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Home My WebLink AboutMT Department of Revenue~"v Dan Bucks Director Montana Department of Revenue Brian Schweitzer Governor February 21, 2007 RE: Application for Issuance of One Original NEW Montana Retail Off- Premises Consumption BeerRVine License, RICCI'S EXPRESS, 704 1st Avenue, Laurel, Yellowstone County, Montana NEWLY LICENSED PREMISES / 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. Building, health and fire approval will be required before department approval will be considered. If any a;lency determines deficiencies exist that should be considered in the issuance of this license, please advise this office in writing by March 21, 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. If you have any questions, please call (406) 444-0713. Tan,~ Compliance Specialist Department of Revenue Liquor Licensing P O Box 1712 Helena MT 59624-1712 L 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 22nd day of February, 2007, 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 ANDINVESTIGATION BUREAU 303 NORTH ROBERTS BOX 201417 HELENA MT 59620-1417 Off-Premises DEPARTMENT OF REVENIJJJquor License Application Return to: One*Stop Licensing Montana Department of Revenue PO Box 8003 Helena, MT 59604-8003 Check appropriate boxes: 1. Business Entity 2. Transaction [] Individual (one pemon) n New License ~" Corporation ~' Transfer of Location- License # 9 5 ~ ~/ [] Other [3 Corporate Structure Change - License # Attach additional pages if more space is needed 3. License Type I Fee [3~ Processing Fee - $100,00 (All) [] Off-Premises Beer - $200.00 Off-Premises Wine - $200,00 Off-Premises Beer/Wine - $400.00 Instruction for comp[ating applicant name, If Indl,~lual-/41st individual's name. If Corporation, provide current corporate statement or list of officers, directors and shareholders and Certificate of Existence/ Authority. ~. If Other... If more than one individual, list names of all below. If partnership, list partnership name below then, individual partners' names and provide copy of the partnerships Certificate of Limited Partnership, Certificate of Fact or Certificate of Registration. If LLC, list LLC name below then, all members' names and provide a copy of the Certificate cf Fact. 1. NameofApplicant(s) /"~(C~i'$ ~-- L~u~-~. Business Telephone No. ~ Fax No. Federal Tax LD. No. ~.' 2. Name of Person Managing Business VIAIc~ '~,"r i - ' 3. Provided Personal History & Release of In~Mion forms for each individual, paAner, 10% stockholder, member or manager. O Yes O No 4. Busin~s~rade Name ~1~- ~'~ ~ {doing busin~ as.,,~um~ busings name mu~ be filed with the S~ ~ S~'s Offi~) cW, ~, zip L47~ ~ ~ 4a. Addr~s of premises to be li~ns~, if distant than mailing address. Give Exact Loc~ion of Promises, including a stmel and nu~er. Physical ~dmss C~, ~, ZIp. 5. Is your location w~h[n an inco~omted ci~A~n?~ Yes Q No 6. ~e the promises ~hin any defined zones wh~e the sale ~is prohibited by cEy/county ordinances? Q Yes '~ No 7. Is your promises proposed ~r licensing operated es a ~ Gmc~ ~om if gro~ store - a~ach copy of invento~ (Form G-1 Q Drug~om If drug s~re - aEach copy ef pharma~i~l license 8. Do you n~ or will you ~ the building proposed for licensing? ~ Y~ Q No If No, please provide a cuff~ or proposed ~ease or mn~l agreement. IfY~ provide accep~ble proof of o~ership. 9. Is the building ready ~r occupant? Q Yes ~ No. If No, indicate estima~d date of occupant: ~- I~,-~ 7 10. ~11 you be remodeling or cons~ng the praises? ~ Y~ Q No If Yes, indicate estimat~ date of ~mplMion: ~-/-~ ~ {Date) 11. SubmE ~py of curre~ flor plan of licens~ prem~. Floor plan mu~ include ~ernal dimensions and general layo~ on an 8~" x 11" sh~ of ~r. Identi~ tr~e name ~ pmmis~, addr~s and d~. 12. Please send a copy of your bank signature ca~. 19 518 Tha~un,dersigned, requests authority to operate pending final approval of the license. Temporary authority may be granted to an applicant by the Deparkment of ReVenue if the current premises has been licensed in the past year for the sale of alcohol and no building, health, or fire deficiencies e~st. Pursuant to ARM 42.12.122. The undersigned ag[ess thee during the period of temporary operating authority, the applicant shall be responsible for ali beer and wine pumhased pursuant to Section 16-3-243, MCA (the seven- day credit limitation). I realize temporary authority will be immediately revoked if my employess or I violeee any provisions of 'l~tle 16, MCA or the departments rules. Temporary authority cannot be granted for a transfer of location. would like temporary authority issued on (Date) In order for your application to be considered comp/eta you must include all associated or related documents as indiceeed by your specific circumstance in the accompanying check sheet. Processing a license application takes approximately two (2) to three (3) months based upon the Department's determination of receipt of a complete appliceeien, if no deficiencies are received. You will be notified when a decision regarding the applioeeion has been made. This application m~-b-~ signed by'he appllcen~ or by a duly authorized representative ~f the entity submitting this application. The person who signs this application attests that the information contained in the application is correct and complete. Montana law says "Upo,n proof that an applicant, made a false statement in any part of the original application, in any part of an annual renewal application, ~/any hearing conducted pursuant to an application, the application for the license may be denied, and if issued, the Iicense/~ape revoked." (~tion 16-4-402, Montana Codes Annot,~ed) · ftx. z.- Sign~tu~ ~- Date Pdnted Name 'l~tle The stockholders/members/partners are: Name Address Seolal Security Number Date of Birth Number of Shares Total Shares: Officers and Directors of the Corporation are: ! Name Address Title of~premO0 Revlead 05-06 D CS 1145 HENRY RD, 81LLINGS, MT. 406-252-9631 ARCHITECTS ~t~W C-STO~JF_, FOR DEBBIE AND VlNCE LAUREL, MONTANA