HomeMy WebLinkAboutItem 05- All in One Smoke Shop OLCC Liquor License AGENDA ITEM SUMMARY Meeting Date: 3/4/2024
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 BUTA S.
SANGHA AND BAHADUR SINGH, DBA: ALL IN ONE SMOKE SHOP.
ACTION
REQUESTED:
Endorsement of OLCC Liquor License Application for All In One Smoke Shop,
located at 1350 Mohawk Blvd. Springfield, OR 97477.
ISSUE
STATEMENT:
The owner Buta S. Sangha and Bahadur Singh has requested the City Council to
endorse its OLCC Liquor License Application.
ATTACHMENTS: 1: OLCC Liquor License Application.
DISCUSSION/
FINANCIAL
IMPACT:
The license endorsement for Buta S. Sangha and Bahadur Singh, DBA: All In One
Smoke Shop is for a New Outlet with Off Premises Sales. The license application
has been reviewed and approved by the appropriate City Departments.
LIQUOR LICENSE APPLICATION
Page 1 of 4
Check the appropriate license request option:
dNew Outlet I E Change of Own:rshirr I n Greater Privilege | tr Addltionai Privilege
Select the license type you are applying for.
More information about all license types is available online
FullOn-Premises
ICommercial
E Caterer
n Public Passenger Carrier
IOther Public Location
I For Profit Private Club
n Nonprofit Private Club
Winery
tr Primary location
Additionallocations: n2nd nlrd n4th n5th
Brewery
n Primary location
Additional locations: n2nd n3rd
Brewery-Public House
f Primary location
Additional locations: n2nd n3rd
Grower Sales Privilege
I Primary location
Additional locations: n2nd n3rd
Distillery
E Primary location
Additional tasting locations: (Use the l)ISTT form HERE)
E Limited On-Premises
Vott Prernises
E Warehouse
E Wholesale Malt Beverage and Wine
Afier
form
ltlame of Crty €OuntY t"otto*tl
Pne taa*e wtf= ffiof 6F Lo.deqa!*€*b pritedlsgiSfusdal$ed **Gr
Date application reeehred:
Optional: Date Stamp Received Below
Recommend
Recommend
f]
f]
Trade Name
OLCC Liquor License .Application lRev. 10.25.23)
I
this fieense be gra*ted
this license be denied
Attachment 1, Page 1 of 5
ldentify the applicants applying for the license. This is the entity (example: corporation or LLC)
or individual(s) applying for the license. Please add an additional page if more space is needed.
B,,A^ S Sq.
nt #2Name of entity or individual applicant #1 Name of entity or individual aPP
Bo,lrodur St
ant #3Name of entity or individual appg Name of entity or individual icant ll4:a
Lrquo R LlcENsE APPLICATION
Page 2 of 4
AU J', O,n S*o h- S hop
PfgmiSeS Stfeet addfeSS (The physical location of the business and whdre the liquor license will be posted)
CountyZip Code:
bed in OAR 845-004-0065t11.)
City
Does the business address currently have an OLCC
marijuana license? ftves B*o
Zi CodeP
Trade Name of the Business (name customers will see)
/d^t-,
01 @ |t^a'il, Lot4
Does the business address currently have an OLCC
liquor license? fives [$ro
13 5o Ho l.awCity: 1
f,M:m*#",, I
k hlvl
t03- 5lo- oboL
Business mailing address (where
Q I I ll
Business emair:
buJl sq"*l'a
we will send any items by mail as descri
is !!ot
9an 4d
for this appfication. lf this
Regresentatiire Form must h compteted and submitted with thls
the point
Application Contact Name:
applicant or licenee, the
54- 5lo- o|ot
Emae number
k,a-l-.(ohla^lq Sa,n lro- o1 @
Please note: liquor license applications are public records.OLCC Liquor License Application iRev. 10.25.23)
i State:
I
Attachment 1, Page 2 of 5
LIQUOR LICENSE APPLICATION
Page 3 of 4
o "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.
o "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.
