City of Thornton, City Clerk, Boards and Commissions
Local Licensing Authority Application

Local Licensing Authority

The Local Licensing Authority has several functions including conducting hearings and making findings of fact on whether to grant or deny a local liquor license, and reviewing alleged liquor and beer violations. The Authority also considers applications for manager registration, change of location, transfer of ownership, change in corporate structure, and request to modify the premises. Chapter 42, Article II, of the City Code has delegated approval of some of these applications, under certain circumstances, to City staff.

Board Membership and Qualifications

Membership consists of nine members. Members must be at least twenty-one years of age and represent and reflect the conscience of the community. Meetings are held the third Wednesday of each month and normally begin at 6:00 p.m.

Name of Applicant

Ward Number

Home Address

Address Line

Address Line 2

City

State

Zip

Phone Number

Alternate Phone Number

Do you have relatives presently working for the City of Thornton? If yes, please list below.

Yes No

Relatives presently working for Thornton

Tell us briefly what specific talents, expertise, experience, previous civic activities, and/or volunteer service you would bring to this board if appointed.

The Colorado Supreme Court issued a ruling that a denial of a license cannot be based on abhorrence to alcohol for personal or religious reasons.Do you have any personal or religious objections to the use of alcoholic beverages?

Yes No

City Code Section 42-57(g) states that no person can serve or continue to serve on the Local Licensing Authority if they or an immediate family member has a financial interest in any business holding a Liquor or Beer License under State Statute. Have you ever had a financial interest (direct or indirect) in a liquor/beer licensed establishment? If yes, please give name of establishment(s) and relationship (e.g., owner, stockholder, etc.)

Yes No

Establishment(s) and relationship

Are you currently involved with this establishment?

Yes No

Current Employer

Position

Address of Employer

Please read the following, then type your name and date in the signature block below, and submit electronically, using the “Submit Application” button in order to complete the board application.

I certify that the facts and statements contained in this board application are true and correct. I further understand that false statements shall be sufficient cause for rejection of this application or for grounds to apply the penalty provisions of the Code of Ethics.
I further certify that I have not been convicted of a felony under the laws of the State of Colorado or in another jurisdiction.
I understand that falsification, omission or misrepresentation will result in a rejection of this application. Any falsification, omission or misrepresentation is evidence of perjury in the second degree.
I authorize the City of Thornton to conduct a criminal background investigation, with the understanding that any felony convictions found will become a matter of public record. I further understand and acknowledge my rights under federal privacy laws, including the Privacy Act of 1974, with respect to access and disclosure of information and hereby waive such rights with the understanding that any and all information furnished will be used only in connection with contracting procedures.

Signature Your typed name here constitutes your signature.

Date

City of Thornton, City Clerk, Boards and Commissions Local Licensing Authority Application

Local Licensing Authority

Board Membership and Qualifications

City of Thornton, City Clerk, Boards and Commissions
Local Licensing Authority Application