Liquor Licence Application Form - Colorado

State
City
2180-100 (999)
County
2190-100 (999)
Managers Reg
______-750 (999)
TOTAL
License Account Number
County
City
Industry Type
LIABILITY INFORMATION
Liability Date
FROM
DO NOT WRITE IN THIS SPACE - FOR DEPARTMENT OF REVENUE USE ONLY
ZIP Code
ZIP Code
4. Mailing Address (Number and Street)
State
State
City
Present Trade Name of Establishment (DBA)
Present Expiration Date
1. Applicant is applying as a
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)
3. Address of Premises (specify exact location of premises)
Present Class of License
County
City or Town
Present State License No.
Partnership (includes Limited Liability and Husband and Wife Partnerships)
ALL ANSWERS MUST BE PRINTED IN BLACK INK OR TYPEWRITTEN
APPLICANT MUST CHECK THE APPROPRIATE BOX(ES)
LOCAL LICENSE FEE $ __________________________
APPLICANT SHOULD OBTAIN A COPY OF THE COLORADO LIQUOR AND BEER CODE (Call 303-370-2165)
Corporation
5. If the premises currently have a liquor or beer license, you MUST answer the following questions:
NEW LICENSE TRANSFER OF OWNERSHIP LICENSE RENEWAL
COLORADO LIQUOR
RETAIL LICENSE APPLICATION
DR 8404 (05/07/09) Page 1
COLORADO DEPARTMENT OF REVENUE
LIQUOR ENFORCEMENT DIVISION
DENVER CO 80261
2310-100
(999)
Cash Fund Transfer License
2300-100
(999)
Cash Fund New License
21
DEPARTMENT USE ONLY
State Sales Tax No.
Business Telephone
Individual
Association or Other
Limited Liability Company
License Issued Through
(Expiration Date)
TO
_____-750 (999)
LIAB SECTION A NONREFUNDABLE APPLICATION FEES LIAB SECTION B (CONT.) LIQUOR LICENSE FEES
$
2300 Application Fee for New License ............................... $1,025.00
2302 Application Fee for New License -
w/Concurrent Review ................................................. $1,125 00
2310 Application Fee for Transfer ...................................... $1,025.00
LIAB SECTION B LIQUOR LICENSE FEES
1905 Retail Gaming Tavern License (City) ............................ $500.00
1906 Retail Gaming Tavern License (County) ....................... $500.00
1940 Retail Liquor Store License (City) ................................. $227.50
1941 Retail Liquor Store License (County) ............................ $312.50
1950 Liquor Licensed Drugstore (City) .................................. $227.50
1951 Liquor Licensed Drugstore (County) ............................. $312.50
1960 Beer and Wine License (City) ....................................... $351.25
1961 Beer and Wine License (County) .................................. $436.25
1970 Hotel and Restaurant License (City) ............................. $500.00
1971 Hotel and Restaurant License (County) ........................ $500.00
1975 Brew Pub License (City) ............................................... $750.00
1976 Brew Pub License (County) .......................................... $750.00
1980 Hotel and Restaurant License w/opt premises (City) .... $500.00
1981
Hotel and Restaurant License w/opt premises (County)
$500.00
1983 Manager Registration - H & R ....................................... $ 75.00
1985 Resort Complex License (City) ................................. $500.00
1986 Resort Complex License (County) ............................ $500.00
1988 Add Related Facility to Resort Complex ... $ 75.00 X ____ Total ___
1990 Club License (City) ................................... $308.75
1991 Club License (County) .............................. $308.75
2010 Tavern License (City) ............................... $500.00
2011 Tavern License (County) .......................... $500.00
2012 Manager Registration - Tavern ................. $ 75.00
2020 Arts License (City) .................................... $308.75
2021 Arts License (County) ............................... $308.75
2030 Racetrack License (City) .......................... $500.00
2031 Racetrack License (County) ..................... $500.00
2040 Optional Premises License (City) ............. $500.00
2041 Optional Premises License (County) ........ $500.00
2045 Vintners Restaurant License (City) ........... $750.00
2046 Vintners Restaurant License (County) ...... $750.00
2220 Add Optional Premises to H & R .............. $100.00 X ____ Total ___
2370 Master File Location Fee .......................... $ 25.00 X ____ Total ___
2375 Master File Background ............................ $250.00 X ____ Total ___
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Liquor Licence Application Form - Colorado PDF

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