. • • �. 8-12 30 VICE-PRESIDENT George Anderson 4750 Racra Drive Boulder, Co Imam TRIEASUM*R Rich Cleland - 6165 County Road #4 Loveland. Co 2-24-46 SECRETAItY $ecky Annadale 0318 Overlook Lane Boulder, Co 12-10-28 EVINTMANAGEII Mike Root 341 Eagle Court Longmont, Co 11-01-52 $0 Are the oldittne I cunead facilities Of app cant orponlaatron in•degyats for tarv.ng ffofflbars Or guests of the orgenastron by reason of UM Weit.el in winch as 1Ct+adutedi OYES paNO IIRL 43:(Rev.2/1111 GMelnwsd 00 Sash Iiiim I