HomeMy WebLinkAboutItem 05 White Horse Saloon Liquor LicenseAGENDA ITEM SUMMARY Meeting Date: 3/6/2023
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
ROLAND TODD THEISS, DBA: WHITE HORSE SALOON.
ACTION
Endorsement of OLCC Liquor License Application for White Horse Saloon,
REQUESTED:
located at 4360 Main Street Springfield, OR 97478.
ISSUE
The owner Roland Todd Theiss has requested the City Council to endorse its OLCC
STATEMENT:
Liquor License Application.
ATTACHMENTS:
1: OLCC Liquor License Application.
DISCUSSION/
The license endorsement for Roland Todd Theiss, DBA: White Horse Saloon is for
FINANCIAL
a Change of Ownership with Full On -Premises Sales. The license application has
IMPACT:
been reviewed and approved by the appropriate City Departments.
LIQUOR LICENSE APPLICATION
Page 1 of 4
Check the appropriate license request option:
❑ New Outlet I Xl Change of Ownership I ❑ Greater PrivileEe 1. ❑ Lesser PrivileZe I ❑ Additional Privilege
Select the license type you are applying for.
More information about all license types is available online.
INTERNAL USE ONLY
Full On -Premises
Local Governing Body: After providing
(]Commercial
your recommendation, return this
❑Caterer
application to the applicant.
❑ Public Passenger Carrier
[]Other Public Location
LOCAL GOVERNING BODY USE ONLY
❑ For Profit Private Club
❑Primary location
City/County name:
ElNonprofit Private Club
❑3rd
Winery
❑ Primary location
Additional locations: ❑2nd
❑3rd ❑4th ❑5th
Brewery
❑ Primary location
Additional locations: ❑2nd
❑3rd
Brewery -Public House
❑Primary location
Additional locations: ❑2nd
❑3rd
Grower Sales Privilege
❑ Primary location
Additional locations: ❑2nd
❑3rd
Distillery
❑ Primary location
Additional tasting lnc?tions F-12nd ❑3rd ❑4th 05th ❑6th
❑ Limited On -Premises
❑ Off Premises
❑ Warehouse
❑ Wholesale Malt Beverage and Wine
Date application received:
Optional: Date Stamp
❑ Recommend this license be granted
❑ Recommend this license be denied
Printed Name Date
Attachment 1, Page 1 of 4
OLCC Liquor License Application (Rev. 2.1.23)
LIQUOR LICENSE APPLICATION
Page 2 of 4
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:
Roland Todd Theiss
Name of entity or individual applicant #3
BUSINESS INFORMATION
Trade Name of the Business (name customers will see):
White Horse Saloon
Name of entity or individual applicant #2:
Name of entity or individual applicant #4:
Premises street address (The physical location of the business and where the liquor license will be posted):
4360 Main St.
City: Zip Code:
Springfield 97478
County:
Lane
Business phone number: Business email:
541-863-1321 ivincejp73@gmail.com
Business mailing address (where we will send any items by mail as described in OAR 845-004-0065[11.):
P.O. Box 850
City: State: Zip Code:
Myrtle Creek Oregon 97457
Does the business address currently have an OLCC Does the business address currently have an OLCC
liquor license? O Yes ❑ No
marijuana license? ❑ Yes 0 No
AUTHORIZED REPRESENTATIVE —A liquor applicant or licensee may give a representative authorization to make
changes to the license or application on behalf of the licensee or to receive information about a license or application.
I give permission for the below named representative to:
ElMake changes regarding this license/application on my behalf.
2 Receive information about the status of this application, including information about pending compliance
action or communications between OLCC and the licensee/applicant.
Representative Name:
Vincent Pastoria
Phone number:
541-733-1922
Mailing address:
PO Box 850
City:
Myrtle Creek
Email:
vincejp73@gmail.com
State:
Oregon
Please note: liquor license applications are public records.
Attachment 1, Page 2 of 4
Zip Code:
97457
OLCC Liquor License Application (Rev. 2.123)
LIQUOR LICENSE APPLICATION
Page 3 of 4
APPLICATION CONTACT INFORMATON — Provide the point of contact for this application. if this individual is not an
applicant or licensee, the Authorized Representative section must be filled in and the appropriate permission(s) must be selected_
Application Contact Name:
Vincent Pastoria
Phone number: Email:
'541-733-1922 vincejp73@gmail.com
TERMS
• "Real property" means the real estate (land) and generally whatever is erected or affixed to the land
(for example, the building) at the business address.
• "Common area" is a privately owned area where two or more parties (property tenants) have
permission to use the area in common. Examples include the walking areas between stores at a
shopping center, lobbies, hallways, patios, parking lots, etc. An area's designation as a "common area"
is typically identified in the lease or rental agreement.
ATTESTATION — OWNERSHIP AND CONTROL OF THE BUSINESS AND PREMISES
• Each applicant listed in the "Application Information" section of this form has read and understands
OAR 845-005-0311 and attests that:
1. At least one applicant listed in the "Application Information" section of this form has the legal right to
occupy and control the real property proposed to be licensed as shown by a property deed, lease,
rental agreement, or similar document.
2. No person not listed as an applicant in the "Application Information" section of this form has an
ownership interest in the business proposed to be licensed, unless the person qualifies to have that
ownership interest waived under OAR 845-005-0311.
3. The licensed premises at the premises street address proposed to be licensed either:
a. Does not include any common areas; or
b. Does include one or more common areas; however, only the applicant(s) have the exclusive right
to engage in alcohol sales and service in the area to be included as part of the licensed premises.
• In this circumstance, the applicant(s) acknowledges responsibility for ensuring compliance
with liquor laws wimin and in Elle 111111iedidLC vit.ilifty Of the HCCnScd prcmisCS, including in
portions of the premises that are situated in "common areas" and that this requirement
applies at all times, even when the business is closed.
4. The licensed premises at the premises street address either:
a. Has no area on property controlled by a public entity (like a city, county, or state); or
b. Has one or more areas on property controlled by a public entity (like a city, county, or state) and
the public entity has given at least one of the applicant(s) permission to exercise the privileges of
the license in the area.
OLCC Liquor License Application (Rev. 2.1.23)
Attachment 1, Page 3 of 4
LIQUOR LICENSE APPLICATION
Page 4 of 4
•
Each applicant listed in the "Application Information" section of this form has read and understands
OAR 845-006-0362 and attests that:
1. Upon licensure, each licensee is responsible for the conduct of others on the licensed premises,
including in outdoor areas.
2. The licensed premises will be controlled to promote public safety and prevent problems and
violations, with particular emphasis on preventing minors from obtaining or consuming alcoholic
beverages, preventing over -service of alcoholic beverages, preventing open containers of alcoholic
beverages from leaving the licensed premises unless allowed by OLCC rules, and preventing noisy,
disorderly, and unlawful activity on the licensed premises.
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.
Roland Todd Theiss 2/1/2023
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)
Print name Signature Date Atty. Bar Info (if applicable)
OLCC Liquor License Application (Rev. 2.1.23)
Attachment 1, Page 4 of 4