HomeMy WebLinkAboutMontana Department of Revenue Montana Department or Revenue
Linda Francis Judy Martz
Director Governor
November 25, 2003
RE: Application for Transfer of Location of Montana Ali-Alcoholic Beverage
License No. 03-044-9471,001, SONNY O'DAY'S BAR, 203 East Main Street
(formerly 209 East Main Street), Laurel, Yellowstone County
NEWLY LICENSED PREMISES :
The above referenced application was received at the Department of Revenue,
Registration & 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
respons b e 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 issuethe license.
This is an application for a new premises; a premises not currently licensed for
the consumption of alcohol. Building, health and fire approval will be required
before department approval will be considered. If any agency determines
deficiencies exist that should be considered in the issuance of this license, please
advise this office in writing by December 26, 2003. 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. In addition, if we receive a written protest against the
issuance of this license, a pub!lc hearing will be scheduled.
If YOU have any questions, please call 406 444-3505 or write to Liquor Licensing, P O
Box 1712, Helena, MT 59624-1712.
Sincerely,
Marilyn A. Christensen
Compliance Specialist
cc: Howard Reid, Bureau Chief Food & Consumer Safety
Customer Service {406) 444-6900 · TDD {406) 444-2830 · www.discoveringmontana.com/revenue
CERTIFICATE OF SERVICE
I certify that on this 25th day of November, 2003, 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
CITY-COUNTY PLANNING
PO BOX 1178
BILLINGS MT 59103
YELLOWSTONE COUNTY SANITARIAN
BOX 35033
BILLINGS MT 59107
YEL. LOWSTONE COUNTY TREASURERS OFFICE
P O BOX 35010
BILLINGS MT 59107-5010
ADMINISTRATIVE ASSISTANT
FIRE PREVENTION AND INVESTIGATION BUREAU
303 NORTH ROBERTS BOX 201417
HELENA MT 59620-1417
~Check The Appropriate Boxes To Designate The Purpose Of This Application
Alcoholic Beverage Designate The Type Of License Of Your Application:
[] New Alcoholic Beverage License Application [] On-Premises Beer
[] Existing Alcoholic Beverage License; Transfer Of Ownership Applicalion [] On-Premises Beer/winRECEIVE D BY
[] Existing Alcoholic Beverage License; Corporate Structure Change ,~.AII-Beverage
~J~Existing Alcoholic Beverage License; Transfer Of Location Application [] Restaurant Beer/Wine NOV 0
Gambling [] Resort License DEPT, OF JUSTICE
[] New Gambling (~t. ING C0NTR0~. DIVISION
(An owner of an interest in a licensed gambling operation may not transfer an interest in the operation to a stranger to the license
until a new gambling license application reflecting the proposed transfer is submitted to the department and the department
approves the transfer.)
[] New Gambling - No Alcoholic Beverage License is Required for Live Keno/Bingo.
[] Amended Gambling License Application - (_No[e: No fee is required for this application)
(An ownership interest in a licensed gambling operation may not be transferred to another owner or group of owners of an
interest or interests in the same licensed gambling operatien without submitting an amended gambling license application to
the department and obtaining department approvaL)
[] Existing Gambling License Change Among Existing [] Existing Gambling License DeJetion of Owner(s)
Corporate Shareholder(s) [] Existing Gambling Location Change Application
[] Existing Gamblng License Type Change Application
[] Existing Gambling License ChangeAmong Existing [] Other - (Explain)
~. Partners or LLC/LLP Members
General Information
Print Or Type
Name of Applicant:
(Sole Proeri~tnr/Partnerships/Corp./LLC/LLP) .~ ~ X~¥ ~' ~)~. y 'S ] ~---~-'~ ~. o.~-'"~
L~o'ngbus,nessas.....)j - ,~1~1~"./ 0 ~[~-4;~/~t ..~'rV~-'~
Mailing Address: .... ~'o ~n~ u.3 ¢ ~1 . _
(Box or Street) /'~ L~Onntll '~V'¢nuf.~ /~t,S.3~u(O. /HT
Address of Premise to be Licensed:
City / State / Zip Code: / /
Business Phone/Cell Phone: /'~OG) ~J- It~O~ / eO~) ~;~O-
Business Cell
Fax: ( )
Federal Tax I.D.: ~j- O~ ~ ~ ~ ~ Check if applied for
Alcohol Beve~ge License Number: but not yet received.
