HomeMy WebLinkAboutItem 04 Main Street Market Liquor License AGENDA ITEM SUMMARY Meeting Date: 3/18/2019
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 MS MARKET
2 LLC, DBA: MAIN STREET MARKET.
ACTION REQUESTED: Endorsement of OLCC Liquor License Application for Main Street Market, located at 330 Main Street Suite A Springfield, OR 97477.
ISSUE STATEMENT: The owner of MS Market 2 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 MS Market 2 LLC DBA: Main Street Market is for a New Outlet with Off-Premises Sales. The license application has been reviewed
and approved by the appropriate City Departments.
t
]--
OREGON LIQUOR CONTROL COMMISSION
LIQUOR LICENSE APPLICATION
t. Application. Do not lnclude any OLCC fees with your application packet (the license fee will be collected at a later
time). Application is being made for:
Llcense For:C1TY AT{D COUNTY USE ONTY
Date applicatlon recelved:
1st Location
Location
3'd Location
House 2nd location Name of Clty or County:
House 3'd location
tr
tr
tr
Full Caterer
Recommends this license be:
E Granted El Denied
tr Full On-Premises, Passenger Carrier By:
tr FullOn-Premises, Other public Location
Full For Profit Private Club Date:
tr Grower Sales Privilege location OLCC USE ONI.Ytr Limited on-premises Date applicationtr Off-Premises
tr Off-Premlses with Fuel Pumps
tr Warehouse
D Wholesale Malt & Wine By:
1't Location Date2d location complete:
D Winery Location
By:
{^v
2. ldentify the applicant(s) applylng for the license(s). ENTTTY (example: corporatlon or LLC) or tNDtVtDUAL(Sl applying
for the license(s):
MS Martet2, LLC
(Applicant f1)(Applicant S2)
House ft locationD
tr
Commercialtr Ful
tr Full on-Premises,Nonprofit Private Clubtr Grower Sales Privllege 1'r locationtr Grower Sales location
(Applicant f3)(Applicant #4)
OLCC FINAilCIAT SERVICES USE ONTYOLCC USE ONLY
OICC tiquor ttccnii&icario (Ro.10/2018)
r
Distillery
tr
fl
Action{s):N
-r-
Attachment 1, Page 1 of 5
OREGON LIQUOR CONTROT COMMISSION
LI QUOR LICENSE APPLICATION
3. Applicant #1
MS Market 2, LLC
Applicant f3
4. Trade Name of the Business (Name Customers Will See)
Mdn Street Market
, 5. Business Address (Number and Street Address of the Location that will have the liquor ticense)330 A Main St
City
Springtield
6. Does the business address currently have an OLCC liquor license?YES NO
7. Does the business address currently have an OLCC marijuana license?NO
8. Mailing Address/PO Box, Number, Street, Rural Route (where the OLCC will send your mail)
1782 West 25th Ave
City
Eugene
9. Phone Number of the Business locationTbD
Contact Person for this Application
Erin Gillillan
Mailing Address
1782 West 25th Ave
State
Email Contact for this Application
erin @friendlystmarket.com
Phone Number
il1-543-6367
Zip Code
97405
City
Eugene
State
OH
Zip Code
97405
I understand that marijuana (such as use, consumption, intestion,inhalation, samples, give-away, sale, etc.) is
prchih,ited on the llcensed premises.
I attest that all answers on all forms, documents, and information provided to the OICC are true and complete,
Applicant Sienatlre(sl
r Each lndividual person listed as an applicant must sign the application,r lf an applicant is an entity, such as a corporation or [LC, at least one person who is authorized to sign for the entity
must slgn the application.o A person with the authority to sign on behalf of the applicant (such as the applicant's attorney or a person w1h
of attorney! may slgn the application. lf a person other than an applicant signs the application,please
(Applicant$l)(Applicant S2)
Applicant S2
Applicant S4
County
OR
Zip Code
97477
(Applicant#3)(Applicant s4)
OLCC uquo, tic.Ge Agdkanm (Rry. t0l20ft)
OR
Attachment 1, Page 2 of 5
OREGON LIQUOR CONTROL COMMISSION
LIMITED LIABILITY COMPANY QUESTIONNAIRE ffi
Please Print or Type
MS Markel2, LLCLLC
Main Street MarketTrade Name
330 A Main StreetBusiness Location
Springfield zlP cxlire:974n
Llst llemberc of LLC:
,,. Obanskye, LLC
Percentage of llemberrship lnterest:
1oo7o /-4p1)
(rnaneging mcmbor)
2.
