Fillable 3126 New License Application Packet (City of Glenwood Springs)

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3126 New License Application Packet (City of Glenwood Springs)

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101 WEST 8TH STREET GLENWOOD SPRINGS, COLORADO 81601
970-384-6406
970-945-5023 FAX WWW.COGS.US
Dear Liquor License Applicant:
Licensing businesses to sell and serve alcohol in the State of Colorado is a two‐tier process.
Approval is required from the local licensing authority as well as the Colorado Department of
Revenue Liquor Enforcement Division. The City Clerk’s Office will facilitate this process for you
and will serve as the liaison between you and both liquor licensing authorities.
This application packet contains general licensing information and guidelines, as well as State
and local application forms. All forms must be legible, accurate, complete, signed and dated.
When you are ready to submit your application and supporting documents please call to
schedule an appointment with the City Clerk to review your application in detail. All
applications must be submitted in duplicate along with both State and City fees. The City
Clerk’s Office cannot process an incomplete application.
Public liquor licensing hearings are held on the 2
nd
Tuesday of every month. The application
must be received by the Clerk’s Office 30 day prior to the hearing date. If you need additional
information or have any questions, please contact the City Clerk’s Office at 970‐384‐6403.
Sincerely,
Catherine Mythen Fletcher
City Clerk
970‐384‐6403
catherine.fletcher@cogs.us
LIQUOR LICENSE APPLICATION PACKET
Table of Contents
INFORMATION
Application Process at a Glance
Frequently Asked Questions
Fee Schedule
Applicant Fingerprinting Procedure
Helpful Information for First‐time Licensees
APPLICATION FORMS
Liquor License Application
Use page 2 of the application as a checklist for required documentation
Individual History Record
Required for each person with 10% or more interest as well as the registered
manager for Hotel
and Restaurant and Tavern licenses
Lawful Presence Affidavit
Required for each person with 10% or more interest as well as the registered
manager for Hotel
and Restaurant and Tavern licenses
TRANSFER APPLICATION FORMS
Affidavit of Transfer & Statement of Compliance
Required for the transfer of an existing license
City of Glenwood Springs Application for Temporary Permit
Required for the issuance of a temporary while the transfer of an e xisting license is in process
LIQUOR LICENSE APPLICATION PROCESS
At A Glance
Step 1 Complete the application forms, and compile the required documentation including
fingerprint cards, a lease or deed, a diagram of the premises, and corporation/LLC
documentation, if necessary.
Step 2 Schedule an appointment with the City clerk to review the application and documents.
Step 3 The City Clerk will schedule a public hearing before the Liquor Licensing Hearing Officer
for consideration of the
application not less than 30 days after the application is
determined to be
complete.
Step 4 Applicants for a NEW license (not the transfer of an existing license) should proceed
with
gathering proof of the neighborhood needs and desires, either by signatures on petitions
and/or recruiting citizens to speak in support of the application.
Step 5 The City Clerk’s Office will begin processing the liquor license application, which may
include the following steps: application review by City Departments;
publication of a Notice of Public Hearing; and the Applicant posting of a Notice of Public
Hearing on the proposed property for liquor licensure (not less than 10 days prior to
Public Hearing).
Step 6 The Hearing Officer, as the local licensing authority, will consider the liquor license
application at the public hearing, then approve, deny, or continue the
application.
Step 7 U
pon approval of the application by the Liquor Licensing Authority, the City Clerk will
forward the
application to the Liquor Enforcement Licensing Division for consideration.
Step 8 A license issued by State Liquor Enforcement Division Licensing Section and a City
license will be issued by the City Clerk’s Office upon determination that all applicable
codes for proposed establishment have been met, all fees have been
paid, and all
accounts are in good standing.
Step 9 The City will conduct an inspection to make sure the premises match the diagram provided
by the applicant.
FREQUENTLY ASKED QUESTIONS
Let us help you with the application process!
How do I know which license to apply for? There are several types of licenses available. G
enerally,
the license
will depend on
the type of beverages served or sold
and the food service requirements.
How much does it cost to get a liquor license? Each license type carries its own state and local fees.
There are fees that apply at the time of the initial application, as well as fees for renewal on an annual
basis. A list of liquor license fees is included in this packet.
When do I need to submit the fees required by both the State and the City? All state and local fees
must be included with your application.
What are the requirements to obtain a liquor license? The requirements for obtaining a liquor
license depend on what type of applicant is named on the license. Requirements
for an individual
applicant will differ from those of a corporation, a partnership, or a limited liability company. In all
cases, the moral character of the applicant(s) will be considered, and for new
license applications,
the needs and desires of the affected neighborhood must be demonstrated.
How long does it take to get a liquor license? Because liquor licensing is a two‐tier process,
involving both State and local approval, applicants should expect to receive their license three to four
months after submitting a complete application.
Are there any other permits or licenses that I need to apply for? City and State Sales Tax Licenses
are required. City Business/Sales Tax license information is available on the City website,
www.cogs.us. For State Sales Tax information, please contact the Colorado Department of Revenue
in Denver at (303) 238‐7378. Other possible licenses and permits include a food service license, a
sign permit, and building permit.
What happens after my application packet is accepted as complete by the City Clerk? Applicants
applying for a NEW liquor license will need to be able to prove the “needs and desires of the adult
inhabitants of the community so petitions must be turned in to the City Clerk with the application.
The City Clerk will publish a legal notice for liquor license hearings and give you a Notice to post on
the premises of the proposed license. Applicants for a NEW liquor license or the TRANSFER of an
existing license must appear before the Local Liquor Licensing Hearing Officer on the date specified
by the City Clerk to allow the Hearing Officer the opportunity to consider the moral character of
the Applicants.
