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Home My WebLink AboutItem 07 Tall Firs Cafe and Events Liquor LicenseAGENDA ITEM SUMMARY Meeting Date: 11/7/2022 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 CHANGE OF OWNERSHIP FOR TALL FIRS CAFE AND EVENTS LLC, DBA: TALL FIRS CAFE AND EVENTS. ACTION Endorsement of OLCC Liquor License Application for Tall Firs Caf6 and Events, REQUESTED: located at 1486 18' Street Springfield, OR 97477. ISSUE The owner of Tall Firs Caf6 and Events LLC has requested the City Council to STATEMENT: endorse its OLCC Liquor License Application. ATTACHMENTS: Attachment 1: OLCC Liquor License Application. DISCUSSION/ The license endorsement for Tall Firs Caf6 and Events LLC, DBA: Tall Firs Caf6 FINANCIAL and Events is for a Change of Ownership with Full On -Premises Sales. The license IMPACT: application has been reviewed and approved by the appropriate City Departments. LIQUOR LICENSE APPLICATION Page 1 of 3 Check the appropriate license request option: ❑ New Outlet I X Change of Ownership 1 ❑ Greater Privilege I ❑ Lesser Privilege Select the license type you are applying for. More information about all license types is available online. Full On -Premises ❑Commercial *Caterer ECH-10-14-22 ❑Public Passenger Carrier ]Other Public Location ❑For Profit Private Club ❑Nonprofit Private Club Winery ❑Primary location Additional locations: [32nd 03rd ❑4th ❑5th Brewery ❑Primary location Additional locations: ❑2nd 03rd Brewery -Public House []Primary location Additional locations: ❑2nd 03rd Grower Sales Privilege ❑Primary location Additional locations: 02nd 113rd Distillery ❑ Primary location Additional tasting locations: 02nd 03rd 04th 05th 06th ❑ Limited On -Premises ❑ Off Premises ❑ Warehouse ❑ Wholesale Malt Beverage and Wine INTERNAL USE ONLY Application received: 07/25/2022 Minimum documents acquired: 07/25/2022 LOCAL GOVERNING BODY USE ONLY City/County name: Date application received: Optional: Date Stamp ❑ Recommend this license be granted ❑ Recommend this license be denied Printed Name uate Return this form to: Investigator name: Eric.Hildebrand Email: Eric. Hildebrand@oregon.gov Attachment 1, Page 1 of 5 OLCC Liquor License Application (Rev. 04.15.22) LIQUOR LICENSE APPLICATION Page 2 of 3 APPLICANT INFORMATION Identify the applicants applying for the license. This is the entity (example: corporation or LLC) or individual(s) applying for the license. Please add an additional page if more space is needed. Name of entity or individual applicant #1: Name of entity or individual applicant #2: To 11 R✓s Ca4e ad 6vatfs LLC. C h 9)5 D1`dyrL&y&r Name of entity or individual applicant #3: Name of entity or individual applicant #4: BUSINESS INFORMATION Trade Name of the Business �(name customers will see): ` - Business phone number: Business email: o 3 Z - --fallf'rs eatea_t,?de Premises street address (The physical location of the business and where the liquor license will be posted): 1486 City: r l�Zip %Code. County: L47 12 Business fWailing address (where we will send any items by mail as described in OAR 845-004-0065[11.): / q8 P / e`F y.�t City: State: Does the bu mess address currently have an OLCC liquor license?Yes ❑ No APPLICATION CONTACT INFORMATION Zip Code: I ?V] Does the business address currently have an OLCC marijuana license? ❑ Yes ,K No Contact Name: (' h e� Is Phone number: Email: .7 91- 5 I 5 Z 5 7 7at*rs e�vve, ,t6 & grna� 1. «n Mailing address: - 151 S_ IIb44--lct.A( City: Zip Zip Code: County: 9 _7y 0 1 Plaacp nnip: linuor license annliratirins are nuhlir rprnrris Attachment 1, Page 2 of 5 OLCC Liquor License Application (Rev. 04.15.22) LIQUOR LICENSE APPLICATION Page 3 of 3 ATTESTATIONS By signing this form, you attest that each of the following statements are true. I understand the Commission may require a licensee to provide proof of any of the below or below referenced documents at any time. 