HomeMy WebLinkAboutItem 08 Get N Go Grocery 3 Liquor License AGENDA ITEM SUMMARY Meeting Date: 11/18/2019
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 UNITED
DHANJU GROUP INC., DBA: GET N GO GROCERY 3.
ACTION REQUESTED: Endorsement of OLCC Liquor License Application for Get N Go Grocery 3, located at 3444 Main Street Springfield, OR 97478.
ISSUE STATEMENT: The owner of United Dhanju Group Inc. 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 United Dhanju Group Inc. DBA: Get N Go Grocery 3 is for a New Outlet with Off-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). ENTTTY (examPle: corporation or LLC) or INDIVIDUAL(S) applying
for the license(s):
e \\t:rlrP ..il: rr .i; r t*' (.':r \\(\\\At-\S\)
(Applicant #1)(Applicant S2)
License For:
Brewe L't Location
2nd Location
Brewery 3'd Location
CITY ANDCOUNTY USE ONLY
Dateapplication received andfor date stamp:
Name of City or County:
Recommends this license be:
EI Granted [] Denied
8y:
Date:
u blic House 1't location
Brewery-Public House 2nd location
tr Brewery-Public House 3'd location
tr Distillery
tr Full On-Premises, Commercia I
FullOn-Prem Caterer
Full On-Premises, Passenger Carrier
Full On-Premises, Other Public Location
Full On-Premises,For Profit Private Ctub
tr Full On-Premises, Nonprofit Private Club
Grower Sales 1't location
Grower Sales 2nd location
n Grower Sales Privilege 3'd location OLCC USE ONLY
Dateappricat,,"
Iilil il I r q
By:
License Action(s):
clo4 clnl
tr Limitedon-Premises
Off-Premises
D off-Premises with Fuel
Warehouse
Wholesale Malt & Wine
Wi 1't Location
2nd Location
Winery 3'd Location
(Applicant f3)(Applicant #4)
3,Trade Name of the Business (Name CustomersWill See)
L1e< r'] LrL\ CrAt:tG(L'\ - 3
4. Business Address (Number and Street Address of the Location that will have the liquor license)
5 L\\ \ L\ F\ia \ \*) t;1-\
City
<-iR1;'rt'(\C'L!
County
\ rtrr](-
Zip Code
Q1r-r1t
OICC Lhutr tjc€ns Applkation (Rev. 't.6-19,
t
t
Attachment 1, Page 1 of 4
OREGON LIQUOR CONTROL COMMISSION
LIQUORLICENSEffi
5. Trade Name of the Business (Name Customers Will See)
Lev" u: C-;rt: qlRu CGg\ -. 3
6. Does the business address currently have an OLCC liquor license? ffiVfS NO
7. Does the business address currently have an OLCC marijuana license? [ru EI*O
8, Mailing Address/PO Bof Number, Street,.Xural Route (where the OLCC will send your mail)
5 3c G c'L'\ s"\\r\ C e rRQ- Ue
6ut*c-srQ. L,R c11 \o ,?
City
Q r-:Lr(x:€
State
t ,t)-
Zip Code
(- \--:\ \ \ \' rl
9. Phone Number of the Business Location 1O. Email Contact for this Application
t-\$-\\-\ -t-\A$9'r Q- r-tAr roo' ( Bt-\
11. Contact Person for this Application
r-rne $r Q F A"-r &
Phone Number
5r*r. - &r\- ur3\ 3
Contact Person's Mailing Address (if different)
53oL cL\N\tiC- CrRcUe
City
6..) LrtC.t-r€
State
CIG-
Zip Code
( \ --\ \-\ r,,rJ
please note that liquor license applications are public records. A copy of the application will be posted on the OLCC
website for a period of several weeks.
I understand that marijuana (such as use, consumption, ingestion, 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.
Applicant Sisqaturels)
r Each individual person listed as an applicant must sign the application.
o lf an applicant is an entity, such as a corporation or LLC, at least one person who is authorized to sign for the entity
must sign the application.
r A person with the authority to sign on behatf of the applicant (such as the applicant's attorney or a person with
power of attorney) may sign the application. lf a person other than an applicant signs the application, please
provide proof of signature authority.