Can I get a temporary license? Applicants applying for the TRANSFER of an existing liquor license can
apply for a temporary permit that allows for the sale of alcohol while the application in is process.
What questions will the Hearing Officer ask me? Aside from considering the needs and desires of the
affected neighborhood, applicants may be asked about their experience in the liquor industry,
funding sources for the proposed establishment, formal training plans for employees and managers,
and
any other questions relative to the applicant's ability to hold a liquor license. If the applicant has a
police record, which may arise during a background check, the applicant may be asked to explain
this history and demonstrate rehabilitation.
What types of rules and regulations should the licensees review? The dispensing of alcohol beverages is
a highly regulated venture and merits awareness of the laws and practices governing
these beverages.
Recognizing the responsibility and liability associated with serving an alcohol beverage, those responsible
for selling/serving alcohol beverages should become familiar with and plan to operate in accordance
with local and State laws concerning alcohol. Those rules laws can be found in Colorado Revised Statutes
Title 12, Articles 46, 47, & 48, and also the Colorado Code of Regulations 1, Section 203‐2.
Am I required to attend training? It is strongly recommended and the Hearing Officer may require you
and your staff to do so.
THIS INFORMATION HAS BEEN PROVIDED AS A COURTESY BY THE CITY OF GLENWOOD SPRINGS AND IS ONLY A
GUIDE.
T
HIS MAY NOT BE ALL THAT IS INVOLVED IN OBTAINING A LIQUOR LICENSE - OTHER AGENCIES ARE INVOLVED, AND
INFORMATION CONTAINED HEREIN MAY CHANGE FROM TIME TO TIME
. THIS INFORMATION IS NOT INTENDED TO BE
LEGAL ADVICE
, AND APPLICANTS ARE ENCOURAGED TO CONTACT A PRIVATE ATTORNEY FOR ANSWERS TO LEGAL
QUESTIONS AND CONCERNS.
For additional information, please contact the City Clerk’s Office at 970-384-6403 or visit
www.colorado.gov/revenue.
9/18/17
CITY OF GLENWOOD SPRINGS
LIQUOR LICENSING FEES
MAKE CHECKS PAYABLE TO: CITY OF GLENWOOD SPRINGS
(Fees to Colorado Department of Revenue can be found under separate cover.)
NEW LICENSE FEES
 Application Fee……….……..…$.1,000.00 &
 Manager’s Registration…………....$75.00 &
 Background Investigation…….$175.00/each
plus:
 Retail 3.2% Beer………………………...$3.75
 Retail Liquor Store……………………..$22.50
 Beer and Wine………………………….$48.75
 Hotel and Restaurant…………………...$75.00
 Tavern………………………………….$75.00
 Racetrack.…………………………...….$75.00
 Arts……………………………………..$41.25
 Club…………………………………….$41.25
 Brew Pub……………………………….$75.00
 Drugstore……………………………….$22.50
 Optional Premises……………………...$75.00
 Bed & Breakfast………………………..$25.00
TRANSFER FEES
 Application Fee…………...………$750.00 &
 Manager’s Registration…………....$75.00 &
 Background Investigation…….$175.00/each
 Temporary Permit…………………..$150.00
plus:
 Retail 3.2% Beer………………………...$3.75
 Retail Liquor Store……………………..$22.50
 Beer and Wine………………………….$48.75
 Hotel and Restaurant…………………...$75.00
 Tavern………………………………….$75.00
 Racetrack.…………………………...….$75.00
 Arts……………………………………..$41.25
 Club…………………………………….$41.25
 Brew Pub……………………………….$75.00
 Drugstore……………………………….$22.50
 Optional Premises……………………...$75.00
RENEWAL FEES
 Annual Renewal Fee……………$100.00
plus:
 Late Renewal Fee……………………..$500.00
&
 Late Renewal Fee after 90 days & less that 180
$25.00 per day
 Retail 3.2% Beer…………………….…..$3.75
 Retail Liquor Store……………………..$22.50
 Beer and Wine………………………….$48.75
 Hotel and Restaurant…………………...$75.00
 Tavern………………………………….$75.00
 Racetrack.…………………………...….$75.00
 Arts……………………………………..$41.25
 Club…………………………………….$41.25
 Brew Pub……………………………….$75.00
 Drugstore……………………………….$22.50
 Optional Premises……………………...$75.00
OTHER FEES
Art Gallery Permit…………….…………$103.75
Wine Tasting…………………………….$100.00
Concurrent Review………….…...…....$1,000.00
Change of Location……………….……..$750.00
Special Event—Liquor (Per Event)……..$100.00
Special Event—3.2% (Per Event)…….…$100.00
Manager Registration……………………..$75.00
Background Investigation…………….....$175.00
Fingerprints (to Glenwood Springs PD)....$20.00
Background Check– to Colorado Bureau of
Investigation (CBI) (must be money order
or cashier’s check)…..………………...….$38.50
Liquor and Beer Code…………………….$22.40
Duplicate License……………………...….$25.00
Change of Corp. or Trade Name…….…..$100.00
Modification of Premises……………...….$75.00
Bed & Breakfast…………………………..$25.00
Please contact the Glenwood Springs City Clerk’s office with any questions on the computation of fees:
Catherine Mythen Fletcher , City Clerk City of Glenwood Springs
970-384-6403 (office) 101 W. 8th Street
970-945-5023 (fax) Glenwood Springs, CO 81601
catherine.mythen@cogs.us
U:\Clerk\LQBRD\Forms\FEES
Liquor Enforcement
Division Fee Schedule (08/01/2018)
Application Fees
Local Fee
State Fee
Application Fee
up to $1000.00
$1,100.00
Application Fee with Concurrent Review
up to $1000.00
$1,200.00
Application Fee Transfer of Ownership
