HomeMy WebLinkAboutItem 06 Jasper's Tavern Liquor License AGENDA ITEM SUMMARY Meeting Date: 5/6/2019
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 JIGGERLESS
INDUSTRIES LLC, DBA: JASPER’S TAVERN.
ACTION
REQUESTED:
Endorsement of OLCC Liquor License Application for Jasper’s Tavern, located at
416 Main Street Springfield, OR 97477.
ISSUE
STATEMENT:
The owner of Jiggerless Industries 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 Jiggerless Industries LLC DBA: Jasper’s Tavern is for
a New Outlet with Full On-Premises Sales. The license application has been
reviewed and approved by the appropriate City Departments.
ffi OREGON LIQUOR CONTROL COMMISSION
LIQUOR LICENSE APPLICATION
1. Application. Do not include any OLCC fees with your application packet (the license fee will be collected at a later
time). Application is being made for:
2. ldentify the applicant(s) applying for the license(s). ENTITY (example: corporation or LLC) or tNDtVtDUAL(S) applying
for the license(s):
,. licauerle* \fic)r.ski et, LLC-.'
(nppHdait *r)(Applicant B2)
License Applied For:CIW AND COUNW USE ONLY
Date application received:
Name of City or County:
Recommends this license be:
I Granted E Denied
By:
Date
tr Brewery 1't Location
tr Brewery 2^d Location
tr Brewery 3'd Location
n Brewery-Public House 1't location
! Brewery-Public House 2nd location
tr Brewery-Public House 3'd location
tr Distiltery
V Full On-Premises, Commercial
'tr - rutt On-Premises, Caterer
tr Full On-Premises, Passenger Carrier
! FullOn-Premises, Other Public Location
tr FullOn-Premises, For Profit Private Club
tr Full On-Premises, Nonprofit Private Club
tr Grower Sales Privilege 1't location
tr Grower Sales Privi lege 2nd location
I Grower Sales Privilege 3'd location OLCC USE ONLY
Date application
By
Date applicati d as initia lly complete:
By:
License Act fu.t1l;f
n Off-Premises
D Off-Premises with Fuel Pumps
D Warehouse
tr Wholesale Malt Beverage & Wine
tr Winery 1st Location
tr Winery 2nd Location
tr Winery 3'd Location
(Applicant tr3)(Applicant S4)
OLCC Liquor Licenie Application (Rev 10i 20t3)
OLCC USE ONLY OLCC FINANCIAL SERVICES USE ONLY
D Limited On-Premises
Attachment 1, Page 1 of 4
OREGON LIQUOR CONTROL COMMISSION
LI R LICENSE PLICATI
3. Applicant SL
I rRLts> fr,tDv9lRES
F I
. Applicant #2Lt{,
Applicant S3 Applicant f4
4. Trade Name of the Business (Name Customers Will See)
ffiE?$ 6;pEBs ?velZl
5. Business Address (Number and Street Address of the Location that will have the liquor license)
'lt 6 tMX,1s Sr,
City
$PPIN |FtrtD
County
Llr,lE
Zip Codeq1fit
6. Does the business address currently have an OLCC liquor license?YES NO
7. Does the business address currently have an OLCC marijuana license?vrs f.r,ro
8. Mailing Address/PO Box, Number, Street, Rural Route (where the OLCC will send your mail)
Zt tS1 l?rtct u vq Sz
City
Ev 6e Nr
State
OR
Zip Code
q74 of
9 Nu mber of the Location E ma il Con tact for th rs Appl cat ionlaveln. cow-r9rtl - I t,I
ct Pers on for this Appli
Nlet
ication
tT btfF
Number
63ee oBr 1ta 511-fiq
Mailing Address
Ztt S'fBt LLr ott Sr,
City
Ev 6€N L
State
oR
Zip Code
7tl a5
I understand that marijuana (such as Ltse, consumption, i ngestion, inhalation, samples, give-away, sale, etc.) is
prohibited on the licensed premises.
