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HomeMy WebLinkAboutBusiness License License 1989-7-26 BUSINESS NAME: QAI J:" R FN[';FI PR!='<::Tn!='NT I~ ~ = . - " - '~ 11...11 n...tI SE f/.lI. . .' NO. l}(JJ6/6 AMOUNT REC'D, $25.00 DATE 890726 UNIT IN ACCORDANCE WITH EXISTING CITY ORDINANCE, THE FOllOWING LICENSE IS GRANTED ... .1 1 . . CITY OF SPRINGFIELD CITY LICENSE TI FFANY' S EXPIRFC:' EMPLOYEE NAME: 900630 LICENSE TYPE: LIQUOR BUSINESS LOCATION: . 651 W. CENTENNIAL BLVD. MAILING ADDRESS: 960 OAK STRfH CITY, STATE, ZIP: SPRINGFIELD OR 97477 CITY, STATE, ZIP: EUGENE OR g7401 PHONE NUMBER: 342-2148 PHONE NUMBER: 1Ll?-?1 LlR LICENSE APPROVAL COMMENTS: ~ -1-81' ?~Zrn I Ljt./gZ- DATE lr-- Ie( - er, DATE DATE 2. Prosont Trado Name Tiffany's '4. Premises address 651 W. Centennial Blvd., Springfield, (Cily) Lane . Year filed ~1958 with Corporation Commissionor Oregon 97477 3. New Trade Name <:::;llnO 5, Business mailing addresc (Number, Street, Rura' Rout.) 960 Oak Street, (County) (Stat.) Oregon (Slate) (Zip) (P,O, Box, Numb.r. Street, Rural Route) Eugene (Cily) 97401 (Zip) 6. Was premises previously licensed by OLCC? Yes No -X.- Year 7, If yes, to whom: , Type of license: 8, Will you have a manager: Yes -X.- No Name George L. Shepherd (Manager must fill out Individual History) 9. Will anyone else not signing this application share in the ownership' or receive a percentage of profits or bonus from the business? Yes_ No . SprinCJfield 10, What is the local governing body where your premises is located? (Name of City or County) 11, OLCC representative making investigation may contact' fl'lelva Engel 960 Oak Street, Eugene, Oregon 97401 (Addr...) 344-1621, (Name) 342-2148 (Tel. No. - home. business. message) CAUTION: The Administrator of the Oregon Liquor Control Commission must be notified if vou are contacted by anybody Offering to Inlluence the Commission on your behall, ~ D.O, ~ n . /0 Applicant(s) Signatur~ 1'Tl1.ir (In case 01 corporation, duly authorized officer thereof) 2) Tiffanv-Davis Druo CO. DATE cf' // n 7- 7;; <;; c; Bv : ~./),Ur;::;--6-G!' 9 t/ Dale n. Engel~President 3) 4) 5) Ortgln.' - Local Government 6) Form 114545-480 (lHI2)