Laserfiche WebLink
• <br /> IiIM. 1Rrr-1/1$ <br /> It • <br /> STATE OF COLORADO <br /> DIPANTYIMT OE NEVIMUI <br /> APPLICATION FOR 3.2‘; <br /> FERMENTED MALT BEVERAGE LICENSES <br /> pRIIiTME IM40LgAL1vr OI1 WEIUFACTI RII) <br /> THIS APPLICATION MUST BE RL.ED 1ARTH THE COLORADO DEPARTMENT OF REVENUE,TELEPHONE PM M024741.STATE <br /> CAPITOL ANNEX BUILDING,t375 SHEIVAN<STREET.Moan COLORADO 00203.NO UCENSE WILL AE GRUNTED UNTIL <br /> THE APPLICATION HAS SEEN APPROVED tY TIER LOCAL LICEmIMO AUTHORITY. <br /> IMPORTANT: CHECK THE APPROPRIATE BOX FOR THE TYPE OF LICENSE(3)BEING APPLJED FOR.THIS 18 AN ORIGINAL <br /> APPUCATION AND A COPY MUST BE KEPT IN YOUR FILES FOR REFERENCE WHEN APPLYING FOR RENEWAL <br /> 4 <br /> • RETAIL 3.2% BEVERAGE LICENSE FEE $ 25.00 <br /> E WHOLESALE 3.2%UE LICENSE* FEE =100.00 <br /> O MANUFACTURER'S 32%BEER LICENSE' FEE stoo.00 <br /> •MAY REWIRE BOND <br /> THE UNDERSIGNED HEREBY MAKES APPLICATION FOR A STATE UCENSE AS INDICATED ABOVE,UNDER THE PROVISIONS <br /> OF TITLE 12.ARTICLE 40.CRS lan.AND FOR THAT PUNP'OSE MAKES THE FOLLOWING ANSWERS TO THE OUEST10NB CON- <br /> TAINED IN THIS APPUCATFON.EVERY APPUCABLE OUESTION MUST BE ANSWERED.ANY FALSE ANSWER OR STATEMENT <br /> MADE BY THE APPLICANT CONSTITUTES PERJURY AND THE PERSON MAKING SUCH FALSE STATEMENT SUBJECTS ANY <br /> UCENSE ISSUED HEREIN TO REVOCATION. <br /> ALL AN$WU$MWT M 1NPINTID IN INK OR TYPEVA 1TT7!!1 <br /> 1. Nob d/lpiac•elI j) <br /> ac d of 47-E1eve* Sto v8" <br /> 2. bob Nam 7-> lev*n .$tQLSS: _ <br /> • Alf/Ne.0f pl.a.b ko Mesne d.EXACT LOCATION Of PAPOIStt WAIT SE OWN.Giro slob and rougtar.voNin 0v1.14.II pow IM M kaeriS4 M boM• M• <br /> 1a44 at wnd 41101/41t mean k M 1ne0044104 10 Oa*sot wle mnMw.M s M end block nt+sber at OM d Mellow reHtlr loosNd ewe111 be Wm. <br /> u d r n <br /> P lin• bTo. 1 <br /> 4. Gty r Twin <br /> 10•111t.Mama <br /> l Type a SIN <br /> & 4»nom legal poelr.Man of Mw so nwu br stok+rw rpllc.11.n b•Scow Is mode yogi <br /> • <br /> • : <br /> •• • . <br /> .1 • <br /> cowry►^ M n144,r_ --. Wonrr <br /> my C.4•_ 800 Z� <br /> 7. Ms Vie prw.fsM.wa/s 1104017 K eswl.d.Moen Own? <br /> W!11..19.dab of ls... lnipiewlew OM or Low - <br /> a Linger CRS 107.12 24 (TO M ffl.i.W IN SY fiETAN.10111 OMLV) <br /> 011)11••lout 11nmiinO rM.rlyr.Mod upon oe4.4 tl+s fsllo.+ns d4.We•tlons <br /> ei.o hurl w Mw.ppiluisn.M+M 1.ON be ua•el wild twota: <br /> Iwl b d s• oarboroilon ell r1.r.Ml..•of MM kowMes:Of <br /> OM Soles 110 o.t.,.M den on to pr.of.r.nllMlra.wf..:se <br /> pI Itch.tx ao•y,emptir bob aw v1i ell MM pJaei..s of My kiwis. <br /> • 01 Ttt,prewleebnr oI tlets ways.I11 Mall+.al 4pi4'10 wr lli bso Imo/w <br /> spill./Rex node OS*Mob rb+10 pM•llsolw•dais 01 Oils pr•plapl•,worts <br /> any woo*or 0/4mo•nw Must <br /> UMW 2.1110:40.0 dw-TM.cot shell INN edict My t.1fM1. <br /> R b_'*I K M a*lues M M..an•srrMn alllawl.l M M tldl.i bMas M AnMs1 <br /> 10. Is.$Mll.swt•wrwaee el w.*am M CeMraio?, Yew - -� <br /> 11. ..1-row 40.4 aM 17401,r sa0wlrkusui plan ow Mn wails of war so rb hersas l(s.t/et wI* 1.11.0s sot en1M1•'p• •f..bates.•wolf,ooweoueln•M1.INIsi 1I <br /> .one&"ONLY 3.2%S M MOLD WW1 100111.1111 4K.Y TO flermotse - tea -- �- - - - -- <br /> 12. Ns bob woNses Row MOWN WNW Mn Gi LIM+M Low sr Ilea$.l%bar Pelt Y,b WOO.M MM Woo Moose <br /> OeM Liewna/b <br /> 13 00 YOU 1MV[A GOLGRADO ITATE$ALE$TAX AiC0 UNTt vt$ NO 0 If YEA GIVE THE pc-wow wow .01-5%7 L2^024 <br /> Is soy ptsaw mufti.In u.MMe a dl.p M14 of f erre.nlai Mrlt A..r.l s b ant al Ito appllcw+s <br /> In M*whoa for o111ok Ids sopierdl*A wM mob e.lar M4 woof.1Ofwrw yaws? _, -- -- Ys. --_Ns <br /> Gsck our <br /> 0 <br /> 0 <br />