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Home My WebLink AboutItem 05 The Monkey's Paw Liquor License AGENDA ITEM SUMMARY Meeting Date: 4/19/2021 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 TIKI BROTHERS LLC, DBA: THE MONKEY’S PAW. ACTION REQUESTED: Endorsement of OLCC Liquor License Application for The Monkey’s Paw, located at 420 Main Street Springfield, OR 97477. ISSUE STATEMENT: The owner of Tiki Brothers 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 Tiki Brothers LLC, DBA: The Monkey’s Paw is for a New Outlet with Full On-Premises Sales. The license application has been reviewed and approved by the appropriate City Departments. OREGON LIQUOR CONTROL COMMISSION LIQUOR LICENSE APPLICATION 1. Application. Do notinclude any OLCC fees with your application packet (the license fee will be collected at a later time). Application is being made for: License Applied For:CITY AND COUNTY USE ONLY Date application received and/or date stamp: Noiiie orCity or County: € Brewery 1" Location Brewery Additional location (2"d) € (3'd) € € Brewery-Public House (BPH) 1" location BPH Additional location (2"d) € (3'd) € € Distillery [n Full On-Premises. Commercial Recommends this license be: € Granted € Denied BV: € Full On-Premises, Caterer € Full On-Premises, Passenger Carrier € Full On-Premises, Other Public Location € Full On-Premises, For Profit Private Club Date:€ Full On-Premises. Nonnrofit Private Club € (irnwpr ':ialpq T)rivilpop /rispl 1 " Inra+inn"' - - - - - - - - - - - - - - - - - -1. 51. l %J -J I / - - - - - - - - - - Date application receiOvelCdC: UsE O'!I Ig l 9 ( Date application accepted: '51 I I I r& ( GSP Additional location (2") € (3'd) € € Limited On-Premises € Off-Premises € Warehouse LJ Wholesale Malt Beverage & Wine License Action(s):€ Winery 1" Location Winery Additional location (2"d) € (3'd) € (zith) @ (sth) @ 2.ldentifytheapplicant(s)applyingforthelicense(s). ENTITY(example:corporationorLLC)orlNDMDUAL(S)1 applying for the license(s): Tiki Brothers LLC App#l: NAME OF ENTITY OR INDIVIDUAL APPLICANT App #2: NAME OF ENTITY OR INDMDUAL APPLICANT App #3: NAME OF ENTITY OR INDIVIDUAL APPLICANT App#4: NAME OF ENTITY OR INDMDUAL APPLICANT 3. Trade Name ofthe Business (Name Customers Will See) The Monkey's Paw 4. Business Address (Number and Street Address of the Location that will have the liquor license) 420 Main St City Springfield County LANE Zip Code 97477 Attachment 1, Page 1 of 3 OREGON LIQUOR CONTROL COMMISSION LIQUOR LICENSE APPLICATION 5. Trade Name of the Business (Name Customers Will See) The Monkey's Paw 6.DoesthebusinessaddresscurrentlyhaveanOLCCIiquorlicense? €- YES [ NO 7.DoesthebusinessaddresscurrentlyhaveanOLCCmarijuanalicense? j"IYES j"INO 8. Mailing Address/Pa Box, Number, Street, Rural Route (where the OLCC will send yourlicense certificate, renewal application and other mailings as described in OAR 845-004-0065pll) 5351 4th st C"y springfield State oregon ZalpCOd%z,in 9. Phone Number ofthe Business Location TBD 10. Email Contact for this Applicat.on and for the Business monkeyspaweugene@gmail.com 11. Contact Person for this Application Teren Baker Phone Number 541-653-2361 Contact Person's Mailing Address (if different)City State Zip Code Please note that liquorlicense applications are public records. A copy of the application will be posted on the OLCC website for a period of several weeks. ATTESTATION: ""READ CAREFULLY AND MAKE SURE YOU UNDERSTAND BEFORE SIGNING THIS FORM"* I understand that marijuana is on the licensed premises. This includes marijuana use, consumption, ingestion, inhalation, samples, give-away, sale, etc. I attest that all answers on all forms and documents, and all information provided to the OLCC as a part of this application