Colorado Liquor Retail License Application {DR 8404}

DR 8404 (06/28/16) COLORADO DEPARTMENT OF REVENUE Liquor Enforcement Division (303) 205-2300 Colorado Liquor Retail License Application New License New-Concurrent Transfer of Ownership · 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 · Local License Fee $__________________ 1. Applicant is applying as a/an Corporation Partnership (includes Limited Liability and Husband and Wife Partnerships) Individual Limited Liability Company Association or Other FEIN Number Business Telephone 2. Applicant If an LLC, name of LLC; if partnership, at least 2 partner's names; if corporation, name of corporation 2a. Trade Name of Establishment (DBA) 3. Address of Premises (specify exact location of premises, include suite/unit numbers) City 4. Mailing Address (Number and Street) 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) Section A Present State License Number Present Class of License County City or Town State Sales Tax Number State ZIP Code State ZIP Code Present Expiration Date Liquor License Fees Nonrefundable Application Fees Section B (Cont.) Application Fee for New License ...............................................$920.00 Application Fee for New License w/Concurrent Review .............$1020.00 Application Fee for Transfer ......................................................$920.00 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 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 Manager Registration - H & R ............................................................... $75.00 Manager Registration - Tavern .............................................................. $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 Retail Gaming Tavern License (City) .................................................. $500.00 Retail Gaming Tavern License (County) ............................................. $500.00 Retail Liquor Store License (City)........................................................ $227.50 Retail Liquor Store License (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 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 $ 1 American LegalNet, Inc. www.FormsWorkFlow.com Application Documents Checklist and Worksheet Instructions: This checklist should be utilized to assist applicants with filing 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 final 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 I. Items submitted, please check all appropriate boxes completed or documents submitted Applicant information A. B. C. D. E. Applicant/Licensee identified State sales tax license number listed or applied for at time of application License type or other transaction identified Return originals to local authority Additional information may be required by the local licensing authority 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 floor (if multiple levels) D. Kitchen - ident