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HomeMy WebLinkAboutMontana Department of Revenue (3).,~ .-_. F ~ Montana Department of Revenue ° nr. O ww.Mw-w..wn wr.wwwwr.wwr.r. wwrw~wr v V - Dan Bucks Brian Schweitzer Director Governor July 17, 2008 RE: Application for Transfer of Ownership of Montana All-Alcoholic Beverages with Catering Endorsement License No. 03-044-9403-002, PALACE BAR ~ LANES (formerly DJ's Steak Palace Bar & Grill), 303 East Main, Laurel, Yellowstone County, Montana PREMISES IS BEING REMODELED 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 fora remodeled premises. Building, health and fire approval will be required before department approval will be considered. If agency determines deficiencies exist that should be considered in the issuance of this license, please advise this office in writing by August 18, 2008. 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. incer Tanya Ste zer Compliance Specialist Department of Revenue Liquor Licensing P O Box 1712 Helena MT 59624-1712 cc: Department of Labor ~ Industry JUL 18 2008 CITY OF LAUREL Customer Service (406) 444-6900 ~ TDD (406) 444-2$30 ~ www.mt.gov/revenue CERTIFICATE OF SERVICE I certify that on this ~ day of , 2008, a true and correct copy of the foregoing has been served by placing s e 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 ti, Check The Appropri~ Boxes To DeslgnabB The Purp~e df This Application Alcoholic BevBrdge Designate The Type Of License Of YourApplication: ^ NewAlcoholic Beverage LicenseApplioation ©On-Premises Beer ® E~dsdngAlcoholic Beverage License; TransferOf OwnershipAppl'ication ^ On-Premises Beer/Wine ^ ExistingAlcoholicBeveroge License; Corporate Structure Change ®All-Beverage ^E~dstingAlcoholicBeveragelicense;TransferOfLocationApplk~tion ^RestaurantE3eeNwine ~~C~~~/~~ ~, D F,adstingAlcoholicBeveroge License; Death of Lioensee ^ Resort License ~uN Y ~ zoa~ Gambling nIAI 'A'~ ® New Gambling ~WI~~ (An owner of an interest in a licensed gambling operation may not transfer an interest in the operation to a strange lice 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 - (iVcta: Na 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 aperaation without submitting an amended gambling license application th the department and obtaining department approval.) ^ Existing Gambling License ChangeAmong Existing ^ Existng Gambling license Deletion of Owner(s) Corporate Shareholder(s) ^ Existing Gambling License ChangeAmong Existing Partners or LLC/LLP Members C11=xisting Gambling Locaflon ChangaApplication ^ Existing Gambling license Type ChangeApplication ^ Other - (Explain) Section I Prlrrt Or Type General Informatlon Name ofApptlcant: Cabert Inc (Sole Proprie~6ar/Partner~slCorpRLC/LLP) BusinesslTrade Name: Palau Bar and Lanes (Doing business as .....Assumed business name must be filed with the Secretary of S'tate's oflics•) MailingAddress: 2105 Saddleback Drive Laurel, MT 5904.4 (Box or Stn~et) Address of Premises to be Licensed: 305 E;. Main City /State /zip Code: Business Phone /Cell Phone: (Street, Suite No., Building No.) Laurel Business Fax: ( ) Federal Tax I.D.: r~ Cell ^ Chedk if applied for but not yet received. Alcohol Beverage License Number. ~a ~ '~~ (N/A if not applicable) Are the premises fnr lir~nsing locathd: ®Within the boundaries of anincorporatedcity/town (Gambling Licensing.) Na ® Within a distance of five miles of an inc~rpon~ted ktity/town (Liquor Licensing.) ^ Within anunincorporated city/town or outside the boundaries of and more than five miles distance from any city/town whether incorporated or unincorporated (Liquor Licensing.) Laurel in County of Yellowstone / MT / /( 406 ) 59044 85Cr2125 City Name County Name Q Provide the Irrformatlon requested below for each: Check appropriate box (Use additional paper if necessary) ^ IndividuaU$ole Proprietor ^ Person(s) holding an option to purchase the business or ^ General ar ^ Limited Partnership any interest in the business ^ Limited Liability Company (Member of...) ^ Other ® Officer of a Corporation ^ Checc this box if ownership in the liquor license is also ~ Di f C ti held as Joint Tenarrta with Rights of Survivorship (JTROS)) rector o a orpora on or Tenants in Common (TEN COM) end make certain each Ci7 Shareholder of a Corporation Individual with rtghis of survivorship or common are lined ^ Shareholder owning 596 ar more of the stock of a publtdy below. JTROS or TEN COM traded corporation ^ Person(s) and/or committee managing the gambling activity under a 26 U.S.C. 501 (cx3), (c)(a),)(8) or (c)(19) organfzation I hereby request smokng exoeption and atFtrm ttrat 8096 of the revenue genena6sd by this business will be from the sale of