(Appl
(Applicants3)(Applicant#4)
OI-CC Liquor Licenre Application lRev. 4.6.19)
ffi
I
Ir-lrr^,tu., V*;(apdicant*2) fl
Attachment 1, Page 2 of 4
Reglstry t
OREGON LIQUOR CONTROL COMMISSION
CORPORATION QU ESTIONNAI RE
P/ease Print or Type
Corporatio n Name: UNITED DHANJU GROUP INC Year lncorporated 201 I
Trade Name (dba)GET N GO {nrlt LCa(- I .- 3
Business Location Address 3444 MAIN STREET
City SPRINGFIELD 7gp 6s66. e7a78
List Corporate Officers:
MANDIP KAUR PRESIDENT
(name)(title)
List Board of Directors:
MANDIP KAUR
(name)
List Stockholders: (Note: lf any stockholder is another legal entity, that entity may also need to complete another
Corporation Questionnaire. See Liquor License Application Guide for more information.)
Number of
Shares Held:
100
Stockholders:
MANDIP KAUR
(See Liquor License Applicatlon Guide f::^ ner: i:+::r:li:-)
I understand tha.t if ntty :nsYl:?? a:-: ::.:'- !-:''-:'-- -:::'j '-"-':i:;-'!:'i-. - r_ ' -
_ D;^.::_ le,lC rqti ir-i, DC. l-'T
{title)
1-800-452-OLCG 16s??r
wvni.'. c ; c g a ;. ;: : :':.': --
Unissued: /
Total Shares Authorized
to lssue: \oe
Number of Stock
Offi;;;'; 3;;;.;'.-. -
{name)
fiv nRl't'lt
\oO
Attachment 1, Page 3 of 4
OREGON LIQUOR CONTROL COMMISSION
BUSINESS INFORMATION
Please Print or Type
Applicant Name: \ r$ \a.--t SrtAsr St-t c-e.ouP r-\)c _, Phone: 5L\\ :& rr-{-ur3\3
Trade Name (dba): r.c.r r: L.s G t^.(q .A
Business Location Address: '5,--rrrtt s-r+r.rs s;r.
City: a,SA. rr-:c*€re r S ZIP Code: !]S ur-l\
DAYS AND HOURS OF OPERATION
Business Hours:
Sunclay
Monday
-ruesday
Wednesday
Thursday
Friday
Saturday
l onmto \crtfr\
-1. ncn to \cr Offl1 cr... to r*. i..n1 a"n to \r.' t,.'-\.r^ to \crom*\ crst to t *t}t
1o.m to \nt'rv.
Outdoor Area Hours:
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
The outdoor area is used for:
Q Food service Hours:
O Alcohol service Hours:
to
O Enclosed, how
The exterior adequately viewed and/or
supeMsed Permittees.
(lnvestigator's lnitials)
to
to
to
to
Seasonal Variations: 0 Yes El No lf yes, explain:
tr
tr
tr
tr
tr
Live Music
Recorded Music
\DJ Music .\
Dancing
Nude Enteflainers
Check allthat apply:
El raraoke
tr u4 Coin-operated Games
Video Lottery Machines
SocialGaming
PoolTables
Other:
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
to-
to
to-tr
n
tr
Restaurant:
Lounge:
Banquet:
Outdoor: - )\S<(:--
(explain):
TotalSeating: _-
I understand if my answers are not true and complete, the OLCC may deny my license application.
1-800-452-OLCC (6522)
tArwv. o reg o n.g ov/o I cc
ol.cc rrsE ot{LY
lnvesQator\hrifiedSeating: U)_(N)
lnvestigator
n2lE'
ENTERTAINMENT DAYS & HOURS OF LIVE OR DJ MUSIC
SEATING COUNT
Applicant Signature Date: tol,.,lrt1
@v. 1407)
Attachment 1, Page 4 of 4