HomeMy WebLinkAboutItem 11 Liquor License Application for Memos Mexican Restaurant
Meeting Date:
Meeting Type:
Department:
Staff Contact:
Staff Phone No:
Estimated Time:
AGENDA ITEM SUMMARY
SPRINGFIELD
CITY COUNCIL
March 17, 2008
Regular Session
Development Services
Dave PuenYhAA ~&
726-3668 7ft r~ .t'i'07'"
Consent Calendar
ITEM TITLE:
ACTION
REQUESTED:
ISSUE
STATEMENT:
ATTACHMENTS:
DISCUSSIONI
FINANCIAL
IMPACT:
LIQUOR LICENSE APPLICA nON FOR MEMOS MEXICAN RESTAURANT.
Endorsement of OLCC Liquor License application for Memos Mexican Restaurant
located at 737 Main Street, Springfield, Oregon.
The owners of Memos Mexican Restaurant have requested the City Council to
endorse their OLCC Liquor License Application.
Attachment 1. OLCC Liquor License Application
The license endorsement for Memos Mexican Restaurant, formerly Mi Pueblo
Mexican Restaurant, is for a Change of Ownership with Full On-Premises Sales.
The license application has been reviewed and approved by the appropriate City
Departments.
8.
. .
.
. ,
~.
fOil
OREGON LIQUOR CONTROL COMMISSION
LIQUOR LICENSE APPLICATION
tt:-~CJe10 5'13
PLEASE PRINT OR TYPE
Application is, being made for:
L1C):NSE TYPES
III Full On-Premises Sales ($402.60/yr)
]it. Commercial Establishment
o Caterer
o Passenger Carrier'
,0 Other Public Location
o Private Club
o Limited On-Premises Sales ($202.60/yr)
o Off-Premises Sales ($100/yr)
o with Fuel Pumps
o Brewery Public House ($252.60)
o Winery ($250/yr)
o Other:
Aoolyina as:
o Limited
Partnership
~orporation
o Limited Liability
Company
o Individuals
AyrlONS
zj Change Ownership
o New Outlet
o Greater Privilege
o Additional Privilege
o Other
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:
OLCC US~Y
Application Rec'd by:
Date:.,~3/.?J f5
90-day authority: )\( Yes ' 0 No
1. Entity or Individuals applying for the license: [See SECTION 1 of the Guide]
G) M~MO ~ MVC'1 co. V\ ~s1;;;;.:\C; ~1,-I "::t:n'.
,
@
@)
2. Trade Name (dba): ..v\i'.Yn 'l ~
.M U"C.On ~ hw ..?en +_
,
3. Business Location: 737 ,(Il C! i ~ St:"
(number, street, rural route)
. S t~-, V)~>> I ~JJ J<^\1IL 0 ~
(cityjJ (county) (state)
4. Business Mailing Address: 'S.~ ~
(PO box, number, street, rural route)
5. Business Numbers: 5'4' I - 7q 1- '1~i32
(phone)
6. Is the business at this location currently licensed by OLCC?
97<177
(ZIP code)
Type of License: t tJ (! 0 VJ - PW,W'I< "'.~.
.tt.<R.x \ ~I?t I'l t"<..~.A..I. rc.1/YI-t
I
9. Will you have a manager? ~s ONo Name: C I, (~S. t", < ~Cl<.:L]) vo:.-;re
. (manager must fill out an individual history form)
10. What is the local governing body where your business is located? S pn :~ Ii '''' I d,
. (name of city oriJolmty)
11. Contact person for this application: ~ ld ({ vale?(l}. ~03 g 36-;;2..
'1 r ,'\? ~ . (nj:lme) .) . c; C~-o~..,. hone n.umbe~(s) ".' ' .' - .
.J DC))'\. !C(sG ~/ (JI~n 0'k. '173z) (n3-:l7'5'7 /t:,f./Yl.v../'/!J.,:7c;,r'- (~cA,(;..~. Ni
(address) (fax number) (e-mail address)
I understand that if my answers are not true and complete, the OlCC may deny my license application.
APPI,nt~Sign~ture~. ~~!:,d Delte:
G)~ ?'~
/
/@
7. If yes to whom: '
Of.,d ; c\,
AWl F'(I.,."C
Yve...b I e,
8. Former Business Name: .1\1:
~s
Date :;--IS-?Jf/ @
(city)
(state)
(ZIP code)
'"3 o...n"..L
(fax)
DNo
Date
Date
@
Date
ATTACHMENT 1
1-800-452-0LCC (6522)
www.oregon.gov/o)cc
(rev. 12/07)