DR 8442 (09/27/18)
Change of Manager
Change of Manager or to Register the Manager of a Tavern, Hotel and Restaurant, Lodging & Entertainment
liquor license or licenses pursuant to section 44-3-301(8).
(a) Change of Manager (attach Individual History DR 8404-I H/R, Tavern and Lodging & Entertainment only)
Former manager's name
New manager's name
(b) Date of Employment _________________
Has manager ever managed a liquor licensed establishment? Ye
Does manager have a nancial interest in any other liquor licensed establishment?
If yes, give name and location of establishment
Modify Premises or Addition of Optional
Premises or Related Facility
9. Modication of Premises, Addition of an Optional Premises, or Addition of Related Facility
Licensees may not modify or add to their licensed premises until approved by state and local authorities.
(a) Describe change proposed _____________________________________________________________
If the modication is temporary, when will the proposed change:
Start _________________ (mo/day/year) End _________________ (mo/day/year)
THE TOTAL STATE FEE FOR TEMPORARY MODIFICATION IS $300.00
Will the proposed change result in the licensed premises now being located 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?
(If yes, explain in detail and describe any exemptions that apply) Yes No
(d) Is the proposed change in compliance with local building and zoning laws? Yes No
(e) If this modication is for an additional Hotel and Restaurant Optional Premises
has the local authority authorized by resolution or ordinance the issuance of
optional premises? Yes No
Attach a diagram of the current licensed premises and a diagram of the proposed changes for the
Attach any existing lease that is revised due to the modication.
10. Campus Liquor Complex Designation
An institution of higher education or a person who contracts with the institution to provide food services
(a) I wish to designate my existing ________________ Liquor License # ________________ to a Campus
Liquor Complex Yes No
11. Additional Related Facility
To add a Related Facility to an existing Resort or Campus Liquor Complex, include the name of the Related
Facility and include the address and an outlined drawing of the Related Facility Premises.
(a) Address of Related Facility ______________________________________________________________
(b) Outlined diagram provided Yes No