HomeMy WebLinkAboutItem 15 Liquor License Appilcation for Aiyara Thai Cafe
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AGENDA ITEM SUMMARY
SPRINGFIELD
CITY COUNCIL
July 16, 2007
. Regular Session
Development erVices
Dave Pue
726-3668
Consent Calendar
..~. .
ITEM TITLE:
LIQUOR LICENSE APPLICATION FOR AIY ARA THAI CAFE.
ACTION
REQUESTED:
ISSUE
STATEMENT:
ATTACHMENTS:
.DISCUSSION/
FINANCIAL
IMPACT:
Endorsement of OLCC Liquor License application for Aiyara Thai Cafe, located at
1010-1012 Harlow Road, Springfield, Oregon.
The owners of Aiyara Thai Cafe have requested the City Council to endorse their
OLCC Liquor License Application.
Attachment 1. OLCC Liquor License Application
The license endorsement for Aiyara Thai Cafe is for a new outlet with limited On-
Premises Sales. The license application has been reviewed and approved by the
appropriate City Departments.
u:,.z Oc) 7 0 3>
(0 '-7
OREGON LIQUOR CONTROL COMMISSION
LIQUOR LICENSE APPLICATION
PLEASE PRINT OR TYPE
8',
. .
.
AQP-lication is being made for: FOR CITY AND COUNTY U~E ONLY
LICENSE TYPES ACTIONS The city council orcounty commission:
o Full On-Premises Sales ($402.60/yr) D Change Ownership (name of city or county)
D Commercial Establishment ~New Outlet
D Caterer D Greater Privilege recommends that this license be:
D Passenger Carrier D Additional Privilege Granted 0
D Other Public Location D Other Denied 0
D Private Club By:
)q Limited On-Premises Sales ($202.60/yr) (signature) (date)
D Off-Premises Sales ($100/yr) Name:
D with Fuel Pumps Title:
D Brewery Pubiic House ($252.60)
D Winery ($250/yr) OLCC USE ONLY ~
D Other: Application. Rec'd by:JfJL . ~-
ApplyinC1 as: Date:fij f jp 7
D Individuals D Limited D Corporation }( Limited Liability I '
Partnership Company gO-day authority: DYes 1<NO
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1. Applicant(s): [See SECTION 1 of the Guide]
CD ..-1: \1 0\- to t I ~ L. G
@
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2. Trade Name (dba):~IYA ~ 1liAI tA re
3.8usinessLocation: lO\O.-\O\~ KAI2-LOW ~O Sf~,,vGf'lEiD LANE o~ ct7477
(number, street. rural route) (city) (c;)unty) (stRte) (ZIP code)
4. Business Mailing Address: \DlC'H/'t~UJLJ ~O S~a..\,v&-f'l [;'L..D O~ Cj 7'-+ 77
(PO box, number, street, rural route) (city) . (state) (ZIP code)
5. Business Numbers: 541 r 13b~ "30/;
6. Is the business at this location currently licensed by OLCC? DYes ~NO
(phone)
(fax)
7-. If yes to whom:
Type of License:
8. Former Business Name:_t~
9. Will yO~ have a manager? .~es
'No Name: {JC'I?IIA/t:.[ j-<../t.f1lf'.A;Lh-;:-:~NYA/<O~ ~I,/J.f t
.' < (manager nlL'st fill out an individual history form) ~li (/V'\~vJI
10. What is the local governing body where your business is located? O\TY ~ r G~f.-\y\J tLf!.
. (name of city or count
11. Contact person for this application: 6\M6 \LAMPAtv:ltl5AN'fA r\J 54'1- ~IO....18R4
. (name)..., . '1
114-0 C-AL.-lSrOGt\COV~T €,V&fWe O~O) ,If()t./ tHt\\CAA=@)A-11cX?GCY'1
(address) (fax number) (e-mail address)
I understand that if my answers are not true and complete, the OLee may deny my license application.
licant(s) Signa ure(s) and Date:
/~
Date~ @
Date
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Date
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Date
1-800-452-0LCC (6522)
www.olcc.state.or.us
ATTACHMENT1