$750.00
$1,100.00
Application Fee Additional Liquor-Licensed Drugstore
up to $1000.00
$1,300.00
Application Fee Additional Liquor-Licensed Drugstore with
Concurrent Review
up to $1000.00
$1,400.00
Application Fee Manager Permit
N/A
$100.00
Application Late Renewal Fee (Not more than 90-days of license
expiration date)
$500.00
$500.00
Application Reissue Fee ( More than 90-days but less than
180-days of license expiration date)
$500.00
$500.00
Application Reissue Fine (More than 90-days but less than 180-days
of license expiration date)
$25.00 a day
beyond 90-day
expiration date
$25.00 a day
beyond 90-day
expiration date
$100.00
$0.00
$100.00
$0.00
Retail License Fees
Local Fee
City
State Fee
City
Local Fee
County
State Fee
County
Art
$41.25
$308.75
$41.25
$308.75
Beer & Wine
$48.75
$351.25
$63.75
$436.25
Brew Pub
$75.00
$750.00
$75.00
$750.00
Club
$41.25
$308.75
$41.25
$308.75
Distillery Pub
$75.00
$750.00
$75.00
$750.00
Hotel & Restaurant
$75.00
$500.00
$75.00
$500.00
Hotel Restaurant with one Optional Premises
$75.00
$600.00
$75.00
$600.00
Each Additional OP License
$100.00
$100.00
Resort Complex
$75.00
$500.00
$75.00
$500.00
Campus Liquor Complex
$75.00
$500.00
$75.00
$500.00
Related Facility – Resort Complex
$15.00
$160.00
$15.00
$160.00
Related Facility – Campus Liquor Complex
$15.00
$160.00
$15.00
$160.00
Liquor-Licensed Drugstore
$22.50
$227.50
$37.50
$312.50
Lodging & Entertainment
$75.00
$500.00
$75.00
$500.00
Optional Premises
$75.00
$500.00
$75.00
$500.00
Racetrack
$75.00
$500.00
$75.00
$500.00
Retail Gaming Tavern
$75.00
$500.00
$75.00
$500.00
Retail Liquor Store
$22.50
$227.50
$37.50
$312.50
Tavern
$75.00
$500.00
$75.00
$500.00
Vintner's Restaurant
$75.00
$750.00
$75.00
$750.00
3.2% Beer On Premises
$3.75
$96.25
$7.50
$117.50
3.2% Beer Off Premises
$3.75
$96.25
$7.50
$117.50
3.2% Beer On/Off Premises
$3.75
$96.25
$7.50
$117.50
Local and State Issued Permit Fees
Local Fee
City
Local Fee
County
State Fee
Art Gallery Permit
$3.75
$3.75
$71.25
Bed & Breakfast Permit
$3.75
$3.75
$71.25
Each Resort-Complex-Related Facility Permit
$15.00
$15.00
$160.00
Special Event Permit
Malt, Vinous and Spirituous Liquor
$100.00
$100.00
$25.00 Per Day
Fermented Malt Beverage (3.2% Beer)
$100.00
$100.00
$10.00 Per Day
Mini Bar Permit with Hotel Restaurant License
$48.75
$48.75
$276.25
State License Fees
Fee
Limited Winery License
$70.00
Manufacturer's License (Distillery or Rectifier)
On or after August 10, 2016, and before August 10, 2017
$675.00
On or after August 10, 2017
$300.00
Manufacturer's License (Brewery)
$300.00
Manufacturer's License (Winery)
$300.00
Nonresident Manufacturer's License (Malt Liquor)
$300.00
Importer License
$300.00
Wholesaler's Liquor License
On or after August 10, 2016, and before August 10, 2017
$800.00
On or after August 10, 2017
$550.00
Wholesaler's Beer License
$550.00
Public Transportation (dining, club or parlor car; plane; bus or other vehicle)
$75.00
3.2 % Beer Wholesaler License
$150.00
3.2% Beer Manufacturer's License
$150.00
3.2% Beer Importer's License
$150.00
3.2% Nonresident Manufacturer License
$150.00
Additional Fees
Local Fee
State Fee
Alternating Proprietor Licensed Premises
N/A
$150.00
Change of Location
Not to exceed
$750
$150.00
Change of Trade Name/Corporate Name
N/A
$50.00
Corporate/LLC Change (Per Person)
$100
$100.00**
Duplicate License
N/A
$50.00
Add Optional Premises to Hotel & Restaurant License
N/A
$100.00
Limited Liability Change
N/A
$100.00
Manager Registration (Hotel & Restaurant; Tavern; Lodging &
Entertainment; Campus Liquor Complex)
$75.00
$75.00
Master File Background
N/A
$250.00
Master File Location Fee (Per Location)
N/A
$25.00
Modification of Premises
N/A
$150.00
Sole Source Registration
N/A
$100.00
State Only Issued Permits
Fee
Winery Direct Shipper Permit
$100.00
Wine Packaging Permit
$200.00
Wine Festival Permit
$25.00
Branch Warehouse or Warehouse Storage Permit
$100.00
Retail Warehouse Storage Permit
$100.00
Manager Permit Registration (Liquor-Licensed Drugstore)
$100.00
** The State Fee of $100 only pertains to state-only issued licenses and does not apply to licenses issued by local
licensing authorities
1
Colorado Liquor
Retail License Application
New License
New-Concurrent
Transfer of Ownership
State Property Only
• All answers must be printed in black ink or typewritten
• Applicant must check the appropriate box(es)
• Applicant should obtain a copy of the Colorado Liquor and Beer Code: www.colorado.gov/enforcement/liquor
1. Applicant is applying as a/an Individual Limited Liability Company Association or Other
Corporation Partnership (includes Limited Liability and Husband and Wife Partnerships)
2. Applicant If an LLC, name of LLC; if partnership, at least 2 partner's names; if corporation, name of corporation FEIN Number
2a. Trade Name of Establishment (DBA) State Sales Tax Number Business Telephone
3. Address of Premises (specify exact location of premises, include suite/unit numbers)
City County State ZIP Code
4.
