HomeMy WebLinkAboutItem 08 Endorsement of Liquor License for Hayden Bridge Deli
Meeting Date:
Meeting Type:
Department:
Staff Contact:
Staff Phone No:
Estimated Time:
AGENDA ITEM SUMMARY
SPRINGFIELD
CITY COUNCIL
February 4, 2008
Regular Session
Development Services
Dave Puent r\~'
726-3668 ~
Consent Calendar
ITEM TITLE:
ACTION
REQUESTED:
ISSUE
STATEMENT:
ATTACHMENTS:
DISCUSSION/
FINANCIAL
IMPACT:
LIQUOR LICENSE APPLICATION FOR HAYDEN BRIDGE DELI.
Endorsement of OLCC Liquor License application for Hayden Bridge Deli, located
at 2454 lOth Street, Springfield, Oregon.
The owners of Hayden Bridge Deli have requested the City Council to endorse
their OLCC Liquor License Application.
Attachment 1. OLCC Liquor License Application
The license endorsement for Hayden Bridge Deli, formerly Track Town Pizza, is
for a change of ownership with limited On-Premises Sales. The license application
has been reviewed and approved by the appropriate City Departments.
~'
OREGON LIQUOR CONTROL COMMISSION
LIQUOR LICENSE APPLICATION
PLEASE PRINT OR TYPE
Application is being made for:
LICENSE TYPES
Cl Full On-Premises Sales ($402.60/yr)
Cl Commercial Establishment
Cl Caterer
Cl Passenger Carrier
Cl Other Public Location
Cl Private Club
b{ Limited On-Premises Sales ($202.60/yr)
Cl Off-Premises Sales ($100/yr)
Cl with Fuel Pumps
Cl Brewery Public House ($252.60)
Cl Winery ($250/yr)
Cl Other:
ACTIONS
j(Change Ownership
"Cl New Outlet
Cl Greater Privilege
Cl Additional Privilege
Cl Other
Applying as:
Cl Individuals Cl Limited ~ Corporation
Partnership
Cl Limited Liability
Company
1. Applicant(s): ,[See SECTION 1 of the Guide]
G) 13i:J $1; /lt6i.fcJi~ -;Me.-- @J
~. . , @
2. Trade Name (dba): IIrUft/el\ ~7~'? /)~It
3. Business Location: .:J '-/Sl~. tXIj s.
(number, street, rural route)
it ;<OD}{)sllf
8..'......
'. .
. '. .
"., ~-
FOR CITY AND COUNTY USE ONLY
The city council or county commission:
(name of city or county)
recommends that this license be:
Granted 0 Denied 0
By:
(signature) (date)
Name:
Title:
, OLCCUS~~~
' "IA'
Application Rec'd by:., .
Date: J 1'3~fr'
~ p ~s
90-day authority: . Cl No
(phone) (fax)
6. Is the business at this location currently licensed by OLCC? "~es ClNo
7. If yes to whom: c.,;-a.;i~e.-r- . .. T~peofLicense: LtWl'i.~d On. p(~j.se.s
8. Former Business Name:~~w~ ~ 'bP6U H/triYt',,(,)bJ4(jl'-~l. JY1/J...j
'9. Will you have a manager? ~es ~o Name:_ Jt)ittJ Z:fl.te/\J-SOIl./
(manager must fill out an individual history form)
10. What is the local ~overning body Where you..r b.usiness. is rocated?~i"'#~td - La-"I'e-
. . (name of~~ or county)
11. Contact person for this application: 11>?f1.:> f!:/liol:.&.:,J . (;.- CfI'l--OftJ I
J , '1 ' " < 'r. " "".' (mime) (Rhone rlumber(s) ,
t7 : ~, f1 ell. rl ,J ce' I
(address) (fax number) (e-mail address) 1>t~(..I'~... (,0'''''''
I understa that if my answers are not true and complete, the OlCC may deny my license application.
Appl'can s Signa ure(s) and 9ate: J L/.._~
CD Date~ <ID Date
D~ @ D~
1-' ATTACHMENT 1 ~2)
4. Business Mailing Address:
(PP l:lpx, number, street, rural route)
5. Business Numbers:_
state)
11S-L{:JoS-
Q'7ilt7
, (ZIP code)
,-