Form Dr 8404 - Retail License Application - 2002
ADVERTISEMENT
1
2
3
421
DR 8404 (06/02) Page 1
COLORADO DEPARTMENT OF REVENUE
COLORADO LIQUOR
LIQUOR ENFORCEMENT DIVISION
DENVER CO 80261
OR 3.2% FERMENTED MALT BEVERAGE
RETAIL LICENSE APPLICATION
NEW LICENSE
TRANSFER OF OWNERSHIP
LICENSE RENEWAL
•
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 303-321-4164)
DO NOT WRITE IN THIS SPACE
1. Applicant is applying as a
Individual
Corporation
Limited Liability Company
Association or Other
Partnership (includes Limited Liability and Husband and Wife Partnerships)
2. Name of Applicant(s) If partnership, list partners' names (at least two); if corporation, name of corporation
Fein Number
2a. Trade Name of Establishment (DBA)
State Sales Tax No.
Business Telephone
3. Address of Premises (specify exact location of premises)
State
ZIP Code
City
County
State
ZIP Code
City or Town
4. Mailing Address (Number and Street)
5. If the premises currently have a liquor or beer license, you MUST answer the following questions:
Present State License No.
Present Expiration Date
Present Trade Name of Establishment (DBA)
Present Class of License
Nonrefundable
LIAB
SECTION A
APPLICATION FEES
LIAB
SECTION D
LIQUOR LICENSE FEES
1940
Retail Liquor Store License (city) ......................... $227.50
2300
Application Fee for New License .............................. 900.00
1940
Retail Liquor Store License (county) ..................... 312.50
2300
Application Fee-New License Concurrent Review .. 1000.00
1950
Liquor Licensed Drugstore (city) ........................... 227.50
2310
Application Fee for Transfer of Ownership ............... 900.00
1950
Liquor Licensed Drugstore (county) ..................... 312.50
SECTION B
3.2% BEER LICENSE FEES
1960
Beer & Wine License (city) ................................... 351.25
2121
Retail 3.2% Beer On Premises - (city) ...................... $96.25
1960
Beer & Wine License (county) .............................. 436.25
2121
Retail 3.2% Beer On Premises - (county) ................. 117.50
1970
H & R License
city
county ............................. 500.00
2122
Retail 3.2% Beer Off Premises - (city) ........................ 96.25
1980
H & R License w/opt Prem
city
county .......... 500.00
2122
Retail 3.2% Beer Off Premises - (county) ................. 117.50
1990
Club License
city
county ............................... 308.75
2123
Retail 3.2% Beer On/Off Premises - (city) .................. 96.25
2010
Tavern License
city
county ............................ 500.00
2123
Retail 3.2% Beer On/Off Premises - (county) ........... 117.50
2020
Arts License
city
county ................................. 308.75
SECTION C
RELATED FEES AND PERMITS
2030
Racetrack License
city
county ....................... 500.00
1985-100 (999)
Addition of related Facility Permits to existing
2040
Optional Premises License
city
county ......... 500.00
Resort Complex license
1905
Retail Gaming Tavern Lic
city
county ............ 500.00
$50.00 x ___________ Total Fee _______________
1975
Brew-Pub License ................................................. 750.00
$100.00
2210-100 (999)
Retail Warehouse Storage Permit ....................
1985
Resort Complex License ....................................... 500.00
2220-100 (999)
Addition of Optional Premises to existing hotel/restaurant
$75.00 x ___________ Total Fee _______________
$75.00
H/R - Tavern Manager's Registration .................
DO NOT WRITE IN THIS SPACE - FOR DEPARTMENT OF REVENUE USE ONLY
LIABILITY INFORMATION
License Issued Through
County
City
Industry Type
License Account Number
Liability Date
(Expiration Date)
FROM
TO
State
County
City
Managers Reg
_____-750 (999)
2180-100 (999)
2190-100 (999)
______-750 (999)
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3
Cash Fund New License
Cash Fund Transfer License
TOTAL
2300-100
2310-100
(999)
(999)
▲
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial