HomeMy WebLinkAboutItem 10 Liquor License Application for Mountain Valley Pizza/Caligals
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Meeting Date:
Meeting Type:
Department:
Staff Contact:
Staff Phone No:
Estimated Time:
January 22, 2008
Regular Session
Developmen~t. es /'
Dave Puent
726-3668
Consent Calendar
AGENDA ITEM SUMMARY
SPRINGFIELD
CITY COUNCIL
ITEM TITLE:
LIQUOR LICENSE APPLICATION FOR MOUNTAIN VALLEY
PIZZAlCALIGALS.
ACTION
. REQUESTED:
ISSUE
STATEMENT:
ATTACHMENTS:
.DISCUSSIONI
FINANCIAL
IMPACT:
Endorsement of OLCC Liquor License application for Mountain Valley
PizzalCaligals, located at 3161 Gateway St., Springfield, Oregon.
The owners of Mountain Valley PizzalCaligals have requested the City Council to
endorse their OLCC Liquor License Application.
Attachment 1. OLCC Liquor License Application
The license endorsement for Mountain Valley PizzalCaligals, formerly Mountain
Valley Pizza is for a change of ownersh~p with limited On-Premises Sales. The
license application has been reviewed and approved by the appropriate City
Departments.
OREGON LIQUOR CONTROL COMMISSION ff 20070 5'(, 7-
LIQUOR LICENSE APPLICATION
PLEASE PRINT OR TYPE
Application is being made for:
LICENSE TYPES
[J Full On-Premises Sales ($402.60/yr)
o Commercial Establishment
[J Caterer
o Passenger Carrier
o Other Public Location
o Private Club
~imited On-Premises Sales ($202.60/yr)
[J Off-Premises Sales ($100/yr)
o with Fuel Pumps
o Brewery Public House ($252.60)
o Winery ($250/yr)
o Other:
.........-~
") ..
ACTIONS
~Change Ownership
o New Outlet
o Greater Privilege
o Additional Privilege
o Other
Applying as:
[J Individuals 0 Limited. ..l(Corporation
Partnership .
[J Limited Liability
Company
1. Applicant{s): [See SECTION 1 of the Guide]
<D C (,~\\~OI.\'J \~.
~
2. Trade Name {dba):\'\"\ (,)0Y'\~C\ ','f\
<ID
.tJ
OVi"
..."...............'......
'. .,.
. '; !
. . .
FOR CITY AND COUNTY USE ONLY
The city council or county commission:
(name of city or county)
recommends that this license be:
Granted D Denied 0
By:
(signature) (date)
Name:
TItle:
OLCC USE 1k.
Application Rec'd by: I. .0/-
Date: 13-/l't/P? . ~;,
90-day authority: [J Yes [J No
F~ ~~'n.J
( ty)
4. Business Mailing Address: \>.0. Q)()"f.,. '\ '6 ~U
(PO box, number, street; rural route)
5. Business Numbers: t\O\1l - \ ~ 00
(phone)
6. Is the business at this location currently licensed by OLCC? .Jiyes ONo
- Y"t"\Q"'i'\ ~ ",,\l a.. \\ ~ (J:,o<~< 0.. ~ l),^,
7. If yes to whom: ~ \ O::t)( c> ) LL C- Type of License: L \'iY'\\ ~ ~ d (',f'\ - 0 €' '" \ ~ ~ ')
8. Fo~er Business Name: ~ CU"'- ~ 0.-, y\ \ j a. \ \ ~ Y.\ L La.
. . )
9. Will you have a manager? )/:res . ~,. ~o Name: CtIit~ ~fr;iJ{) ~
, (manager must fill out an individual history form)
10. What is the local governing body where your business is located? . S ~{' "' 'Y'I (~ ~ ~ \ d
(name 0 city or cou )
11. Contact person for this application: ~ ~ -c , ~ Y\ 0 ~ a \(\ 0..Q.1'{" ~ too" - OX \ C> 0
r.'\ (L (name) (phone number(s)
~.O '\ao'j.. \1\\\<1\..0 t=Y~~~ I D\L lOD' -C\\ Do ~Q \-\~'('\u. ():)o..()\.t(W~
(address) (fax number) (e-mail address)
I understand that if my answers are not true and complete, the OlCC may deny my license application.
Applicant(s) Signature(s) and Date:
~1Jt;~
Date \\-'d- \D -01 <ID
Date~@
1-800.45iOLCC (6522)
- www.o/cc.state_oT.US
oQ....
(state)
~\ ~ 0 \
(ZIP code)
(fax)
Date
ATTACHMENT 1
Date