HomeMy WebLinkAboutMontana Department of RevenueDan Bucks
Director
December 29, 2006
Montana De
]rlan Schweltzer
Governor
RE:
Application for Transfer of Location of Transfer of Location License
No. 03-044-9496-002, CEDAR RIDGE CASINO, 315 South I st Street,
Laurel, Yellowstone County, Montana
NEWLY LICENSED PREMISES I NEW CONSTRUCTION
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.
This is an application for a new premises; a premises not currently licensed for
the consumption of alcohol. Buildin,q, health and fire approval will be required
before department approval will be considered. If any a.qency determines
deficiencies exist that should be considered in the issuance of this license~
please advise this office in writin.q by January 29 2007. 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 public hearing will be scheduled.
If you have any questions, please call (406) 444-0713.
Tany'a-~te'l~er--- U
Compliance Specialist
Department of Revenue
Liquor Licensing
P O Box 1712
Helena MT 59624-1712
C:
Annette Rinehart, Department of Labor & Industry
Deanna Uithof, Food and Consumer Safety
Customer Service (406) 444-6900 · TDD (406) 444-2830 · www.mt.gov/revenue
CERTIFICATE OF SERVICE
I certify that on this 29th day of December, 2006, 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 201417
HELENA MT 59620-1417
[] NewAIcoholld Beverage Ucecee Application [] On-Premises Beer
[] Ex,'ting Alcoholic Beverage Uesnse; Transfer Of OwnemhipAppllcetion [] On-Premises SeerNVine
[] Exi~ngAIcoholic Beverage Ucense; Corporate Structure Change
[] Existing Alcoholic Beverage Ucense; Transfer Of Location Application
[] ExistingAIcoholic Beverage Me,iaeA Desthof Licensee
Gambling
[] New Garabllng
[] Ali-Beverage
[] Restaurant Beer/~Pc
EIVE D BY
[] Resort Lioense DEC? 0 'I 2006
GAMBUNG CONTROL DIVISION
(An owner of an interest In a Ildensed gambling operation may not transfer an interest in the operation to a stranger to the license
until a new gambling license appll~ion reflecting the proposed transfer is submitted to the department and the department
approves the transfer.)
[] New Gambling - No Alcoholic Beverage License la Required for Live KenofBingo.
[] Amended Garabllng License Appticetlon - (Note: 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 intersels in the same licenesd gambling operation without submitting anamended gambling license application to the department
and obtaining department approval.)
[] Existing Gambling License ChangeAmong Exi~ng
Corporate Shareholder(e)
[] Existing Gambling License ChangeArnong Existing
Partners or LLC/LI.P Members
[] Existing Gambling Ucense Deletion of Owner(s)
ut Existing Gambling Location ChangeApplicetion
[] Existing Gambling Ucense Type Change Application
[] Other - (.Explain)
Print Or Type
Name of Applicent:
General Information
Town and Country Supply Association
Business/Trade Name:
(Sole Pm~etor/Partnershipa/CorpJ1.LC/LLP)
Cedar Ridge Casino
(Doing business es.....Assumed business name must be filed with the Secretary of State's office.)
Mel#ngAddrass: P.O. Box 367
Address of Premises to be Licensed:
City I State I Zip Cede:
Business Phone / Cell Phone:
Fax'
Federal T~( I.D.:
Alcohol Beverage License Number:.
(Box or ~t~eet)
315 ~ 1st Street
(~treet, Suite Nc., Building No.)
Laurel / MT / 59044
(: ,ms_ ) ~-~14~ .... ;(. _~_ _) ~ _ _ .~.o.~mi
Business cell
84-1419604 [] Check if applied for but not yet received.
03 044 94~6 ~02
(N/A if not applicable)
Are the premises for licensing located:
[] VVithin the boundaries of an incorporated city/town (Gambling Licensing.)
[] Within a distance oft'we railes of an incorporated ally/town (Uquor Licensing.)
[] .Within an unincorporated city/town or outside the bounda ties of and mere than five miles distance from any ~flty/town whether
incorporated or unincorporated (Uquor Licensing.)