(N/Aifnotapplicable) ~ - ~ -~V~I - OOJ '
Ara the promises for licensing located: ~ Within the boundaries of an incorporated ci~/town
~ Within a distance of five miles of an incorporated ci~/town
~ Wi~in an unincorporated ci~/town or outside the boundaries of and mom
·an five miles distance from any cityAown whether inco~o~ted or
unincorporated
Ci~ Name Coun~ Name
2
~ C. Provide the information requested below for each: ~
Check appropriate box IUse additional paper if necessaryt
[] Individual/SoleProprietor [] Shareholder owmng 5% or more of the stock of a pubHcly traded corporation
[] General or [] Limited Partner [] Parson(s) and/or commitlee managing the gambling activily under a
[] Limited Liability Company (Member of.,.) 26 U.S.C, 501 (c)(3), (c)(4),)(8) or (c)(19) organizalion
~] Officer of a Corporation [] Person(s) holding an option to purchase the business or any interest in the business
~ Director of a Corporation [] Other
~ Shareholder of a Corporabon
[] Check this box if ownership ~n the liquor license is also held as Joint Tenants with Rights of Survivorship
(JTROS)) or Tenants in Common (TEN COM) and make certain each individual with rights of survivorship or
common are lisled below.
JTROS ...... or TEN COM ......
Note: (Each individual listed above must submi~ with this application a personal history statement, (Form 10), and Authorization for
~,~ Examination and Release of Information, (Form 1.) Use additional sheet of paper if necessary.
f~if applying for an Alcoholic Beverage License, answer the following question:
Are all applicants, partners, members or 10% or more shareholders Montana Residents, qualified Io vote in a state e~ection?
.,,~Yes []No
f"D. Charitable, Religious, Veterans' or Fraternal Organization
If the applicant is a charitable, religious, veterans' or fraterna~ organization, complete the following informalion, If not applicable
indicate:
[]N/A
Dale qualified for exemption under 26 U.S.C: 501 (c)(3), (c)(4), (c)(8) or (c)(19):
Month ............ Day ........... Year
Date local char[er issued or post organized:
Month ................... Day ................ Year ...........
,-- Has national organization been in existence for a period of five years prior to January 1, 19497
[]Yes C1No
,- Provide Address of National Headquarters:
(Street Address)
(City) (State) (Zip)
~ A copy of your organization or posl charter must accompany this application.
Location of Gambling Premises:
(Street Address}
(City) (State) (Zip)
How many days, per year, is gambling conducted at this location? ......... Days,
C. Is the premises within any defined zones:
1.Where the sale of alcoholic beverages is prohibited by city or county ordinance?
DYes
2.Where gambling is prohibited by city or county ordinance?
DYes '~o
D. Is the building ready for use for an alcoholic beverage business:
1. For a new constructed premises?
~es DNo ~f No, indicate an estimated date of occupancy
2. For remodel of existing building?
OYes "~.No If Yes, indicate an estimated date of completion
E. Submit a copy of the floor plan area to be licensed, using approximate dimensional measurements,
including external dimensions and general layout - preferably on an 8-1/2" x 11" sheet of paper. If you are
applying for a restaurant beer and wine license, be sure the floo, plan has the service bar area clearly designated
thereon.
Declaration and Affidavit
I declare under the penalties of false swearing and/or the revocation of any licenses granted pursuant hereto, that I am the
applicant or duly authorized representative of the firm or corporation mailing this application and that I examined the application,
including any accompanying information, and that the responses are true, correct and complete. I understand if this application
or attachment(s) contains false information, I am subject to the criminal penalties of Section 45-7-202, 45-7-203 and 45-7-208,
Montana Code Annotated, and/or revocation of any alcoholic beverage or gambling licenses granted pursuant to this application.
STATE OF MONTANA .... } ........
County of
tY~rN -~ (vv~ ~ ~ ror~u-~'l( ~c , being duly sworn, if for himself or herself, deposes and says, and
that he/~,~.~ is the applicant above named; or that helsh~e is ~,~g3t')/- ~ I~/~v~ ~ro~uJ ~[J of the above
named corporation; that he/shoe has read the foregoing application and attachments and that he/she knows the contents
thereof, and that all matters and things therein set forth are true and correct.
Print F~II Nan~e
Subscribed and Sworn to Before Me
This ~ Day f ~C/O ~3C-,1'- 200,~
(Notary Public) , /
This application must be completed in full. and all requested attachments must
accompany it. Delay, denial or the return of the application will result if incomplete.
Additional Information May Be Required During the
Investigation of Your License Application