HomeMy WebLinkAboutMontana Department of Revenuev ?.
Dan Bucks
Director
February 3, 2010
RE: Application for Issuance
Premises Consumption
PUMP OF LAUREL,
Montana
I
FF° 3 ?_O1?J
CIT _PFL
1 ap
Brian Schweitzer
Governor
of Corporate Structure Change for Montana Retail Off-
Beer and Wine License No. 03-999-9503-303, TOWN
312 South 1St Avenue, Laurel, Yellowstone County,
The above referenced application was received at the Department of Revenue, Liquor
Licensing. Notice is being provided to you to give you an opportunity to advise if the
applicant and premises meet all the laws and ordinances your office is responsible for
regulating. We will be happy to provide any additional information that is needed.
Local laws are not enforced through the alcoholic beverage licensing process; however,
if there are local laws affected by this application, compliance with those laws may
influence the final determination to issue the license.
If any agency determines deficiencies exist that should be considered in the issuance
of this license, please advise this office in writing by March 5, 2010. If we receive a
determination of a local deficiency, the license application process cannot be completed
until the issue is cleared up at the local level. If no response is received, it will be
assumed there are no problems that would affect the issuance of a license.
I would be happy to assist you if you have any questions, please contact me at
(406) 444-7927.
Sincerely,
Susan M. Gardipee
Compliance Specialist
Department of Revenue
Liquor Licensing
P O Box 1712
Helena MT 59624-1712
c: Department of Labor & Industry
Montana Department of Revenue
revenue.mt.gov A Toll free 1-866-859-2254 (in Helena, 444-6900) A TDD (406) 444-2830
CERTIFICATE OF SERVICE
I certify that on this 3 day of February , 2010, a true and correct copy of the
foregoing has been served by placing same in the United States mail, postage prepaid,
and addressed as follows:
LAUREL CITY COUNCIL
PO BOX 10
LAUREL MT 59044
LAUREL CITY ATTORNEY
PO BOX 10
LAUREL MT 59044
LAUREL POLICE CHIEF
MIKE ATKINSON
PO BOX 10
LAUREL MT 59044
LAUREL CITY BUILDING INSPECTOR
PO BOX 10
LAUREL MT 59044
YELLOWSTONE COUNTY SANITARIAN
BOX 35033
BILLINGS MT 59107
YELLOWSTONE COUNTY
TREASURERS OFFICE
P O BOX 35010
BILLINGS MT 59107-5010
ADMINISTRATIVE ASSISTANT
FIRE PREVENTION AND INVESTIGATION BUREAU
303 NORTH ROBERTS BOX 201415
HELENA MT 59620-1417
Cy _i/ - i/ ,
JAS! 2. i! i!a
EPARTMENT OF REVENUE
LIQUOR LICENSING
t? Q f?eturn tra:
Off-Premises f`:I,irtka, l (1.,f:= i nt, , C, I ria
Liquor License Application
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See attached list of Owners ,
tpn, r; =..e n Jown Pump, InC __.-_
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l t: „tt •:.+'Tr.,ttr: Name Town PMMp of Laurel..._
Mailinq Address ...... PO BOX 6000 _ . _ . ?._
,MT 59701 _
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city. State. Zip
Atlt8t%u (.If prr;nti,e to hr. licemed, if different than nuiifirtg adriro k. Give Exact Locatioit of PreMiSfS, irritant.u. • to .1 .t u_; t t.:'ub^r
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3.12_S.-..1-sl Ave_. . 7, "1 al : Laurel Montana . _ .-_. _ 0--l" 59044
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Submit copy of current float plait of Irccn,>ed prnmicF. Floor plan must indkitle exit mal dintensiems .:mil Ucncral Inyont - preferably
(m, an x 15 shot 6f F..al?Cr. identify trade namr; at promise: iOfi date.
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Ses 11an 3. Temporary Atithority
>..ar? Atttho6 C ANNOT 171• yrru7tfrld t,1:1 11atI:f- nfIC atia,i or hsuarCe of a Ile V tceusC-
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5nctlnn d Notice Tp A licants
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Section 5 Declaration and Affidavit
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bu A.. b _ r_ r.,,eawl.r, with h,tllC +ty .o tnr..-v*t ,hc Ir h0 ..
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P. K
omas
Major Brands Distributing Imports, Inc. - - - -
! n't?st tJ-.n:i? __ Irfts Pei-:?r.;t ti.,n:e
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prlnl,_C Vane
Section 6: Corporate Statement
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n +i r ht7 iu r3 +a t 7 r;nr; pr a,iC": ar-
t7<ml;er C1at ai G:r;h IJart-b+yrt ` `, 14 :•
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Statement of Owners Attached
Total Shares:
T'-r? .±fiser:?: ?lr'r, i:?irel:?l c: ._r •rtv i`:rpar,?:?a'r _, ;::
rt_u,'r.
Owners
Titir,
Form G-1
Rev. 5/97
GROCERY INVENTORY
Section 16-4-105(3), MCA states a retail license to sell beer or table wine in the original package for off-
premise consumption only may be issued to a qualified applicant whose premises proposed for licensing is
operated as a bona fide grocery store or a drug store licensed as a pharmacy.
ARM 42.12.126(2) "The retail inventory of $3,000 will be used as a basis for determining whether an establish-
ment qualifies as a "bona fide grocery store". The retail inventory of at least $3,000 must be maintained at all
times. The retail inventory must include at least three different types of items in each of the following food
groups; meats, vegetables, fruits, bakery items, dairy products and household supplies. For example, three
different types of items in the dairy products group would be a cheese, a milk and a butter, but skim milk,
chocolate milk and whole milk would not be considered as three different types of items in the dairy products
group."
List three different types of food items you carry within each category listed below. Under Total Inventory state
the total dollar retail inventory maintained in these above six food groups.
3 Food Types
Meats
Vegetables
Fruits
Bakery Items
Dairy Products
Bacon
Whole Kemal Corn Sweet Peas French Cut Green Beans
na/e
Fruit Cocktail Peach Slices Chunk Pines
White Bread
2% Milk
Bologna Sliced Ham
Hamburger Buns Fruit Pies
Butter American Cheese Slices
Household Tide Detergent Bathroom Tissue Bath Sony
Total Inventory
of Above Food 77,884.83
Groups $
1 certify this inventory to be correct.
Signature
Town Pump of LaureWeNowstone County
Trade NamelCounty
11-5-09
Date
510
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