HomeMy WebLinkAboutItem 08 Endorsement of OLCC Liquor License- Nails NowAGENDA ITEM
SUMMARY Meeting Date: 1/18/2022
Meeting Type: Regular Meeting
Staff Contact/Dept.: Robin Holman - DPW
Staff Phone No: 541-726-3662
Estimated Time: Consent Calendar
SPRINGFIELD Council Goals: Mandate
CITY COUNCIL
ITEM TITLE:
LIQUOR LICENSE APPLICATION FOR A NEW OUTLET FOR FAMILY
NGUYEN LLC, DBA: NAILS NOW.
ACTION
Endorsement of OLCC Liquor License Application for Nails Now, located at 3266
REQUESTED:
Gateway St. Suite 102 Springfield, OR 97477.
ISSUE
The owner of Family Nguyen LLC has requested the City Council to endorse its
STATEMENT:
OLCC Liquor License Application.
ATTACHMENTS:
Attachment 1: OLCC Liquor License Application.
DISCUSSION/
The license endorsement for Family Nguyen LLC, DBA: Nails Now is for a New
FINANCIAL
Outlet with Limited On -Premises Sales. The license application has been reviewed
IMPACT:
and approved by the appropriate City Departments.
PRINT FORM
OREGON LIQUOR CONTROL COMMISSION
LIQUOR LICENSE APPLICATION RESET FORM
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:
License Applied For:
❑ Brewery 1" Location
Brewery Additional location (2"d) ❑ (3rd) ❑
❑ Brewery -Public House (BPH) 1St location
BPH Additional location (2"d) ❑ (3`d) ❑
❑ Distillery
❑ Full On -Premises, Commercial
❑ Full On -Premises, Caterer
❑ Full On -Premises, Passenger Carrier
❑ FMWarehouse
ll O -Premises, Other Public Location
remises, For Profit Private Club
remises, Nonprofit Private Club
ales Privilege (GSP) V location
SP Additional location (2"d) ❑ (3rd) ❑
n -Premises
ises
se
❑ Wholesale Malt Beverage & Wine
❑ Winery 1St Location
Winery Additional location (2"d) El (3 ❑
(4th) ❑ (5th) ❑
2. Identify the applicant(s) applying for the license(s).
applying for the license(s):
Family Nguyen LLC
App #1: NAME OF ENTITY OR INDIVIDUAL APPLICANT
CITY AND COUNTY USE ONLY
Date application received and/or date stamp:
Name of City or County:
Recommends this license be:
❑ Granted ❑ Denied
By:
Date:
OLCC USE ONLY
Date application received: 10/6/2Q21-
Date
0/6/2
Date application accepted: 10/12/2021
License Action(s): N/O
ENTITY (example: corporation or LLC) or INDIVIDUAL(S)l
App #2: NAME OF ENTITY OR INDIVIDUAL APPLICANT
App #3: NAME OF ENTITY OR INDIVIDUAL APPLICANT App#4: NAME OF ENTITY OR INDIVIDUAL APPLICANT
3. Trade Name of the Business (Name Customers Will See)
Nails Now
4. Business Address (Number and Street Address of the Location that will have the liquor license)
3266 Gateway St Suite 102
City
Springfield
County
Lane
Zip Code
97477
1 Read the instructions on page 1 carefully. If an entit is applying for the license, list the name of the gnjL as an applicant. If an
individual is applying as a sole proprietor (no entity), list the individual as an applicant. oLcc Liquor License Application (Rev. 9.28.20)
Attachment 1, Page 1 of 3
OREGON LIQUOR CONTROL COMMISSION
.'= I ini InR i irFNSE APPLICATION
Please note that liquor license applications are public records. A copy of the application will be postea on the uck-k- weubiic IVIa
period of several weeks.
ATTESTATION: **READ CAREFULLY AND MAKE SURE YOU UNDERSTAND BEFORE SIGNING THIS FORM**
I understand that marijuana is prohibited 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 apart 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[61) 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.
Applicants) Signature
• Each individual (sole proprietor) listed as an applicant must sign the application below.
• If an applicant is an entity, such as a corporation or LLC, at least one INDIVIDUAL 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
her than an applicant signs the application, please provide
power of attorney) may sign the application. if an individual ot
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 all information on this
form.
Xuan Nguyen �/ 06/24/2021
^U Atty. Bar Information (if applicable)
App. #1: (PRINT NAME) App #1: (SIGN U App #1: Signature Date
App. #2: (PRINT NAME) App #2: (SIGNATURE) App #2: Signature Date Atty. Bar Information (if applicable)
App. #3: (PRINT NAME) pp #3: (SIGNATURE) PP g
A #3: Signature Date Atty. Bar Information (if applicable)
A
App. #4: (PRINT NAME) App #4: (SIGNATURE) App #4: Signature Date Atty. Bar Information (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
Applicant Name: FAMILY N G V Y er11K) U -C. Phone:
Trade Name (dba): AA (C -S AJQ W
Business Location Address: ;04 6
City:
Business Hours:
Sunday
to (0 rim
Monday
to
Tuesday
_-M. A X to
Wednesday /O 4M to
Thursday
V AM to `7 07A
Friday
._ _
0 AM to
Saturday
104m to
Seasonal Variations: ❑ Yes
❑
Live Music
❑
Recorded Music
❑
DJ Music
❑
Dancing
❑
Nude Entertainers
Restaurant:
Lounge:
Banquet:
Outdoor Area Hours:
Sundayt
*'PJ
DAYS & HOURSOF • _ DJ MUS
Monday
❑
Tuesday0-to-
to
Wednesdo
❑
Thursdayto
Monday
Fridayto
Saturday
Tuesday
No If yes, explain:
ZIP Code:
The outdoor area i used for:
I7 Food Servlc H us: to
❑ Alcohol ry u to
❑ Enclosed, ow
The exterior area is adequately viewed andlor
supervised by Service Permittees.
(Investigator's Initials)
Check all that apply:
❑ KaraolCe�0
DAYS & HOURSOF • _ DJ MUS
(sr
❑
Coin-operated Games
Sunday
to
❑
Monday
to
Video Lottery Machines
Tuesday
to
❑
Social Gaming
Wednesday
Thursday
to
to
❑
Pool Tables
Friday
toSaturday to
❑Other;
Outdoor:
Other (explain):
Total Seating: u�—
I understand if my answers are no ttiie and
Applicant Signature:
OLCC USE ONLY
Investigator Verified Seating:_(Y) _(N)
Investigator initials:
iT�te, the OLCC may deny my license application.
Date: !0
1-800-452-OLCC (6522) �
www.oregon.gov/ofcc (rev. 12/07)
Attachment 1, Page 3 of 3