Mailing Address (Number and Street) City or Town State ZIP Code
5. Email Address
6. If the premises currently has a liquor or beer license, you must answer the following questions
Present Trade Name of Establishment (DBA) Present State License Number Present Class of License Present Expiration Date
Section A Nonrefundable Application Fees Section B (Cont.) Liquor License Fees
Application Fee for New License ............................................$1,100.00
Application Fee for New License w/Concurrent Review ............$1,200.00
Application Fee for Transfer ...................................................$1,100.00
Lodging & Entertainment - L&E (County) ...........................................$500.00
Manager Registration - H & R ................................................................$75.00
Manager Registration - Tavern ............................................................... $75.00
Manager Registration - Lodging & Entertainment ................................$75.00
Manager Registration - Campus Liquor Complex ...............................$75.00
Master File Location Fee ........................$25.00 X ________ Total ________
Master File Background ...................... $250.00 X ________ Total ________
Optional Premises License (City) ......................................................... $500.00
Optional Premises License (County) ...................................................$500.00
Racetrack License (City) ....................................................................... $500.00
Racetrack License (County) .................................................................$500.00
Resort Complex License (City).............................................................$500.00
Resort Complex License (County) ....................................................... $500.00
Related Facility - Campus Liquor Complex (City) .............................. $160.00
Related Facility - Campus Liquor Complex (County) ........................ $160.00
Related Facility - Campus Liquor Complex (State) ............................ $160.00
Retail Gaming Tavern License (City) ...................................................$500.00
Retail Gaming Tavern License (County) .............................................. $500.00
Retail Liquor Store License--Additional (City) ......................................$227.50
Retail Liquor Store License--Additional (County) ................................$312.50
Retail Liquor Store (City) ....................................................................... $227.50
Retail Liquor Store (County) .................................................................$312.50
Tavern License (City) .......................................................................... $500.00
Tavern License (County) ....................................................................$500.00
Vintners Restaurant License (City) ......................................................$750.00
Vintners Restaurant License (County) .................................................$750.00
Section
B Liquor License Fees
Add Optional Premises to H & R ......... $100.00 X ________ Total ________
Add Related Facility to Resort Complex $75.00 X ________ Total ________
Arts License (City) ................................................................................ $308.75
Arts License (County) .......................................................................... $308.75
Beer and Wine License (City) .............................................................. $351.25
Beer and Wine License (County) ........................................................ $436.25
Brew Pub License (City) .................................................................... $750.00
Brew Pub License (County) ................................................................. $750.00
Campus Liquor Complex (City) ........................................................... $500.00
Campus Liquor Complex (County) ..................................................... $500.00
Campus Liquor Complex (State) ......................................................... $500.00
Club License (City) ............................................................................... $308.75
Club License (County) ........................................................................ $308.75
Distillery Pub License (City) ................................................................. $750.00
Distillery Pub License (County) ........................................................... $750.00
Hotel and Restaurant License (City) ................................................... $500.00
Hotel and Restaurant License (County) ............................................ $500.00
Hotel and Restaurant License w/one opt premises (City) ................. $600.00
Hotel and Restaurant License w/one opt premises (County) ............ $600.00
Liquor–Licensed Drugstore (City) ....................................................... $227.50
Liquor–Licensed Drugstore (County) ................................................. $312.50
Lodging & Entertainment - L&E (City) ................................................ $500.00
Questions? Visit: www.colorado.gov/enforcement/liquor for more information
Do not write in this space - For Department of Revenue use only
Liability Information
License Account Number Liability Date License Issued Through (Expiration Date)
Total
$
DR 8404 (09/25/18)
COLORADO DEPARTMENT OF REVENUE
Liquor Enforcement Division
(303) 205-2300
2
Application Documents Checklist and Worksheet
Instructions: This checklist should be utilized to assist applicants with ling all required documents for licensure. All
documents must be properly signed and correspond with the name of the applicant exactly. All documents must be typed
or legibly printed. Upon nal State approval the license will be mailed to the local licensing authority. Application fees are
nonrefundable.
Questions? Visit: www.colorado.gov/enforcement/liquor for more information
Items submitted, please check all appropriate boxes completed or documents submitted
I. Applicant information
A. Applicant/Licensee identied
B. State sales tax license number listed or applied for at time of application
C. License type or other transaction identied
D. Return originals to local authority
E. Additional information may be required by the local licensing authority
F. All sections of the application need to be completed
II. Diagram of the premises
A. No larger than 8 1/2" X 11"
B. Dimensions included (does not have to be to scale). Exterior areas should show type of control (fences, walls, entry/exit
points, etc.)
C. Separate diagram for each oor (if multiple levels)
D. Kitchen - identied if Hotel and Restaurant
E. Bold/Outlined Licensed Premises
III. Proof of property possession (One Year Needed)
A. Deed in name of the applicant (or) (matching question #2) date stamped / led with County Clerk
B. Lease in the name of the applicant (or) (matching question #2)
C.