ATTESTANON - OWNERSHIP ATIID COITTROI OF THE BUSINESS AND PREMISES
r Each applicant listed in the "Application lnformation" section of this form has read and understands
OAR 845-005-0311 and attests that:
1. At least one applicant listed in the "Application lnformation" 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. Nopersonnotlistedasanapplicantinthe"Applicationlnformation"sectionofthisformhasan
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.
r ln this circumstance, the applicant(s) acknowledges responsibility for ensuring compliance
with liquor laws within and in the immediate vicinity of the licensed premises, including in
portions of the premises that are situated in "common areas" and that this requirement
applies at alltimes, 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.
CLCC Liquor License Application rRgv. 10.25.23)Attachment 1, Page 3 of 5
LIQUOR LICENSE APPLICATION
Page 4 of 4
Applicant Signature{s}: Each individual listed in the applicant information box on page 2 (entity or
individuals applying for the license) must sign the application.
lf an applicant listed in the applicant information box on page 2 is an entity (such as a corporation or
limited liability company), at least one member or officer of the entity must sign the application.
rEach applicant listed in the "Application lnformation" 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.
FfrHAlr'\ st//6/t 1->l,2o9\
Applicant name Signature
Signature
Date
\fUrA S*-.A".'.
ilpplrcantn.me S 2- \ot-1.rA
Date
Applilcant name Signature Date
Applicant name Signature Date
Applicant/Licensee Representative(s): lf you would like to designate a person/entity to act on your
behalf you must complete the Authorized Representative Form. You may submit the form with the
application or anytime thereafter. The form must be received by the OLCC before the representative
can receive or submit information for the applicant.
Pleqse note thot opplicontsflicensees ore responsible for oll informotion provided,
even if on authorized representqtive submits additionol forms on behoff of the applicont.
OLCC Liquor License Application iRev. 10.25.23)Attachment 1, Page 4 of 5
OREGON LIQUOR & CANNABIS COMMISSION
BUSINESS INFORIVATION
Please Print or Type
Applicant
Trade Name (dba
Business Location
Wednesday _ to _
Thursday_ to
-
Friday to
L{-2o pel?
The outdoor area is used for:
tr Food service Hours: to
tr Alcohol service Hours: to _
tr Enclosed, how _
The exterior area is adequately viewed and/or
supervised by Service Permittees.
(lnvestigator's lnitials)
5 on'^+ !-'rl )City:ZIP CoderdD
Business Hours:
Sunday f, A H
Monday I AH
Tuesday-St.ldtl-
Wednesday ? AM
Thursday gA PI
Friday g A H
to lo PIYto toll)to )o Pl'|to lo fl)to lo Ef1to )o lM
OutdoorArea Hours:
Tuesday _
to-
to-
to-
Saturday g An to b ?H saturday to-
Seasonal Variations: tr Yes ,E t to lf yes, explain
Check ALL that apply:ENTERTAINMENT DAYS & HOURS OF LIVE OR DJ MUSI
OLCC USE ONLY
lnvestigator Verified Seating: (Y) _(N)
lnvestigator
tr
tr
tr
tr
tr
Live Music
Recorded frtlusic
DJ Music
Dancing E ruuo" Dancing
Live Entertainment
EIKaraoke
E coin-op"rated Games
E vio"o Lottery Machines
E sociatGaming
ElPootTabtes
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
to
to
to
to
to
to
toE Minor. Entertainers E otn"r,
*Minor Entertainers in an area prohibited to minors need prior
from the OLCC
Restaurant:
Banquet:
Outdoor: Lounge:
I understand if my answers are not true and complete, the OLCG may deny my Iicense application.
Applicant Signature
wwtt.oregon.gou/oIcc
Rev:2.1.23
Other (explain): Total Seating:
-
Sunday
Monday
Attachment 1, Page 5 of 5