HomeMy WebLinkAboutItem 06 Liquor License Application for Lucky Lou's Deli
Meeting Date:
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AGENDA ITEM SUMMARY
SPRINGFIELD
CITY COUNCIL
February 19,2008
Regular Session
Development sewrv.ces
Dave Puent
726-3668 )A
Consent Calendar .
ITEM TITLE:
LIQUOR LICENSE APPLICATION FOR LUCKY LOU'S DELI.
ACTION
REQUESTED:
ISSUE
STATEMENT:
ATTACHMENTS:
DISCUSSION/
FINANCIAL
IMPACT:
Endorsement of OLCC Liquor License application for Lucky Lou's Deli, located at
4215 Unit C Main Street, Springfield, Oregon.
The owners of Lucky Lou's Deli have requested the City Council to endorse their
OLCC Liquor License Application.
Attachment 1. OLCC Liquor License Application
The license endorsement for Lucky Lou's Deli is for a new outlet with limited On-
Premises Sales. The license application has been reviewed and approved by the
appropriate City Departments.
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4
OREGON LIQUOR CONTROL COMMISSION
LIQUOR LICENSE APPLICATION
PLEASE PRINT OR TYPE
.:IF 200705 77
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.'....i....'..,., ....'
. ,
. .
Application is being made for: FOR CITY AND COUNTY USE ONLY
LICENSE TYPES ACTIONS The city council or county commission:
o Full On-Premises Sales ($402.60/yr) ~ange Ownership (name of city or county)
o Commercial Establishment New Outlet
o Caterer o Greater Privilege recommends that this license be:
o Passenger Carrier o Additional Privilege Granted D Denied 0
o Other Public Location o Other
o Private Club By:
-If'Limited On-Premises Sales ($202.60/yr) (signature) (date)
o Off-Premises Sales ($100/yr) Name:
o with Fuel Pumps Title:
o Brewery Public House ($252.60)
o Winery ($250/yr) OLCC USE ON~
o Other: Application Rec'd by: ~
Aoolying as: 'corporation Date: t/~3/o.g--
o Individuals o Limited o Limited Liability
Partnersbip Company 90-day authority: 0 Yes )f No
1. Applicant(s): [~ee SECTION 1 of the Guide]
<D -.h.~O-)JA+'7<- I ~ t
~
<ID
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2. Trade Name (dba): )..UC1<'1 Amls 'DGf...1
..tk"" .r... ~ I
3. Business Location: 1:? J'S:" ~ ;1k,VV -5/ ~1{1) \-e. e,l JLAW~, 0 t:.
(number, street, rural route) (city) ,t ~unty) (state)
4. Business Mailing Address: ?;1/ jf)A-l (1){) ..f~'\d) (!; rZ
(PO box, number, street, rural route) (city) (state)
5. Business Numbers: '1i/<6 ' 4;;0 J 7l/~ - / J ~ (e.( A. f'~"''15' J
(phone)
6. Is the business at this location currently licensed by OLCC? OYes ~o
i CJ7tf"T6
(ZIP code)
77'{71
(ZIP code)
(fax)
7. If yes to whom: Type of License:
8. Fo~er Business Name: ~ \& <- C. b~(\ 1<.. ~~~
9. Will you have a manager? ~es ONo Name:--.fI\'C\o. \\c. (Y\o~
(manager must fill out an indivi~utl history form)
10. What is the local goveming body where your business is located? 'S'flC: \ n~ ~"e \ ci I h. ~ 1\Q
I _ ~ f 1"< (name of city or countY)
11. Contact person for this application: }-.J) U \ ~ J.-U \<. C::tt: "SC( ( '71 d ~ /40
~ ~~I jY)A,11 Sf ~/r) t~T3 t17471 (phonenumber(s)
(address) -/~. 1 (fax number) (e-mail address)
that if my answers are not true and complete, the OlCC may deny my license application.
ignature(s) and Date: 1_ r_
Date~ <ID Date
~ Date @ Date
1-800-452-0LCC (6522)
www.olcc.state.or.us
ATTACHMENT 1
74& ~/I~