Lease assignment in the name of the applicant with proper consent from the Landlord and acceptance by the Applicant
D. Other agreement if not deed or lease. (matching question #2)
(Attach prior lease to show right to assumption)
IV. Background information and nancial documents
A. Individual History Records(s) (Form DR 8404-I)
B. Fingerprints taken and submitted to local authority (State Authority for Master File applicants)
C. Purchase agreement, stock transfer agreement, and/or authorization to transfer license
D. List of all notes and loans (Copies to also be attached)
V. Sole proprietor/husband and wife partnership (if applicable)
A. Form DR 4679
B. Copy of State issued Driver’s License or Colorado Identication Card for each applicant
VI. Corporate applicant information (if applicable)
A. Certicate of Incorporation date stamped by the Colorado Secretary of State's Ofce
B. Certicate of Good Standing
C. Certicate of Authorization if foreign corporation
D. List of ofcers, directors and stockholders of applying corporation (If wholly owned, designate a minimum of one person
as principal ofcer of parent)
VII. Partnership applicant information (if applicable)
A. Partnership Agreement (general or limited). Not needed if husband and wife
B. Certicate of Good Standing (If formed after 2009)
VIII. Limited Liability Company applicant information (if applicable)
A. Copy of articles of organization (date stamped by Colorado Secretary of State's Ofce)
B. Certicate of Good Standing
C. Copy of operating agreement
D. Certicate of Authority if foreign company
IX. Manager registration for Hotel and Restaurant, Tavern, Lodging & Entertainment, and Campus Liquor
Complex licenses when included with this application
A. $75.00 fee
B. Individual History Record (DR 8404-I)
C. If owner is managing, no fee required
3
Name Type of License Account Number
7. Is the applicant (including any of the partners if a partnership; members or managers if a limited liability company; or ofcers,
stockholders or directors if a corporation) or managers under the age of twenty-one years?
Yes
No
8. Has the applicant (including any of the partners if a partnership; members or managers if a limited liability company; or ofcers,
stockholders or directors if a corporation) or managers ever (in Colorado or any other state):
(a) Been denied an alcohol beverage license?
(b) Had an alcohol beverage license suspended or revoked?
(c) Had interest in another entity that had an alcohol beverage license suspended or revoked?
If you answered yes to 8a, b or c, explain in detail on a separate sheet.
9. Has a liquor license application (same license class), that was located within 500 feet of the proposed premises, been denied within the
preceding two years? If "yes", explain in detail. ______________________________________________________________________
10. Are the premises to be licensed within 500 feet, of any public or private school that meets compulsory education requirements of
Colorado law, or the principal campus of any college, university or seminary?
Waiver by local ordinance?
Other: ________________
or
11. Is your Liquor Licensed Drugstore (LLDS) or Retail Liquor Store (RLS) within 1500 feet of another retail liquor license for off-premises
sales in a jurisdiction with a population of greater than (>) 10,0000? NOTE: The distance shall be determined by a radius measure-
ment that begins at the principal doorway of the LLDS/RLS premises for which the application is being made and ends at the principal
doorway of the Licensed LLDS/RLS.
12. Is your Liquor Licensed Drugstore (LLDS) or Retail Liquor Store (RLS) within 3000 feet of another retail liquor license for off-premises
sales in a jurisdiction with a population of less than (<) 10,0000? NOTE: The distance shall be determined by a radius measurement
that begins at the principal doorway of the LLDS/RLS premises for which the application is being made and ends at the principal
doorway of the Licensed LLDS/RLS.
13a. For additional Retail Liquor Store only. Was your Retail Liquor Store License issued on or before January 1, 2016?
13b. Are you a Colorado resident?
14. Has a liquor or beer license ever been issued to the applicant (including any of the partners, if a partnership; members or manager if a
Limited Liability Company; or ofcers, stockholders or directors if a corporation)? If yes, identify the name of the business and list any
current nancial interest in said business including any loans to or from a licensee.
15. Does the applicant, as listed on line 2 of this application, have legal possession of the premises by ownership, lease or other
arrangement?
Ownership Lease Other (Explain in Detail) _______________________________________________________________________
a. If leased, list name of landlord and tenant, and date of expiration, exactly as they appear on the lease:
Landlord Tenant Expires
b. Is a percentage of alcohol sales included as compensation to the landlord? If yes, complete question 16.
c. Attach a diagram that designates the area to be licensed in black bold outline (including dimensions) which shows the bars, brewery, walls, partitions,
entrances, exits and what each room shall be utilized for in this business. This diagram should be no larger than 8 1/2" X 11".
16. Who, besides the owners listed in this application (including persons, rms, partnerships, corporations, limited liability companies) will loan or give
money, inventory, furniture or equipment to or for use in this business; or who will receive money from this business? Attach a separate sheet if
necessary.
Last Name First Name Date of Birth FEIN or SSN Interest/Percentage
Last Name First Name Date of Birth FEIN or SSN Interest/Percentage
Attach copies of all notes and security instruments and any written agreement or details of any oral agreement, by which any person (including
partnerships, corporations, limited liability companies, etc.) will share in the prot or gross proceeds of this establishment, and any agreement
relating to the business which is contingent or conditional in any way by volume, prot, sales, giving of advice or consultation.
17. Optional Premises or Hotel and Restaurant Licenses with Optional Premises:
Has a local ordinance or resolution authorizing optional premises been adopted?
Number of additional Optional Premise areas requested. (See license fee chart)
18.
Liquor Licensed Drugstore (LLDS) applicants, answer the following:
(a) Is there a pharmacy, licensed by the Colorado Board of Pharmacy, located within the applicant's LLDS premise?