3.
4.
5.
6.
(mertcrs)
(l,lote: lf any UC member is anather legal entity, that enff must also comptete an LLC, Limited
Partnership or Corpontian Questionnalre. lf the LIC has ofrcers, pleaso tist them on a separute
shoet of paper with their fdles.)
Server Education Designee:Angela Mustacchia DOB.0
O\ED l,+
I underetand.that i, my answert are not true and complete, the OLCC may deny my lhense application.
;
i
Date.0z1312019P
(tille)
1{00.,452.OLCC (6522)
tttwvt. o I c c. s ta te. o r. u s (rev. Ul1)
Year Flled:2019 -.
b
Attachment 1, Page 3 of 5
OREGON LIQUOR CONTROL COMMISSION
LIMITED LIABILIry COMPANY QUESTIONNAIRE
Please Print or Type
LLC Name:obanskYe' LLC Year Filed:ml6
1782 West 25th AveBusiness Location
EugeneCity:zlP code:97&5
Llst Members of LLC:
1. Eiln Gilfillan
Percentage of Membership lnterest:
laoo/o /46
(maneglng memb€r)
2,
3.
4.
5.
6.
(membec)
(Note: lf any LLC member is another legal entity, that entity musl also complete an LLC,'Umited
Partnership or Corporat:nn Questionnaire. lf the LLC has officers, please list them on a separate
sheef of paper with thelr fltles.)
Server Educatlon Argela Mustacchla DOB:
ov6 tg
ftat
I
I understand if my answere are not true and complete, tho OLCC may deny my license appllcatlon.
*.f>Date.0z13/2019P
(litle)
t€00-,{52oLcc (65221
4 lb ,./-4
Signature:
(name)
mtu.olcc.stale.or.us (rev. U1l)
Trade Name (dba):
Attachment 1, Page 4 of 5
a"
OREGON LIQUOR CONTROL COMMISSION
BUSINESS INFORMATION
Please Prirrt or Type
Applicant Name:AS nnv{tl L. Vv C Phone: 9l l- I'B- e 6)
Trade Name (dba):
Business Location Address 1
City:
1-
-l
ZIP Code:,l q7l1v
DAYS AND HOURS OF OPERATION
Business Hours:
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
_{L^r" _1 eri-Ab t41P *-o z\ p^
I> rF- to a f^,r Aao 1, (s2 fu-lo__ |i ea? fr+:.to '\ (n
OutdoorArea Hours:
smday nJ l* "llanday I .to_Tuesday to _
\riledresday __.-_ to_Thursday loFdd.q to
Satuday to
The orltdoor aroa b used br:
tr F@d B€rvice Hours:
O Aloohol service Hours:
tr Endosed, horr
The exterior is adequately vi*ed
Service Permittees.
(lnvesilgator's tnitials)
ardlq
SeasonalVariations: tr Yes ,F No lf yes, explain:
ENTERTAINI,lENT DAYS & HOURS OF L'VE OR DJ MUSIC
SEATING COUNT
Live Music
Recorded Muslc
DJ Music
Dancing
Nude Entertaircrs
Check allthat apply:
El x"."or"
EI coin.p"rated canres
EI Vio"o Lottery Macfrineo
E soaa Gaming
EI p*tt"uo
El ort"t
Ou6oor:
Other (explain):
--Total Sedrq:
/Atr
tr
E]
tr
tr
-,JnSunday
I\ionday
Tuesday
Wedrcsday
Thursday
Friday
Saturday
to
to
to
to
to
to
to
true and complete, the OLCC may derry my license appilcatlon.
1.800"452.OLCC (6522)
wvtp.oragon.goulolcc
ol_cc |JSE oflLY
lnvecUg.trVdllHsoadrE:_m (N)
lnve€ilg8torhilids: __.___
Data:
^l ARestaurant:
Lounge:
Barquet:
I understand if rry
Appllcant "V
Date:z/z /'1
(rev. 1?-rO7)
1
Attachment 1, Page 5 of 5