liquor and/or gambling. ~j Yes da not request smoking exception. - ~ No D. Charitable, Religious, Vetsrarria' or Fraternal Or~nlzatlon If the applicant is a charitable, religious, veterans' or fraternal organization, carnplete the following information. If not applicable indicatie: 0 N/A D Date qualifted for exemption under 28 U.S.C. 501 (c)(3), (c)(4), (c)(8) or (c)(19): Montit Day Year ~ Date local charEar Issued or post organized: Month Day Y~r ~ Has national organlzatlon been Inexistence for a peMod of flue years pWar to January 1,1849? ^ Yes ^ No D Provide Address of National H~dquartsra: (Street Address) (Ctii+) (State) (Zip) >~ A copy of your organisation or post charter must accompany this application. D Locatlon of Gambling Premises: (Street Address) (City) (State) (zip) ~ How marry days, per year, M gambling conducted at this lacatlnn~ Days. a Note: Each individual listed above must submit with this application a personal history statem®nt, (Form 10), Authorization for Fa:aminaticn and Release of Information, (Form 1.) and a corrrplatad Fingerprint Card. Use additional sheet of paper if neoessary. v. C. Is th® premises within any defined zones: 1. Where the sale of alcoholic beverages is restricted by city or county zoning ordinance? D Yes ~ No 2. Where gambling is restricted by city or county zoning ordinance? ^ Yes ~ No 17. Is the building r+~dy for use for an alcoholic beverage business: ~ Yes ^ No 1. Is this a newly constructed premises? D Yes ~ No If No, indicate an estimated date of occupancy 2. Is this a remodel of an existing premises? ~ Yes ~ No If Yes, indicate an estimated date of completion E Submit a copy of the floor plan area to be licensed, using approximate dlmenslonal measurements, including external dlmenslons and general layout - an an 8.1/2" x 11" sheet of paper and number of fables and chairs indicated. If you are applying for a restaurant beer and wine license, be sure the floor plan has the service bar area clearly designated thereon. ~ [~ g ~ Note: On the floor plan you will need to clearly mark the areas where alcohol will be served, stored and consumed. The floor plan must contain outside dlmenslons, the name of the establishment, physical address, liquor license number (if applicable) and date of submittal. 13 w. JUN 1 7 2008 Qn this ~ day of Persona appeared Before a Notary P the State ti ~J., e_ . s1 My Commission Expires O8' (Notary Signature) (Print Name of Notary) (Mor-th. Day & Four Digit Year) 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 Llcens®Appllcatlon Declaration and Affidavit G~LING CONTROL DIVISIpN 1 declare under the penalties of false swearing and/or the revocation of any licenses granted pursuant hereto, that 1 am the applicant or duly authorized representative of the fine or oorparation mailing this application and that I examined the application, including any accompanying information, and that the responses era true, correct and complete. I understand if this application or attachment(s) contains false information,/ am subject to the criminal penalties of Section 45-7-202, 45.7203 and a5-7-208, Morrtana CodeAnnotated, and/or revocation of any alcoholic beverage or gambling licenses granted pursuant th this application. STATE OF MONTANA county of U~ i1 ~ c ~ ~~,~ o~ 1~ e , being duly svror~, If for himself or herself, deposes and says, that he/she !s the applicant above named; or that he/she b ~,1? ;~~ i r1 a ~ of th® strove named corporation; that he/she has read the foregoing application and attachmenffi and that he/she knows the contents thereof, and that all t~ttars and things therein set forth are true and correct. C ~ Print dull Name Signature Oaf 18 ~~ RECEIVED BY JUN 1 7 2008 ~LINGIX)NR~I,~ry~p~y NEVV EN~L,QS.ED CASSINa AREA. 'beet # ~~' "° s~ Revision: Palace• Remodel Die: ~~005 - - DEL: • ; Clerk Johnson • Residential Design 5ervic+e u~~yor ?uBl~ ~~a . z~ :a~>~ japou~a~r aar~~~ :uarsrna~ ~-,~W~ti~w :~~~ ~~aaus S I ~ ~. ~ I ~ ~~ .., wr: SMOaNIM MAN ~. .. tr~l~xa,£L ~'~~• •ONISS'dJ ~~ sMOasv~nn ~a-awv~ ?1QO~~ pl'i'1dM N3d0 gNk+"II~MM~N Ql SMt7CC]P(IM ~A~W 52iOQQ M3N • ~ .' ~ r. .. I I a NOISING ~~~ ~~ ~ , ~ i ~ BOOZ L I Nf1f I • ~i -. ~. - ~-.; :. s r ~ r •!! ~ h ~~ ~ ~,, : ~, • •A S r+ 0 p v ~ '~ r ~ '~~ ~ 1~ ~ .. ~ L C"' .~-.~ ->a:au~ . • x ~~ ~ r~ ~. ~ ~~ ~~ .: ~ ~ ... Y ~., ~, .~ . . REC~IV ~~ ~ _ ' r ~,. . -- ~~• . ~ .. ~~ Ot~'1~'Id4 ~ -5--• • o . t, ~ . . ~ .~- :tea ~ ~ - i ~ ....._ _ ~ - f ~ _...~-~--~- - F^ i' Exi.stin~ Floor Plan =iv~a ~~ ~u~ r ~ zoos _, GIVG CONTAQI DiVI~ON beet # sate: '"~"='''0" Revision: Pa i, u. C~ 1 ~. G i 1 L ~ 4/. G 4 Date: sra8J20o5 _ DEL: Clark Johnson Residential Design Service 97EC~iVBD Bl( ,pus o 1 20~ (,~G~MROI~ON