If "yes" a copy of license must be attached.
19. Club Liquor License applicants answer the following: Attach a copy of applicable documentation
(a) Is the applicant organization operated solely for a national, social, fraternal, patriotic, political or athletic purpose and not for pecuniary gain?
(b) Is the applicant organization a regularly chartered branch, lodge or chapter of a national organization which is operated solely for
the object of a patriotic or fraternal organization or society, but not for pecuniary gain?
(c) How long has the club been incorporated?
(d) Has applicant occupied an establishment for three years (three years required) that was operated solely for the reasons stated above?
20. Brew-Pub, Distillery Pub or Vintner's Restaurant applicants answer the following:
(a) Has the applicant received or applied for a Federal Permit? (Copy of permit or application must be attached)
4
Name Type of License Account Number
21. Campus Liquor Complex applicants answer the following:
(a) Is the applicant an institution of higher education?
Yes No
(b) Is the applicant a person who contracts with the institution of higher education to provide food services?
If "yes" please provide a copy of the contract with the institution of higher education to provide food services.
22. For all on-premises applicants.
a. Hotel and Restaurant, Lodging and Entertainment, Tavern License and Campus Liquor Complex, the Registered Manager must also submit an
Individual History Record
- DR 8404-I and ngerprints.
b. For all Liquor Licensed Drugstores (LLDS) the Permitted Manager must also submit an Manager Permit Application
- DR 8000 and ngerprints.
Last Name of Manager First Name of Manager
23.
Does this manager act as the manager of, or have a nancial interest in, any other liquor licensed establishment in the State of
Colorado? If yes, provide name, type of license and account number.
24. Related Facility - Campus Liquor Complex applicants answer the following:
a. Is the related facility located within the boundaries of the Campus Liquor Complex?
If yes, please provide a map of the geographical location within the Campus Liquor Complex.
If no, this license type is not available for issues outside the geographical location of the Campus Liquor Complex.
b. Designated Manager for Related Facility- Campus Liquor Complex
Yes
No
Last Name of Manager First Name of Manager
25. Tax Distraint Information. Does the applicant or any other person listed on this application including its partners, ofcers, directors,
stockholders, members (LLC) or managing members (LLC) and any other persons with a 10% or greater nancial interest in the
applicant currently have an outstanding tax distraint issued to them by the Colorado Department of Revenue?
If yes, provide an explanation and include copies of any payment agreements.
26. If applicant is a corporation, partnership, association or limited liability company, applicant must list all Ofcers, Directors, General Partners,
and Managing Members. In addition, applicant must list any stockholders, partners, or members with ownership of 10% or more in the
applicant. All persons listed below must also attach form DR 8404-I (Individual History Record), and submit ngerprint cards to the local
licensing authority.
Name Home Address, City & State DOB Position %Owned
Name Home Address, City & State DOB Position %Owned
Name Home Address, City & State DOB Position %Owned
Name Home Address, City & State DOB Position %Owned
Name Home Address, City & State DOB Position %Owned
** If applicant is owned 100% by a parent company, please list the designated principal ofcer on above.
** Corporations - the President, Vice-President, Secretary and Treasurer must be accounted for above
(Include ownership percentage if applicable)
** If total ownership percentage disclosed here does not total 100%, applicant must check this box:
Applicant afrms that no individual other than these disclosed herein owns 10% or more of the applicant and does not have nancial interest in a
prohibited liquor license pursuant to Article 3 or 5, C.R.S.
5
Name Type of License Account Number
Oath Of Applicant
I declare under penalty of perjury in the second degree that this application and all attachments are true, correct, and complete to the best of my
knowledge. I also acknowledge that it is my responsibility and the responsibility of my agents and employees to comply with the provisions of the
Colorado Liquor or Beer Code which affect my license.
Authorized Signature Printed Name and Title Date
Report and Approval of Local Licensing Authority (City/County)
Date application led with local authority Date of local authority hearing (for new license applicants; cannot be less than 30 days from date of
application)
The Local Licensing Authority Hereby Afrms that each person required to le DR 8404-I (Individual History Record) or a DR 8000 (Manager Permit) has
been:
Fingerprinted
Subject to background investigation, including NCIC/CCIC check for outstanding warrants
That the local authority has conducted, or intends to conduct, an inspection of the proposed premises to ensure that the applicant is in compliance with
and aware of, liquor code provisions affecting their class of license
(Check One)
Date of inspection or anticipated date _____________________
Will conduct inspection upon approval of state licensing authority
Is the Liquor Licensed Drugstore (LLDS) or Retail Liquor Store (RLS) within 1,500 feet of another retail liquor license for off-
premises sales in a jurisdiction with a population of > 10,0000?
Yes
No
Is the Liquor Licensed Drugstore(LLDS) or Retail Liquor Store (RLS) within 3,000 feet of another retail liquor license for off-
premises sales in a jurisdiction with a population of < 10,0000?
NOTE: The distance shall be determined by a radius measurement that begins at the principal doorway of the LLDS/RLS premises
for which the application is being made and ends at the principal doorway of the Licensed LLDS/RLS.
Does the Liquor-Licensed Drugstore (LLDS) have at least twenty percent (20%) of the applicant's gross annual income derived
from the sale of food, during the prior twelve (12) month period?
The foregoing application has been examined; and the premises, business to be conducted, and character of the applicant are satisfactory. We do
report that such license, if granted, will meet the reasonable requirements of the neighborhood and the desires of the adult inhabitants, and will comply
with the provisions of Title 44, Article 4 or 3, C.R.S., and Liquor Rules. Therefore, this application is approved.
