The URL can be used to link to this page

Home My WebLink AboutItem 08- Royal Pizza Liquor LicenseAGENDA ITEM SUMMARY Meeting Date: 11/21/2022 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 THE ROYAL GROUP LLC, DBA: ROYAL PIZZA. ACTION Endorsement of OLCC Liquor License Application for Royal Pizza, located at 1406 REQUESTED: Mohawk Blvd. Springfield, OR 97477. ISSUE The owner of The Royal Group 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 The Royal Group LLC, DBA: Royal Pizza is for a FINANCIAL New Outlet with Limited On -Premises Sales. The license application has been IMPACT: reviewed and approved by the appropriate City Departments. LIQUOR LICENSE APPLICATION Page 1 of 3 Check the appropriate license request option: O New Outlet I ❑ Change of Ownership I ❑ Greater Privilege ❑ Lesser Privilege Select the license type you are applying for. More information about all license types is available online. INTERNAL USE ONLY Full On -Premises Application received: 07/22/2022 ❑Commercial ❑Caterer Minimum documents acquired: 07/22/2022 ❑Public Passenger Carrier ❑Other Public Location LOCAL GOVERNING BODY USE ONLY ❑For Profit Private Club City/County name: ❑Nonprofit Private Club Winery Date application received: ❑Primary location nnti„nni• n_nto Ctmm� Additional locations: 02nd ❑3rd ❑4th ❑5th Brewery ❑Primary location Additional locations: ❑2nd 03rd Brewery -Public House ❑Primary location Additional locations: 02nd 03rd Grower Sales Privilege LJ Recommend this license be granted ❑Primary location Recommend this license be denied Additional locations: 02nd ❑3rd Distillery Printed Name Date ❑ Primary location Additional tasting locations: 02nd 03rd 04th 05th 06th Return this form to: ® Limited On -Premises Investigator name: Eric.Hildebrand ❑ Off Premises ❑ Warehouse Email: Eric.Hildebrand@oregon.gov ❑ Wholesale Malt Beverage and Wine 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: THE ROYAL GROUP LLC Name of entity or individual applicant #3 Name of entity or individual applicant #i Name of entity or individual applicant #4: BUSINESS INFORMATION ,6�, ... Trade Name of the Business (name customers will see). _._...... ZO'IA� P127.R uslness phone number: Business email: 541-610-0001 KPSSIDHUII @GMAIL.COM -- ..... --- ... ... _ -_ .... ................... -._ ............. -- -- _............ Premises street address (The physical location of the business and where the liquor license will be posted): 1406 MOHAWK BLVD - City. SPRINGFIELD Zip Code: )7477 County: LANE _._ ... __._......... _..... _.._.... - - — ........... — --- — - ..._..__..._—..... _ Business mailing address (where we will send any items by mail as described in OAR 84S-004-006Srll.): 11590 SANTIAM AVE City: State: EUGENE IOR Does the business address currently have an OLCC liquor license? ❑ Yes R No Zip Code: 17408 Does the business address currently have an OLCC marijuana license? ❑ Yes ID No APPLICATION CONTACT INFORMATION Contact Name: KOMAL SINGH ------ . Phone number: Em ..................__...----._.....__....... _.-.__......................._. ,ail: ..— — 541-610-0001 KPSSIDHUII @GMAIL.COM Mailing address: 1590 SANTIAM AVE City: y OZiip Code: County: EUGENE 97408 Plaaca nnto line 1 lig - :--`'--- ,.-... uVF' —uv!i3 clic puullu Itf Lurus. 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. KOMAL SINGH Print name Print name Print name Print name S n t re Signature Signature Signature 07/21/2022 Date Date Date Date Atty. Bar Info (if applicable) Atty. Bar Info (if applicable) Atty. Bar Info (if applicable) Atty. Bar Info (if applicable) Attachment 1, Page 3 of 5 OLCC Liquor License Application (Rev. 04.15.22) OREGON LIQUOR CONTROL COMMISSION BUSINESS INFORMATION Please Print or Type Applicant Name: The royal group Ilc Phone: 541-610-0001 Trade Name (dba):Royal Pizza Business Location Address: 1406 Mohawk blvd City: Springfield ZIP Code: 97477 Seasonal Variations: ❑ Yes 111 No If yes, explain: ❑ Live Music ❑ Recorded Music ❑ DJ Music ❑ Dancing ❑ Nude Entertainers Pool Tables ❑ Other: to Business Hours: Outdoor Area Hours: The outdoor area is used for: Sunday MOnda y loam to lopm to lopm Sunday loam to lopm ❑0 Food service Hours: loam t0 lopm 10am Tuesday loam to lopm Monday Tuesday loam loam to 10pm to 0 Alcohol service Hours: loam to lopm Wednesday loam to lopm Wednesday loam lopm t0 lopm LJ Enclosed, how Thursday loam to lopm Thursdayloam to lopm The exterior area is adequately viewed and/or Saturday loam lopm Friday loam to lopm supervised by Service Permittees. to Saturday loam to lopm (Investigator's Initials) Seasonal Variations: ❑ Yes 111 No If yes, explain: ❑ Live Music ❑ Recorded Music ❑ DJ Music ❑ Dancing ❑ Nude Entertainers Restaurant: 20 Lounge: Check all that apply: ❑ Karaoke ❑ Coin-operated Games ❑ Video Lottery Machines ❑ Social Gaming ❑ Pool Tables ❑ Other: Outdoor: 5 Other (explain): Banquet: Total Seating: 25 Sunday to Monday to Tuesday to Wednesday to Thursday to Friday to Saturday to OLCC USE ONLY Investigator Verified Seating:_(Y) _(N) Investigator Initials: Date: I understand if my answ7%Z:CC Inde OLCC may deny my license application. Applicant Signature: Date: 07/21/2022 (6522) Attac`�`imentTr ge M of 5 (rev. 12/07) 0 Oregon Liquor Control Commission LIMITED LIABILITY COMPANY (LLC) QUESTIONNAIRE LLC Name THE ROYAL GROUP LLC Trade Name of Business (Name Customers Will See) Royal Pizza The LLC named in this document is a (see page 1 for definitions Manager -Managed LLC _R Member -Managed LLC This section is for BOTH a manager -managed LLC and a member -managed LLC. (Directions on page 1. You may include information on a separate sheet.) � Na�Tie of uIVIiember (please pant) HL SINGHiv IKO I Percentage of Issued membership held n BUTA SANGHA BAHADUR SINGH JAGWINDER SINGH is ONLY for an LLC with the listed President Secretary Treasurer Vice president with responsibility over the operation of the business SERVER EDUCATION DESIGNEE Directions on page 1 Name (please print) KOMAL SINGH SIGNATURE (Directions on page 1) NAME of Signing Person (please type orprint) KOMAL SINGH on page 1. You vw��n i umm vi slgniRUR_r_YOn-(may electronically sign) This box for OLCC use ONLY Only for an applicant of record: SOS Number Does the entity hold, or has it ever held, an OLCC-issued liquor license? Rev: 10.7.20 Page 2 of 2 Name Birth 07/21/2022 DATE on a Current at time of issuing license (yes/no) Attachment 1, Page 5 of 5