are true and complete. I affirm that I have read OAR 845-005-0311 and all individuals (sole proprietors) or entities with an ownership interest (other than waivable ownership interest per OAR 845-005-0311[6]) are listed as license applicants in #2 above. I understand that failure to list an individual or entity who has an unwaivable ownership interest in the business may result in denial of my license or the OLCC taking action against my license in the event that an undisclosed ownership interest is discovered after license issuance. Applicant(s)Si@nature * Eachindividual(soleproprietor)listedasanapplicantmustsigntheapplicationbelow. * If an applicant is an entity, such as a corporation or LLC, at least one INDMDUAL who is authorized to sign for the entity must sign the application. * An individual with the authority to sign on behalf of the applicant (such as the applicant's attorney or an individual with power of attorney) may sign the application. If an individual other than an applicant signs the application, please provide written proof of signature authority. Attorneys signing on behalf of applicants may list the state of bar licensure and bar number in lieu of written proof of authority from an applicant. Applicants are still responsible for a// information on this /orm. Teren Baker App. #1: (PRINT NAME) Jame.sori Cuvvmeiu App. #2: (PRINT NAME) App #1: Signature Date Dlgilally iigngd by Teien Teren Baker :aa"le'2021 [1307 11 4848 App #1: (SIGNATURE) Ja m eSOn Dlgllall7 81gnsd by lameson CO W m a n Date. 2021 03 07 11 50 37 App #2: (SIGNATURE) 03/07/2021 03/07/202I App #2: Signature Date Atty. Barlnformation (if applicable) Atty. Bar Information (if applicable) Michael Mapc App. #3: (PRINT NAME) Dlgllally slgned by Mlchasl App #3: (SIGNATLIRE) U..I/U//;!U;!'l App #3: Signature Date Atty. Bar Information (if applicable) App. #4: (PRINT NAME)App #4: (SIGNATURE)App #4: Signature Date Atty. Barlnformation (if applicable) OLCC Liquor License Application (Rev. 9.28.20)Attachment 1, Page 2 of 3 OREGON LIQUOR CONTROL COMMISSION BUSINESS INFORMATION Please Print or Type 4pplj(;Blli %Bl'ylB; Tiki Brothers LLC Trade Name (dba): The Monkey's Paw Business Location Address: 420 Main St (,jiy; Springfield Phone: TBD ZIP COde: 97477 Business Hours: Sunday 12'.00 pm 1() 1 '.00 am Monday 12:00 pm 10 1 :OO am Tuesday 12:00 pm 10 1 :OO am Wednesday l2'oo pm to foo am Thursday l2:00pm 10 1:OOam Friday 1 2'.00 pm to 1 '.00 am Saturday l2:00pm 1o 1:OOam Seasonal Variations: € Yes Outdoor Area Hours: Sunday 1 2'.00 pm to 1 '.00 am Monday l2:00pm 10 1:OOam Tuesday l2:00pm 10 1:OOam Wednesday l2'oo Pm to 'oo am Thursday 12:00pm 10 l:OOam Friday 12'.00 pm 1() 1 '.00 am Saturday 12'.00 pm to 1 '.00 am [Sa No If yes, explain: The outdoor area is used for: ? Food service Hours: 12:00 I)m to foo am D Alcohol service Hours: l2:oo Pm to 'oo am 1 Enclosed, how Tall fence in rear of patio with an opening ancl3 Tl walls willi upeuiiig eil Tiunl uTpaliu The exterior area is adequately viewed and/or supervised by Service Permittees. (Investigator's Initials) =*uim*i&ffl:* [" Live Music € Recorded Music € DJ Music € Dancing [] Nude Entertainers OLCC USE ONLY Investigator Verified Seating:(Y) (N) Investigator Initials: Date: Rsstaurant. 6') Lounge: Banquet: Check all that apply: [" Karaoke € Coin-operated Games [J Video Lottery Machines € Social Gaming [" POOI Tables [1 0ther: Outdoor: 38 Other (explain): Total Seating: 98 Sunday Monday Tuesday Wednesday Thursday Friday Saturday 7pm 7 pm to to to to to 10 10 pm to 10 pm I understand if my answers are not true and complete, the OLCC may deny my license application. Applicant Signature: 7 S 8ai Date: 03/15/2021 1 -800-452-OLCC (6522) wwur.oregon.gov/olcC (rev.12/07) Attachment 1, Page 3 of 3