Local Licensing Authority for Telephone Number
Town, City
County
Signature Print Title Date
Signature Print Title Date
APPLICANT FINGERPRINTING PROCEDURES
All Applicants with a 10% or greater interest in the establishment requesting a liquor license must be
fingerprinted.
Fingerprinting must be done at the Police Department on the Ground Level of City Hall, 101 West 8
th
Street,
Glenwood Springs, Colorado.
Fingerprints are processed weekdays from
8:00 a.m. to 5:00 p.m.
The cost for fingerprinting is $20.00.
The Background Check requires a cashier’s check or money order payable to the Colorado Bureau of
Investigation (CBI) for $38.50 per applicant.
REMEMBER:
Bring $20 per individual being fingerprinted.
Bring cashier’s check or money order in amount of $38.50 made out to CBI for each set of
fingerprints.
Bring valid photo identification such as a driver’s license or ID card.
Tell the front desk you need to be printed for liquor licensing purposes.
State law requires that any person with 10% or more
ownership in the business
requesting a liquor license must be
fingerprinted.
Helpful Information for First‐Time Licensees
Once a liquor license is issued, it is valid for one year from the date of the approval by
the
Colorado Liquor Enforcement Division and must be renewed annually.
Approximately 90 days prior to the license expiration date, Colorado Liquor Enforcement
Division sends a renewal form to the licensee to be completed, signed by an authorized agent,
and submitted to the City of Glenwood’s City Clerk at the address listed below, along with state
and local renewal fees. Approximately 60 days prior to expiration date, the City Clerk’s Office
also sends a reminder to the licensee.
Renewal applications must be accompanied by both City and State fees and submitted to
the City Clerk 45 days before the license expires. Licensees who lose or do not receive a
renewal form should contact the State Liquor Enforcement Division Office at
the phone
number listed below.
Renewals do not require Local Liquor Licensing Authority approval unless a violation of law
occurred during the
current licensing period.
Please remember that any of the following must be reported to the City Clerk’s Office
for consideration by both the local and the State Licensing Authorities:
• Change in operating manager
• Change in corporate or trade name
• Modification to the licensed premises
• Change in corporate, LLC, or partnership membership
• Change in location
• Transfer of ownership
It is also important to remember that licensees must maintain possession of the
premises for entire licensed period by virtue of a lease, assignment of lease, or deed.
Contact Information:
City Clerk’s Office (970)384‐6403
101 West 8
th
St.
Glenwood Springs, CO 8160
State Liquor Enforcement Division Licensing Section (303) 205 ‐2300
DR 8404-I (08/10/16)
COLORADO DEPARTMENT OF REVENUE
Liquor Enforcement Division
(303) 205-2300
Individual History Record
To be completed by the following persons, as applicable: sole proprietors; general partners regardless of percentage ownership, and
limited partners owning 10% or more of the partnership; all principal ofcers of a corporation, all directors of a corporation, and any
stockholder of a corporation owning 10% or more of the outstanding stock; managing members or ofcers of a limited liability company,
and members owning 10% or more of the company; and any intended registered manager of Hotel and Restaurant, Tavern and
Lodging and Entertainment class of retail license
Notice: This individual history record requires information that is necessary for the licensing investigation or inquiry. All questions
must be answered in their entirety or the license application may be delayed or denied. If a question is not applicable, please indicate
so by “N/A”. Any deliberate misrepresentation or material omission may jeopardize the license application. (Please attach a
separate sheet if necessary to enable you to answer questions completely)
1. Name of Business Home Phone Number Cellular Number
2. Your Full Name (last, rst, middle) 3. List any other names you have used
4. Mailing address (if different from residence) Email Address
5. List current residence address. Include any previous addresses within the last ve years. (Attach separate sheet if necessary)
Street and Number City, State, Zip From To
Current
Previous
6. List all employment within the last ve years. Include any self-employment. (Attach separate sheet if necessary)
Name of Employer or Business Address (Street, Number, City, State, Zip) Position Held From To
7. List the name(s) of relatives working in or holding a nancial interest in the Colorado alcohol beverage industry.
Name of Relative Relationship to You Position Held Name of Licensee
8. Have you ever applied for, held, or had an interest in a Colorado Liquor or Beer License, or loaned money,
furniture, xtures, equipment or inventory to any licensee? (If yes, answer in detail.)
Yes No
9. Have you ever received a violation notice, suspension, or revocation for a liquor law violation, or have you
applied for or been denied a liquor or beer license anywhere in the United States? (If yes, explain in detail.)
Yes No
10. Have you ever been convicted of a crime or received a suspended sentence, deferred sentence, or forfeited
bail for any offense in criminal or military court or do you have any charges pending? (If yes, explain in detail.)
Yes No
11. Are you currently under probation (supervised or unsupervised), parole, or completing the requirements of a
deferred sentence? (If yes, explain in detail.)
Yes No
12. Have you ever had any professional license suspended, revoked, or denied? (If yes, explain in detail.)
Yes No
Personal and Financial Information
Unless otherwise provided by law, the personal information required in question #13 will be treated as condential. The personal
information required in question #13 is solely for identication purposes.
13a. Date of Birth b. Social Security Number c. Place of Birth
d. U.S. Citizen
Yes No
e. If Naturalized, state where f. When g. Name of District Court
h. Naturalization Certicate Number i. Date of Certication j. If an Alien, Give Alien’s Registration Card Number k. Permanent Residence Card Number
l. Height m. Weight n. Hair Color o. Eye Color p. Gender q. Race r. Do you have a current Driver’s License/ID? If so, give number and state.
