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. • STATE OF COLORAD r . .' <br /> t t 1 I <br /> '••a ■ <br /> RENEWAL APPLICATION FOR MALT VINOtK <br /> AND SPIRITUOUS LIQUOR LICENSES LIQUOR e11ra1eeltfyEf.l arrlG>llr�a>CtI01t <br /> !GET APPROVAL Of LOCAL LICENSING AUTHORITY FIRSTS R <br /> i -..... <br /> ,L <br /> .. . : . .. . ri,s• :,)..•ro <br /> •. ;a*,Airtt `/ -- --__ _ ...- - _• - Melling..ddcris__ ---_ _ .. --_-.—. ...:_ — ' <br /> (IF THER)'S A CHANGE IN OWNER HIP DO NOT USE THIS FORM. USE AN ORIGINAL APPLICATION.) <br /> IMJQRTANT MANAGER'S HAfMft ' . , MAKE CHECK OR MONEY <br /> MANAGER'S <br /> SEE INSTAUCTIO IF APPLICANT IS A CORPORATION.Fitt.IN REVERSE SIDE. ORCfR PAYABLE TO TWO f4 R <br /> ON THE REVERSE ,,, /� COLORADO DEPARTMENT <br /> iIOE, BUSINESS PHONE NO. ��,. �..T-V i1.L I OF REVENUE. <br /> REN IR APPLICATION FOR LID OR 1ICEHSE(SI FOR THE YEAR EN 11NG TOTAL FEEiS) <br /> 1 cs_' sra�amiir:' ririrs.eta lsoll ta+a <br /> MIIINI <br /> le'''. .r?53, OT 041 5913 1 04257. 042579 hilletir4 <br /> rmal NAME AND DESCRIPTION OF LICENSE <br /> i t.• • - f r, - $ 5.00 <br /> I ::)... 11111111111011111- <br /> , , - y <br /> 40 44,404 I posir,po•41:a.premises for gflKh Phil apQt.cazIon f or I�pr1M'r{made •. <br /> ' �^A y -_ - T <br /> its11tadr.•rr, •o•�+t�tlo►'11Ut'-}'At4 t' if e�p+iaftondal*,Of liana .,'•} <br /> :acoI•CM1tII of.it officers G'me co'povatton,cal/WO of the Vnttad Stalin Of Arrl•rrta' y8..5 - . ., - <br /> .:re 10pticanf.0•any'zf aria oa•:ners,or any of the off•cars,stockholders or drrecson of said appt•cant(If tt tt a corporation)• <br /> w tti-Vi yaet of ow ti,t:h.uric*, tn•ape o}twenty-we ye.rtr.._ ,..,,. ..�-. ........__...--.Yes . - .No <br /> --a the..QQI•Cant.or arty of the olrtners,o.-env of the off beers.atoekl+0ld•rs or director/of said apot.tant(it tt it a coitOre- <br /> :Ono aver,been corv.Clei of a+tlo•.,•n the State of Colorado or*Mn COnv+ttsd of a Cr tme.1aewhtre VehiCh would cooshtute <br /> i f FO.1y it each crime f+ac been CDmm•tted■ri the State et Catorado?If to,stet fog tfetattt_ Vol_.......----.........M1.1.•- No <br /> -as the apo cant,c•any et the Peytert.or any elf•LM,d•raCta or tt• k•OfcNf of said•0plteant lit it+t•COMP.+suonl e ar <br /> 10 bean dNlimd a t.ttr•N rr'aer chn Liquor I1& - - Yea - - NA <br /> •bt had in a&CiQ1phC ban wait lsCense sut+ga•ii.d Or•wokrd7..._ •.r - -- Y.* Nor-= <br /> If/ts.M$w.■li yet,•ip1a•n tally 'attach soars hi sheet.if needed! <br /> Do you or pity meta*,of your family hart a trnMCtif titNett to any Other liquor IKeese(Bach ftnantral Infirm 10 oxhide <br /> a^y equity iftwett or IOafttt ff the ansi*'it yet.tetHein in d.fatl •fish No ---- <br /> .ar,,a.f 7n•! -a:r'1• i-eywt•w•r' the ainsr.a••s yet.state rt.Hra•and a.Id.aaaes and Amount of such t•rtai C•lt iittaritt•4P,41..d <br /> •.:he,ih dottlrt et o-Mt,terns of vela*. het u+wntory.forr•tore.!•litotes and eoutpnwrtt. Vee_ A, <br /> i • R' • 4/AL? • ' I I j , -- IP • .AItP! __l'L7t L <br /> tact ott names end.ddio-es of*II • to trdtlth ary of the p•nows to U se prt+.oul dooatton ate lrtee..tad. <br /> /1 ' • <br /> Name 1414,414"-- —- <br /> . ,.• .. •- - - . Ilisorbamparrefra ' r..ishaItr. SYEIt' 1iitioi•a rel"= <br />