I attest that all answers on all forms, documents, and information provided to the OLCC are true and complete
Apolicant Sienature(s)
o Each individual person listed as an applicant must sign the application.r lf an applica n ent uch as a corporation or LLC, at least one person who is authorized to sign for the entity
must sig a
o Ape e authority to sign on be the applicant (such as the applicant,s attorney or a person with
of may sign the lf a person other than an applicant signs the application, please
(Appl (Applicant S2)
(Applicants3)
signature a
(Applicant s4)
OLCC Liquor Licenre Applicatjon lRev. 1O/2019)
ffi
Attachment 1, Page 2 of 4
OREGON LIQUOR CONTROL COMMISSION
LITVITED LIABILITY COMPANY QUESTIONNAIRE
Please Print or Type
LLC Name, iJ-i 6 6'pl?LLs> AntbasrRl E S Lc L year Fired, Zc)3
Trade Name (dba){Ai?Ei? i TAVCPN
BusinessLocationAddress: Ll tA MArN !tl?eer
City:SPBr)xr 6FTELD ZIP Code:q1111
List Members of LLC:Percentage of Membership lnterest:lco z8{Gi<er'oPY lLleursc ff1
2
3
4
5
o
(managing member)
(members)
(Note: lf any LLC member is another legat entity, that entity must also complete an LLC, Limited
Partnership or Corporation Questionnaire. lf the LLC has officers, p/ease tist them on a separate
sheef of paper with their titles.)
Server Education Design "", GiRrtro?Y ltlu,rsa iF DO
I understand that if my true and
(title)
1-800-452-OLCC (6s221
the OLCC may deny my license apptication.
CVNER z0tSignature:
(name)
www.olcc.state.or.us
Oate: 3 6
(rev.8/11)
Attachment 1, Page 3 of 4
OREGON LIQUOR CONTROL COTMTVISSION
BUSIN ESS I NFORIVIATION
Please Print or Type
Applicant Name fre:G(RLLss ft t'Dl; b-rt?t E g lLC pno
Trade Name (dba){AsreB3 TA veBN
la q5T-t
Business Location Address: Ll I e lt4 h N 5r
City:57n,ttGFr eLD ZIP Code 9tltt
DAYS AND HOURS OF OPERATION
Business Hours
W
,/n
Seasonal Variations
Outdoor Area Hours:
lcA
n
m
0
The outdoor area is used for:
?n
t-,
Food service Ho"t' /o'4m
'o
loPn
H Alcohol service ,orrr,JDAn ,o ?,n
E Enclosed, how
The exterior area is adequately viewed and/or
supervised by Service Permittees.
(lnvestigator's lnitials)
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
to llAvt
to-TTIn
to lz,lh
to lZ.Avno lZAm
o-TAm
to--lVn
Sunday
lVlonday
Tuesday
Wednesday
Thursday
Friday
Saturday
A I 0to
to
to
to
to
to
to
t
/
I V"r tr No lf yes, explain:lVrnl - vbAbtL Due To
W4frueP
H
Live [t/usic
Recorded Music
fl oancing
fl ruro" Entertainers
Check all that apply:
fl Karaoke
E coin-operated Games
EI vio"o Lottery l/achines
fl sociat Gamins
E PootTables
E otn"r,
to
to
to
to
to
to
to
DJ t\4us
Sunday
lVonday
Tuesday
Wednesday
Thursday
Friday
Saturday
$P,n3-P;-xw-
$ r'n
? /,t
QPniF-
lUu_TTI;
lLAt"1
t?- dh
-|rlrr1lAn-rM-
Restaurant:
Lounge:
Banquet:
Outdoor:lz
g Other (explain)
Total $Lo
OLCC USE ONLY
lnvestigator Verified Seating:_(Y) _(N)
lnvestigator lnitials:
l-)atc'
I understand if my answers are d complete, the OLCC may deny my li application.
1-800-452-OLCC (6s221
ENTERTAINMENT DAYS & HOURS OF LIVE OR DJ MUSIC
SEATING COUNT
Applicant Signature:
www.oregon.gov/olcc
Date:Zci
(rev. 12/07)
t
tr
Attachment 1, Page 4 of 4