Laurel in County of Yellowstone
City Name County Name
·
2
C. ISmvldetlml~onnalionmque~edbelmvforea~h: Che~appmpflate box (Use adcrmnal lmp~ifmmeasm~)
[] ImbJdual/Sde Pr~r [] Pemon(s) tinkling mt ~dion to pundmso the bu~.~.~ or
13 Genendor [] UmitedPa(memNp
O LbnJled Uabir~j Comparv (Member ~f...) O
El Of~erofeCeq~m~n O Check~bmif~memNpIn~ra~um'~am~ei~el~)
· 1 ~ of a Geqmmlion or Temmts M Gmnnmn (TEN GOM) end m~ ~in e~h
~1 Sflmeimlder M e Coqx)m'don ind~dual ,.M~ ~ of eun~mmhlp ar eammon ~m, lle~d
[] ~mueholder ov~ng ~% o~ inme M ~le sls~k of e pul~oly below.
O Pemon($) and/or amnmaeae managing Om oembrmg
~ unde~a 2e o.s.c. ~ol (=)(3),
orgenV, a~m
Not~: Each Indiv~ual Ilntecl above must submit ,#~th this appli~'don · pe~onal history s'mtament, (Form 10),Au~oriza~on for Exemkm~on
and Release of lnforma~on, (Form 1.) and a completed Fingeq~int C, erd. Uae addi~ormt sheet of paper if necessap/.
(cay) (Stata)
~ A m~ of p=ur organiza'don or ~-,,,~_~ d~mte~ must ~ _ .,.-~lmmj Otis appO~dion.
(Street Mdms.)
(~t~)
(~P)
C. Is the premises w#hin any defined zones:
1. Where ~e sale o~ alcdK~c bever-dges is ~=~cted by ci~ or county zoning ordinance?
OYes E]No
EYes g]No
D. Is the buildtno ready for use for an alcoholic beverage business:
1. Isthisa newly constructed premises?
BYes QNo IfNo, indlcateanestimatecldateofo~upan~y
2. Is this a remodel of an existing premises?
oyes ~No IfYes, indicate an esfimated date of completion
OYes i~No
F. Submit a copy of I~e floor plan area to be licensed, using approximate dimensional measurements, Including
externaJ dimensions and general layout - on an 8-1/2" x 11" sheet of paper and number of tables and chairs
Indicated. If you are ap~ying for a reMaurant bee~andwine ficense,.be sure the.floor planhas ttte sen~ice bar area ~leady
designated thereon.
Note: On the floor plan you will need to elemly mark the areas where alcohol will be served, al~)red and
eonsumed. The floor plan must contain outside dlmer~lons, the name of the establishment, physical address,
liquor Ik;ense number {if appllr, able) and date of submittal.
I declare under the penalties
applicant or duly authorized mi
including any accompanying ir
or attachment(s) contains fals~
Montana Code Annotated, and
STATE OF liiIONTANA
Countyof
says, that he/she is the appl
named corporation; that h;
contents thereof, and that a
PHnt Full
""-.'.."=, "= u
DEC, 0
Declaration and Affidavit
G BLING CONTROL ISION
f false swearing and/er the mvocaUon of any licenses granmd pursuant hereto, that I am the
'esentative of the firm or corporation mailing this applic-,tien and that I examined the application,
0rmaticn, and that the responses am tree, correct and Complete. I understand if this application
information, I am subject to the cdminal penalties of Section 45-7-202, 45-7-203 and 45-7-208,
Dr revocation of any alcoholic beverage or gambling licenses granted pursuant to this application.
)
)
,¢ )
~' 7 , being duly sworn, if for himself or herself, deposes and
cantabovenamed;orthathe/shele ~¢~ ,.v~/ /r~,~,~ ~..,.v* of the above
she has read the foregoing application and attachments and that he/she knows the
matters and things therein set forth are true and correct.
Name ~i~atu~ ~
This appli
accompan
alien must be completed in full, and all requested attachments must
L Delay, denial or the tatum of the application will result if incomplete.
Additional information May Be Required During the
'Investigation of Your License Application
RECEIVED BY
DEC! 0 ? 2006
'-el
I=II~T A~ ~OI. tTH
G~iII~INlt {~ITROI, DIVISION