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 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 un- waivable 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. Attachment 1, Page 3 of 5 OLCC Liquor License Application (Rev. 04.15.22) �_'�dsoA D, 'Amqw- g 5 -12 -z - Print name Signatur Date Atty. Bar Info (if applicable) Print name Signature Date Atty. Bar Info (if applicable) Print name Signature Date Atty. Bar Info (if applicable) Print name Signature Date Atty. Bar Info (if applicable) Attachment 1, Page 3 of 5 OLCC Liquor License Application (Rev. 04.15.22) Oregon Liquor Control Commission 9 N LIMITED LIABILITY COMPANY (LLC) QUESTIONNAIR 9 - LLC Name PRINT FORM E RESET FORM Trade Name of Business (Name Customers Will See) Tat Fir lrQft 'T C—veh The LLC named in this document is a (see page 1 for definitions): Manager -Managed LLC Member -Managed LLC Thia aartinn is r1Nl V fnr a mananar-mnnnnari I I C tnirartinns nn nano 1 Ynu may inrluda infnrmntinn nn n senarate sheet.) Name of Managing Member leaseprint) Name of Managing Member leaseprint) CVQASe,o' T) u� 0A V I o 0?,2 This section is for BOTH a manager -managed LLC and a member -managed LLC. (Directions on page 1. You may include information nn a cPnarata chaPt ) Name of Member leaseprint) Percentage of issued membership held tCk �, " I o 0?,2 Secretary Treasurer Vice president with responsibility over the operation of the business This section is ONLY for an LLC with the listed nffir_ars_ mirertinns nn nane 1 You may include information on a senarate sheet.) Title Name leaseprint) President Secretary Treasurer Vice president with responsibility over the operation of the business SERVER EDUCATION DESIGNEE Directions on page 1 Name leaseprint) SIGNATURE (Directions on page 1) C [ NAME pI"¢igningjPersonA*rhVse type or print) 7 1 SIG TU of NgKng kers (may electronically sign) This box for OLCC use ONLY exp 7 - Only for an applicant of record: SOS Number 1989124-96 Does the entity hold, or has it ever held, an OLCC-issued liquor license? Rev: 10.7.20 Page 2 of 2 ate of Birth or DATE ZZ Z�- Current at time of issuing license (yes/no) N Attachment 1, Page 4 of 5 e�GON LfQ`O OREGON LIQUOR CONTROL COMMISSIONNOV BUSINESS INFORMATION Please Print or Type TALL FIRS CAFE AND EVENTS LLC Applicant Name: Trade Name (dba): �TC(I EA Cafe Phone: 5c-1 I ' 5115 2-5 7 .1460 1 Business Location Address: / 10 � sl12eil YI City: _, JX01_lgf oPJc r 0 ZIP Code: 17'177 JAYS AND HOLIRS OF OPERATIC'. Business Hours:"` Outdoor Area Hours: The outdoor area is used for: Sunday � to �v �1/� Sunday to ❑ Food service Hours: to Monday 7 �n to 2P, Monday to LJAlcohol service Hours: to Tuesday ento � Tuesday to Ll Enclosed, how �:U Wednesday 1Aleyl to 7 J2 /n Wednesday to Thursday 7 rLm to -_2 :7 M Thursday to The exterior area is adequately viewed and/or Friday %M,to i2 %Yt— Friday to supervised by Service Permittees. Saturday fi to Saturday to (Investigator's Initials) Seasonal Variations: ❑ Yes ❑ No If yes, explain: ❑ - Live Music Check all that apply: ❑ Karaoke ' 'V Me • ❑ Recorded Music ❑ Coin-operated Games Sunday to Monday to ❑ DJ Music 1�j Video Lottery Machines Tuesday to Wednesday to ❑ Dancing ❑ Social Gaming Thursday to ❑ ❑ Friday to Nude Entertainers Pool Tables Saturday to ❑ Other: Restaurant: 5 r Outdoor: Lounge: Other (explain): Banquet: I S0 Total Seating: OLCC USE ONLY Investigator Verified Seating:_(Y) _(N) Investigator Initials: Date: I understand if my answer a no ru d mplete, the OLCC may deny my license application. Applicant Signature: Date:• ZZ • Z� 1-8 0-452-OWC (6522) www.oregon.gov/olcc (rev. 12/07) Attachment 1, Page 5 of 5