HomeMy WebLinkAboutItem 08 Liquor License Application for a New Outlet for Planet Verde LLC, DBA - Planet Verde. AGENDA ITEM SUMMARY Meeting Date: 2/5/2018
Meeting Type: Regular Meeting
Staff Contact/Dept.: Robin Holman - DPW Staff Phone No: 541-726-3662
Estimated Time: Consent Calendar
S P R I N G F I E L D C I T Y C O U N C I L Council Goals: Mandate
ITEM TITLE: LIQUOR LICENSE APPLICATION FOR A NEW OUTLET FOR PLANET
VERDE LLC, DBA: PLANET VERDE.
ACTION REQUESTED: Endorsement of OLCC Liquor License Application for Planet Verde, located at 156 S 20th Street, Unit A, Springfield, Oregon 97477.
ISSUE STATEMENT: The owner of Planet Verde LLC has requested the City Council to endorse its OLCC Liquor License Application.
ATTACHMENTS: Attachment 1. OLCC Liquor License Application.
DISCUSSION/ FINANCIAL
IMPACT:
The license endorsement for Planet Verde LLC, DBA: Planet Verde is for a New Outlet with Off-Premises Sales and applying as a Limited Liability Company. The
license application has been reviewed and approved by the appropriate City Departments.
OREGON LIQUOR CONTROL COMMISSION
LIQUOR L]CENSE APPLICATION
LICENSE WPES
E Full On-Premises Sales ($402.60/yr)
I Commercial Establishment
E catererI Passenger Carrier
E Other Public Location
E Private club
I LimiteA On-Premises Sales ($202,60/yr)
E Off-Premises Sales ($1OO/yr)
Ewith Fuel Pumps
fl Brewery Public House ($252.60)
D Winery ($25OiyO
Eother:
9O.DAY AUTHORITY
fl Check here if you are applying for a change of ownership at a business
that has a current liquor license, or if you are applying for an Off-Premises
Sales license and are requesting a 90-Day Temporary Authority
APPLYING AS:
E Corporation E Limited Liability n lndividuatsPartnership Company
1. Entity or lndividuals applying for the license: [See SECTION 1 of the Guide]
O Planet Verde LLC O
CITY AND COUNry USE ONLY
Date application received:
The City Council or County Commission:
(name of city or county)
recommends that this license be:
E Granted 0 Denied
(signature) (date)
Name:
90-day authority: )fues D No
oLcc
Application nec'O ny\
oate: ll l?oltl
@
2. Trade Name (dba):Planet Verde
3. Business ls62ti66;156 S. 20th Street, Unit A Springfield 97477
(number, street, rural route)(city)(state)
OR
(county)
Eugene
(ZlP code)
974054. Business Mailing Address:PO box 51 509
(PO box, number, skeet, rural route)(state)(ZlP code)
5. Business Numbers:
(phone)
at this location currently licensed by OLCC? fives fiNo
Type of License:
(fax)
6. ls the business
7. lf yes to whom:
L Former Business Name:
11 . Contact person for this application:M. David Kamrat
9. Will you have a manager? Eyes fJruo Name:Samuel Horsfall
(manager must fill out an lndividual History form)
10.What is the local governing body where your business is located ?Springfield/Lane County
(name of city or county)
541-579-1077
(name)(phone number(s))
5194 Solar Heights Dr. N/A david@planetverde. net(address) (fai numbeo (e-mail address)
I understand that if my answers are not true and complete, the OLCC may deny my license application.
o_
,a
Date94p-11t2412017,A
Date
1-800-452-0LCC (6522) o wwworegon.gov/olcc
Date
(Ev 08/2011)Attachment 1, Page 1 of 3
OREGON LIQUOR CONTROL COMMISSION
LIMITED LIABILITY COMPANY QUESTIONNAIRE
Please Pint or Type
LLC Name:Planet Verde Year Filed:2017
Trade Name (dba):Planet Verde
Business Location Add ress:1 56 s. 20th street, unit A
C ity:Springfield ZIP Code:97477
List Members of LLC:
1 . M.David Kamrat
Percentage of Membership lnterest:
100%
(managing member)
2.
3.
4.
6.
(Note: lf any LLC member is another legal entity, that entity must also complete an LLC, Limited
Partnership or Corporation Questionnaire. lt the LLC has officers, please list them on a separate
sheet of paper with their titles.)
Server Education Designee:N/A DOB: NiA
I understand that if my answers are not true and complete, the OLCC may deny my license application.
(title)
1-800-4s2-OLCC (6522)
www.olcc.state.or.us
Signature:
(rev. 8/11)
Attachment 1, Page 2 of 3
OREGON LIQUOR CONTROL COMMISSION
BUSINESS INFORMATION
Please Print or Type
Appricant *.r. flar,Vt\enie LLO phone:Sqt-35"r-qDDc
rrade Name foorl' Pl,Uat VOftll
Business Location Address:
ZrP code: 17qz I
Business Hours:
Sunday _ to
Outdoor Area Hours:
Monday =1A to
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturda'
Seasonal Variations: tr Yes tr No lf yes, explain:
The outdoor area is used for:
tr Food service Hours:to
to
(lnvestigator's lnitials)
E tive trlusic
E Recorded Music
E ol vtusic
E oancing
E ruro" Entertainers
Restaurant:
Lounge:
Banquet:
Check all that apply:
tr
tr
tr
Coi
Social Gaming
PoolTables
Other:
Karaoke
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
to
to
to
to
to
totr
tr
the OLCC may deny my license application.
o^te, l\lL\/'ht\
LCC (6522)
OLCC USE ONLY
lnvestigator Verified Seating:_(Y) _(N)
I nvestigator lnitials:
wwt t.oregon.gov/oIcc (rev. 12/07)
tr Alcohol service Hours:
& HOURS OF LIVE OR DJ
SEATING GOUNT
Attachment 1, Page 3 of 3