Yes No # __________________ State _________________
14. Financial Information.
a. Total purchase price or investment being made by the applying entity, corporation, partnership, limited liability company, other.
$ _________________________________
b. List the total amount of the personal investment , made by the person listed on question #2, in this business including any
notes, loans, cash, services or equipment, operating capital, stock purchases or fees paid. $ __________________________
* If corporate investment only please skip to and complete section (d)
** Section b should reect the total of sections c and e
c. Provide details of the personal investment described in 14b. You must account for all of the sources of this investment.
(Attach a separate sheet if needed)
Type: Cash, Services or Equipment Account Type Bank Name Amount
d. Provide details of the corporate investment described in 14 (a). You must account for all of the sources of this investment. (Attach a
separate sheet if needed)
Type: Cash, Services or Equipment Loans Account Type Bank Name Amount
e. Loan Information (Attach copies of all notes or loans)
Name of Lender Address Term Security Amount
Oath of Applicant
I declare under penalty of perjury that this application and all attachments are true, correct, and complete to the best of my knowledge.
Authorized Signature Print Signature Title Date
DR 4679 (09/21/06)
COLORADO DEPARTMENT OF REVENUE
AFFIDAVIT - RESTRICTIONS ON PUBLIC BENEFITS
I,
______________________________________________________________
, swear or affirm under penalty of
perjury under the laws of the State of Colorado that (check one):
I am a United States citizen.
I am not a United States citizen but I am a Permanent Resident of the United States.
I am not a United States citizen but I am lawfully present in the United States pursuant
to Federal law.
I am a foreign national not physically present in the United States.
I understand that this sworn statement is required by law because I have applied for a public benefit. I understand
that state law requires me to provide proof that I am lawfully present in the United States prior to receipt of this public
benefit. I further acknowledge that making a false, fictitious, or fraudulent statement or representation in this sworn
affidavit is punishable under the criminal laws of Colorado as perjury in the second degree under Colorado Revised
Statute 18-8-503 and it shall constitute a separate criminal offense each time a public benefit is fraudulently received.
Signature Date
PETITION
We, the undersigned are in favor of granting a __________________ Liquor License to the Applicant,
(insert type of license)
_____________________, d/b/a _____________________, for the premises located at
_____________________, Glenwood Springs, Colorado. We feel there is a need and a desire for an
establishment such as this in said location and that the Applicant will be a responsible administrator of
such a license. As one of the undersigned, I certify that I am at least twenty-one years of age and a legal
resident of the City of Glenwood Springs, Colorado.
NAME (Print)
RESIDENTIAL ADDRESS
DATE OF BIRTH
Affidavit of Circulator:
I certify the above signatures to be true and correct and that the above named persons are, to the best of
my knowledge, legal citizens of the City of Glenwood Springs, Colorado, and at least twenty-one years of
age.
Name ___________________________________ Date _______________
DR 8004 (12/21/16)
COLORADO DEPARTMENT OF REVENUE
Liquor Enforcement Division
(303) 205-2300
Wholesaler Afdavit of Compliance
Section 12-47-303(1)(d), C.R.S.
Wholesaler Licensee Name (If an LLC; partnership; corporation or name of corporation) License Number
Trade Name of Establishment/Doing Business As (DBA) Phone Number
( )
Physical Address City State ZIP
Email Address
Transferor Retailer Licensee Name License Number
Trade Name of Establishment/Doing Business As (DBA) Phone Number
( )
Physical Address City State ZIP
The above wholesaler afrms that all alcohol beverages delivered to the above transferor retailer are:
Paid in Full (only for the purposes of complying with section 12-47-303(1)(d), C.R.S.)
Note: If Paid in full is selected, the wholesaler may no longer extend credit to the transferee or transferor until the
local and state licensing authorities have approved the transfer of the liquor license.
Not Paid in Full
Wholesaler:
Signature Print Title Date
CITY OF GLENWOOD SPRINGS
TEMPORARY LIQUOR PERMIT
FOR TRANSFER OF OWNERSHIP
The undersigned hereby requests the City of Glenwood Springs to grant and issue a Temporary
Liquor Permit for:
___ Hotel/Restaurant Liquor License ___ Retail Liquor Store
___ Tavern Liquor License ___ Drug Store Liquor License
___ Beer & Wine Liquor License ___ Club Liquor License
___ 3.2% Beer Liquor License ___ Arts Liquor License
On Premise Off Premise On/Off ___ Brew Pub Liquor License
___ Business License Application Filed with the Finance Department on ______________, 20__
$100 fee payable to City of GLENWOOD SPRINGS
Name of Applicant/License Owner (Name of Individual, Partnership, Corporation, or LLC)
Trade Name of Establishment (DBA)
State Sales Tax No.
Business Telephone
Address of Premise (specify exact location)
City
County
State
ZIP Code
Mailing Address (if different)
City
State
ZIP Code
E-Mail Address:
Current Licensee/Owner:
Current Licensee DBA
Current State License Number
Expiration Date of Current License
The undersigned wishes to apply for a Temporary Liquor Permit for the location listed above.
This application is made with the following knowledge:
• if granted, the permit shall be valid for 120 days or until the application to transfer
ownership has been granted or denied;
• if the license has not been granted within 120 days, and I/we demonstrate good cause,
the Local Licensing Authority may, in its discretion, extend the Permit for an additional
period not to exceed 60 days; and
• if the liquor license has not been granted within the 120 days, I/we understand that it is
our responsibility to apply for an extension.
Applicant’s Signature
A Temporary Liquor Permit is hereby granted this day of
20 and expires on .
City Clerk
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3126 New License Application Packet (City of Glenwood Springs)

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Completed 3 August 2020

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